Awards & Recognition

• Third Party Compliance Oversight, BCBS Michigan
• Navigator Program Compliance Analyzer Tool, Guidewell Source
• International Compliance Program, H. Lee Moffitt Cancer Center and Research Institute, Inc.
• Implementation of a Physical Compliance Performance Metrics, Baylor, Scott and White
• Management Certification Tool, Health Care Service Corporation
• Building A Culture of Compliance, Waud Capital Partners
• Integrity During The Pandemic, Veterans Health Administration
• Privacy Committee, WPS Health Solutions

• Acts Retirement-Life Communities, Creative Content to Engage and Educate Employees on Compliance Policies and Practices
• BlueCross BlueShield of Tennessee, Delegate Oversight
• Brookdale Senior Living, Apply Your Compliance Training To Everyday Scenarios
• Baylor, Scott & White Health, Implementation of a Physical Compliance Performance Metric
• Erlanger Health System, Code of Conduct
• GuideWell Source, An Effective Correction Action Process
• HCA Healthcare, Engaging Senior Leaders in Cybersecurity Excercises
• Health Care Service Corporation, Preventing Tomorrow’s Fraud Today by Positively Positvely Influencing the Ethical Behavior of Medical Providers
• Northwell Health, Policy Oversight
• Novo Nordisk, Ethics App and Training
• UPMC, Code of Conduct
• Veterans Health Administration, VHA’s Compliance Transformation

• Atrium Health: Risk Based Provider Audits
• Northwell Health: Clinical Research Auditing & Monitoring
• Moffitt Cancer Center & Research Institute: Institutional Conflict of Interest Program
• Northwell Health: Security & Phishing Awareness & Training
• Atrium Health: Physician Network Compliance Continuous Monitoring
• BCBS Tennessee: Encourage and Reward – A Culture of Compliance
• Baylor Scott & White: Game-Changer: Adding a Communications Professional to the Compliance Team
• Health Care Service Corporation: Measuring Training
• Highmark Health: Effective Education & Management Program
• GuideWell Source: Navigator Code of Business Conduct
• Erlanger Health System: Camp Compliance
• ACTS Retirement-Life Communities, Inc.: Compliance Risk Assessment Process

• BCBS Tennessee: Compliance Training Vignettes
• BCBS Tennessee: Governance and Monitoring Program
• BCBS Tennessee: Leveraging Compliance Process Automation to Improve Effectiveness
• BCBS Tennessee: Medicaid Program Audit Protocol
• Erlanger Health Systems: Code of Conduct Video
• HCSC: Code of Business Ethics and Compliance
• HCSC: Speak Up Program
• H. Lee Moffitt Cancer Center & Research Institute, Inc.: Compliance Department Strategic Plan
• NHS Health Services: Quality and Compliance Organization Case Management System
• Northwell Health: Code of Ethical Conduct
• Palmetto GBA: Integrating Audit and Internal Controls with Ethics & Compliance
• Parkland Health and Hospital System: Code of Conduct and Ethics Rewrite & Redesign Project
• PGBA: Compliance Challenge Training
• Restorix Health: Necessity is the Mother of Compliant Invention

• Baptist Health South Florida:  Risk Assessment Methodology
• Blue Cross Blue Shield of Michigan:  Compliance Risk Assessment and Compliance Plan
• Health Care Service Corporation:  Effective Collaboration in the Fight Against Health Care Fraud, Waste, and Abuse
• HealthTexas Provider Network:  Becoming a Best Practice Compliance Program by Being Physician-Driven
• Legacy Health: Compliance Education
• Maxim Healthcare Services: Legal Billing Analysis
• NHS Human Services, Inc.:  Quality and Compliance Organization
• Northwell Health:  Professional Fee Coding and Billing Practices
• Northwell Health:  Identity Theft Prevention Program
• PGBA:  Utilizing Staff Creativity to Promote Compliance Awareness
• UPMC Insurance Services Division:  Policy and Procedure Management Program

• Blue Cross and Blue Shield of Alabama and Florida Blue Peer-to-Peer Compliance Program Effectiveness Audits 
• BlueCross BlueShield of Tennessee Records & Information Management Compliance Conflict of Interest & Training Efficiencies 
• Community Medical Centers 340B Compliance Program 
• Health Care Service Corporation Privacy Awareness and Breach Prevention 
• Maxim Healthcare Services Auditing and Monitoring; Claims Testing; Issues Management 
• North Shore-LIJ Health System Facility Coding Controls 
• PGBA Reimagining Risk Assessment 
• Royal Philips, N.V. The Philips Legal Compliance App 
• Wound Care Specialists Compliance by Collaboration

• Cahaba Government Benefit Administrators, LLC Conflict of Interest Mitigation and Monitoring
• CGS Administrators, LLC Project Administrators Role
• Community Medical Centers Physician Compensation Arrangements Contracting Compliance
• Covenant Health Corrective Action Planning
• Health Care Service Corporation Computer-Based Training for Members of the Board
• Houston Methodist Effective Monitoring and Assessment Program
• Maxim Healthcare Services Ethics Education and Training Program
• National Government Services Conflict of Interest Monitoring
• NHS Human Services Prevention of Fraud, Waste and Abuse
• North Shore-LIJ Health System HIPAA Implementation
• PGBA, LLC Multi-Purposing Resources
• UPMC Insurance Services Division Corporate Compliance Records Management Program
• Veterans Health Administration Virtual Onboarding Training Plan for Compliance Officers
• WellPoint, Inc. Making the Most of OCR Audit Preparation Regulatory Exam Monitoring Process COI Process

• Blue Cross Blue Shield of Michigan Management of Patient Protection and Affordable Care Act
• Cahaba Government Benefit Administrators, LLC Integration of Quality in Compliance
• CaroMont Health Quarterly Provider Documentation and Coding Reviews
• CGS Administrators, LLC Conflict of Interest Process
• DaVita Compliance Training Program
• Florida Blue Internal Investigation of Improper Conduct and Corrective Action Procedures
• Health Care Service Corporation Code of Conduct Education Training
• National Government Services Innovative Online New Hire Training
• NHS Human Services Integrating Internal Controls and Quality of Care when Opening, Closing, or Modifying Revenue Systems
• North Shore-LIJ Health System Trustee Compliance Training, Education, and Governance
• PGBA, LLC Annual Compliance Survey and its Affects on Management Incentives
• Veterans Health Administration, VISN 6 Vendor Relations with Compliance, Privacy, Information Security, and Records Management programs
• WellPoint, Inc. Risk Management Program External Audit Process First-Tier, Downstream, and Related Entities Oversight Program

• 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 Government Benefit Administrators, LLC 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 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

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

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

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

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

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

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

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

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

Danville Regional Medical Center
Government Investigations Process

North East Medical Center
Audit/Compliance Process

OhioHealth
Code of Conduct

Tenet Healthcare Corporation
Compliance Instructors’ Training

Sturdy Memorial
Small Community Hospital

Interim HealthCare, Inc.
Code of Conduct

Sisters of Providence Health System
Training Video

Tenet Healthcare Corporation 
Internal Reporting

Glaxo Wellcome, Inc. 
Code of Conduct

MedPartners 
Training and Communications