Internal Audit and Compliance - Health Care Compliance Association

WEBLINKS
Health Care Fraud and Abuse Control
(HCFAC) Program annual report for FY 2005. To get to the full
document:
http://oig.hhs.gov/publications/docs/hcfac/hcfacreport2005.pdf
MFCU (Medicaid Fraud Control Units) Contact Directory
http://oig.hhs.gov/publications/mfcu.html#1
Work Plan for Fiscal Year 2007
http://oig.hhs.gov/publications/docs/workplan/2007/Work Plan
2007.pdf
Recent OIG Advisory Opinions
Use this link - http://oig.hhs.gov/w-new.html - for:
Advisory Opinion 06-15 PDF (concerning an arrangement under
which a managed care company will disburse pay-for-performance
financial incentives on behalf of a State’s Medicaid program)
Advisory Opinion 06-14 PDF (concerning a pharmaceutical manufacturer’s
proposal to establish a patient assistance program to provide
the company’s drugs to financially-needy Medicare Part D enrollees
outside of the Part D benefit
Advisory Opinion 06-13 PDF (concerning a nonprofit, tax-exempt,
charitable organization’s proposal to provide financially needy persons
who have [diseases redacted] with grants to defray the costs of premiums
and cost-sharing obligations under Medicare Part B, Medicare
Part D, Medicare Supplementary Health Insurance, and Medicare
Advantage)
Advisory Opinion 06-12 PDF (concerning a municipality’s exclusive
contract arrangement for non-emergency inter-facility ambulance
transport services)
Advisory Opinion 06-11 PDF (concerning a municipality’s exclusive
contract arrangement for non-emergency inter-facility ambulance
transport services)
Publisher:
Health Care Compliance Association, 888-580-8373
Executive Editor:
Roy Snell, CEO, HCCA, roy.snell@hcca-info.org
Contributing Editor:
Dan Roach, President, HCCA, 888-580-8373
Manager, Articles and Advertisments:
Margaret R. Dragon, HCCA, 781-593-4924, margaret.dragon@hcca-info.org
Copy Editor/Proofreader:
Patricia Mees, HCCA, 888-580-8373, patricia.mees@hcca-info.org
Style Editor:
Sarah Anondson, HCCA, 888-580-8373, sarah.anondson@hcca-info.org
Layout:
Gary Devaan, HCCA, 888-580-8373, gary.devaan@hcca-info.org
HCCA Officers:
Daniel Roach, Esq.
HCCA President
VP & Corporate Compliance Officer
Catholic Healthcare West
Steven Ortquist, CHC
HCCA 1st Vice President
Senior Vice President, Ethics and
Compliance/Chief Compliance Officer
Tenet Healthcare Corporation
Rory Jaffe, MD, MBA, CHC
HCCA 2nd Vice President
Executive Director–Medical Services
University of California
Julene Brown, RN, BSN, CHC, CPC
HCCA Treasurer
MeritCare Health System
Jennifer O’Brien
HCCA Secretary
VP Corporate Compliance
Allina Hospitals & Clinics
Odell Guyton
HCCA Immediate Past President
Senior Corporate Attorney,
Director of Compliance,
U.S. Legal–Finance & Operations
Microsoft Corporation
Frank Sheeder
Non-Officer Board Member of
Executive Committee
Partner
Jones Day
CEO/Executive Director:
Roy Snell, CHC
Health Care Compliance Association
Counsel:
Keith Halleland, Esq.
Halleland Lewis Nilan Sipkins & Johnson
Board of Directors:
Urton Anderson
Associate Dean for Undergraduate Programs
at McCombs School of Business
University of Texas
Cynthia Boyd, MD, FACP, MBA
Chief Compliance Officer
Rush University Medical Center
Anne Doyle
Director of Public Policy, Government Affairs
and Compliance
Tufts Health Plan
Gabriel Imperato
Managing Partner
Broad and Cassel
Al W. Josephs, CHC
Senior Director Policies and Training
Tenet Healthcare Corporation
Joseph Murphy
Partner, Compliance Systems Legal Group
Chairman, Integrity Interactive Corp
F. Lisa Murtha, Esq., CHC
Managing Director
Huron Consulting Group
Mark Ruppert, CPA, CIA, CISA, CHFP
Director, Internal Audit
Cedars-Sinai Health System
Debbie Troklus, CHC
Assistant Vice President for Health Affairs/
Compliance
University of Louisville, School of Medicine
Sheryl Vacca, CHC
Director, National Health Care
Regulatory Practice, Deloitte & Touche
Cheryl Wagonhurst
Partner, Foley & Lardner LLP
Greg Warner, CHC
Director for Compliance
Mayo Clinic
Advisory Opinion 06-10 PDF (concerning a nonprofit, tax-exempt,
Compliance Today (CT) (ISSN 1523-8466) is published by the Health Care Compliance
Association (HCCA), 6500 Barrie Road, Suite 250, Minneapolis, MN 55435. Subscription rate is $357 a
charitable organization’s practice of providing certain therapy management
services and assistance with Medicare cost-sharing obligations to
year for nonmembers. Periodicals postage-paid at Minneapolis, MN 55435. Postmaster: Send address changes
to Compliance Today, 6500 Barrie Road, Suite 250, Minneapolis, MN 55435. Copyright 2006
the Health Care Compliance Association. All rights reserved. Printed in the USA. Except where specifically
encouraged, no part of this publication may be reproduced, in any form or by any means without prior written
financially needy Medicare beneficiaries undergoing medical treatment
consent of the HCCA. For subscription information and advertising rates, call Margaret Dragon at 781-593-
for certain diseases)
4924. Send press releases to M. Dragon, PO Box 197, Nahant, MA 01908. Opinions expressed are not those of
this publication or the HCCA. Mention of products and services does not constitute endorsement. Neither the
HCCA nor CT is engaged in rendering legal or other professional services. If such assistance is needed, readers
should consult professional counsel or other professional advisors for specific legal or ethical questions.
November 2006
44 Health Care Compliance Association • 888-580-8373 • www.hcca-info.org