Awards & Recognition

Adventist Health
Physician Payment Audit Process

Baylor Health Care System
Conflict of Interests Management Program

Blue Cross and Blue Shield of Tennessee
Compliance Inquiry Management Program;
Education and Training

Bon Secours Health System
Compliance Education Program

Cahaba Government Benefit Administrators, LLC
Communication and Training Program

CaroMont Health
Corporate Responsibility Education and Awareness

Florida Blue
Compass Program, Code of Ethical Business Conduct

Health Care Service Corporation
Compliance By Design Program

National Government Services
Disclosure of PHI Reporting Procedure

NHS Human Services
Quality and Compliance

North Shore LIJ Health System
Compliance Risk Assessment

OSU Physicians, Inc.
Compliance Audit Program

UPMC Insurance Services Division
Corporate Compliance Training Program

Blue Cross and Blue Shield of Florida
Using Technology to Improve Compliance Program Performance

Cahaba GBA
Compliance Training

CareFusion Corporation
Internal Reporting System

Covenant Health
Sanctions Checking Process

Health Care Service Corporation
Corporate Compliance Ambassador Program

Massachusetts General Hospital
Integrating Compliance, Quality & Patient Safety

National Government Services, Inc.
Associate Culture and Empowerment (ACE) Program

NHS Human Services
Assessing Compliance Risks;
Code of Conduct

North Shore LIJ Health System
Annual Training;
Vendor Relations Program

Palmetto GBA
Improper Access to PHI and PII Reporting Process

Premier Health Partners
Physician Compensation Management Process

SummaCare, Inc.
Code of Ethical Conduct

University of Connecticut
Governance, Oversight & Self-Assessment;

University of Connecticut Health Center
Monitoring Financial COI in Research

Veterans Health Administration
Compliance and Business Integrity Metrics Framework

Veterans Health Administration: VISN 16
Integrating Audit & Internal Controls with Ethics and Compliance

Bon Secours Health System
Conflict of Interest Process (COI)

CareFusion Corporation
Code of Conduct

Covenant Health
Dashboard, Investigation Tracking System

Health Care Service Corporation
Fraud, Waste and Abuse Program

National Government Services 
Compliance and an Established Partnership with Management;
Response to Internal Investigations of Improper Conduct & Corrective Action Process

NHS Human Services
Integrity Education Program;
Response to Internal Investigations of Improper Conduct & Corrective Action Process

Sharp HealthCare
Data Mining & Data Analytics for RAC Success

WellPoint Inc.
Code of Conduct Review;
HIPAA Implementation

BlueCross BlueShield of South Carolina
Compliance Common Newsletter

BlueCross BlueShield of Tennessee
Compliance Training Programs: A Consolidated Approach;
Reaching Compliance Inquiries: A Self Assessment of Program Effectiveness

Health Care Service Corporation
The HCSC Corporate Integrity Hotline and Incident Tracker

MedStar Health
Communication and Training

South Central Veterans Affair Health Care Network
Integrating Audit and Internal Controls with Ethics and Compliance

University of Connecticut Office of Audit, Compliance, and Ethics
Risk Assessment and Compliance Monitoring Plans

WellPoint, Inc.
Annual Training Enhancements;
Delegated Entity Oversight Program;
Priority Report Program

Health Care Service Corporation
Vendor Governance Program

National Government Services
Compliance Program Assessment;
Influencing Corporate Culture through Training & Communication;
Integrating Audit and Internal Controls with Ethics and Compliance

NHS Human Services, Inc.
Behavioral Health Compliance Program;
Quality Performance Review Process;
Response to Internal Investigations of Improper Conduct & Corrective Action Procedures

PGBA, LLC
Government Programs Compliance Department

The Methodist Hospital System
Education & Training

University of Connecticut Health Center
Clinical Research / Adverse Event Reporting

Veterans Health Administration: Mid-Atlantic Health Network (VISN 6)
Revenues Cycle Compliance Risk

WellPoint, Inc.
Response to Internal Investigations of Improper Conduct & Corrective Action Procedures

BlueCross BlueShield of Tennessee, Inc.
Integrating Audit and Internal Control with Ethics and Compliance;
Vendor Relationships

Covenant HomeCare
Integrating Technology and Focused Audits for Compliance and Quality

Health Care Service Corporation
Medicare Part D: Chapter 9 – Program to Control Fraud, Waste & Abuse

Highmark, Inc.
Identifying, Preventing and Reporting Part D Fraud, Waste and Abuse

MedStar Health
Focus Summaries

Sharp Healthcare
An Interventional Coding Compliance Inter-Disciplinary Team Approach

SummaCare, Inc.
Compliance Awareness, Communication and Training;
Fraud and Abuse Case Tracking Database

WellPoint, Inc.
Corporate Compliance Program Assessment;
Corporate Individual Rights Database;
Ethics and Compliance Training Program

West Penn Allegheny Health System
Compliance Program Assessment

Adventist Health System
Physician Contract Review Process

BlueCross BlueShield of Tennessee
Regulatory Reports Tracking

Central Connecticut Health Alliance
Compliance Program Quarterly Reporting

Covenant Health
Laboratory Employee Compliance Training;
Outpatient Rehab Compliance Training;
Research Compliance Program

Health Care Service Corporation
Regulatory Oversight Office

Intermountain Healthcare
HIPAA Security Regulations

Massachusetts General Hospital
HIPAA Breach Management Program

NHS Human Services, Inc.
Quality Call Back System

Palmetto GBA
Integrating Audit & Internal Controls with Ethics & Compliance

PGBA, LLC
Quest Quiz

Riverbend GBA, Inc.
Change Management Success;
Integrating Audit & Internal Controls with Ethics & Compliance

Veterans Affairs
CBI Qualitative Claims Analysis Program

Veterans Health Administration
CBI Annual Report Process

Health Care Service Corporation
Compliance Program Assessment

Northwestern Human Services
Integrating Audit/Internal Controls with Ethics and Compliance

TrailBlazer Health Enterprises, Inc.
Response to Internal Investigations and Corrective Action Procedures

United Government Services
HIPAA Implementation

Zimmer, Inc.
Vendor Relationships

Health Care Service Corporation
Management Compliance Certification Process – Core Values

Fresenius Medical Care North America
Decreasing Data Entry Errors Through Compliance Process Improvement; A MultiDisciplinary Approach

Catholic Health System
Integrating Audit and Internal Controls with Ethics and Compliance

Covenant Health
Conducting Internal Investigations

TrailBlazer Health Enterprises, L.L.C.
TrailBlazer Compliance Awareness & Communications Activities

North Broward Hospital District
HIPAA Auditing and Monitoring

West Penn Allegheny Health System
Integrating audit and internal controls with ethics and compliance

Palmetto Government Benefits Administrators
Management control review

Memorial Hermann Health System
Integrating audit and internal controls with ethics and compliance

Health Care Service Corporation
Internal controls: Ineligible parties screening program

Anthem, Inc.
Training and education: Web-based ethics and compliance training programs

OhioHealth
Documentation Program

VA Rocky Mountain Health Care Network
Internal Audit System for inpatient and outpatient nedical records

Heritage Behavioral Health Center, Inc.
Documentation Program

Health Care Service Corporation, BCBS of Illinois, Texas and New Mexico
Compliance Training Program

Anthem Insurance Companies, Inc.
Standards of Business Conduct

BlueCross BlueShield of Louisiana
Code of Business Conduct

Covenant Health
Report Line Data Management and Tracking System

BlueCross BlueShield of Illinois, Texas and New Mexico
Conducting Internal Compliance Investigations

Veterans Affairs New Jersey Health System
Billing, Coding and Documentation, Program Plan and Staff Education

Massachusetts General Physicians Operations
Billing, Coding and Documentation, Policy and Physician Education

Covenant Health
Criminal Background Checks Process

Danville Regional Medical Center
Government Investigations Process

North East Medical Center
Audit/Compliance Process

OhioHealth
Code of Conduct

Tenet Healthcare Corporation
Compliance Instructors’ Training

Arden Hill Senior Health System
Long Term Care

Sturdy Memorial
Small Community Hospital

Interim HealthCare, Inc.
Code of Conduct

Sisters of Providence Health System
Training Video

Holy Cross Health System
Organizational Culture

Tenet Healthcare Corporation 
Internal Reporting

Glaxo Wellcome, Inc. 
Code of Conduct

MedPartners 
Training and Communications

Sherrie D. LeMier
President & COO
Cahaba GBA

Laura Macaluso
Executive Director
Southcoast Health System

Mike Barton
Executive Vice President
Eastern Region of NHS Human Services

Cathy Burzik
Chief Executive Officer
of Kinetic Concepts, Inc.

Debra Muscio, CCE
Chief Audit and Compliance Officer
Community Medical Centers

Jim Neal, CCE
Director of Ethics and Compliance
CareFusion

Caitlin O’Brien
Chief Compliance and Business Integrity Officer
Department of Veterans Affairs

Linda Greer
Board Member
Palomar Pomerado Health System

Laurence Tanner
Chief Executive Officer
Central Connecticut Health Alliance

John Ciavardone
Senior Vice President for Compliance & Quality
NHS Human Services

Patricia “Tish” Breeding
Chief Compliance Officer
Covenant Health

M. Joseph Rocks
Chief Executive Officer
NHS Human Services

Tara Dowd Gurber
Senior Vice President and Corporate Compliance Officer,
Audit, Compliance, and Security
Health Care Service Corporation

Vicky Gregg
President & Chief Executive Officer
BlueCross BlueShield of Tennessee

Michael H. Covert F.A.C.H.E
President & Chief Executive Officer
Palomar Pomerado Health

Maryanne Spicer, CCP
Director of Compliance
Massachusetts General Hospital

Anthony L. Spezia
President & Chief Executive Officer
Convenant Health

Edward Gaines
Senior Vice President Compliance
Healthcare Business Resources, Inc.

Carl Josehart
Former Senior Vice President & CCO
Sinai Health System

Jeffrey C. Oak, PhD
Former Associate CFO for Compliance and Business Integrity
Veterans Health Administration

June Gibbs Brown
Former Inspector General
Department of Health and Human Services

Neil Hadley
Retired Vice President of Ethics and Business Conduct
Tenent Health Care

Fred Verinder
Former Vice President, Compliance Operations
Blue Cross Blue Shield of Illinois, Texas, & New Mexico