INSIDE - Health Care Compliance Association

More documents

Recommendations

Info

November 2003 30 HCCA welcomes the following people and organizations listed below (U.S. Sates Idaho to Pennsylvania) who joined HCCA between January-April 2003. All member contact information is available on the Members Only section of the HCCA Website– http:// www.hcca-info .org - Please email April Kraft (april.kraft@hcca-info.org) with any questions on how to update your information on the Website. Idaho ■ Bettina M. Ferraro, St. Alphonsus Regional Medical Center ■ Kent Loosle, Magic Valley Regional Medical Center Illinois ■ Tina Ahten, BSN, MHSA, Northwest Community Hospital ■ James Bowers, Crain, Miller & Associates, Ltd ■ Larry Lake, Protiviti, Inc. ■ Carol E. Lewis, Qunicy Medical Group ■ Robb Miller, Robb Miller Consulting, Inc. ■ Sherri K. Myers, MA, Methodist Medical Center of Illinois ■ Sharla J. Parker, VA Hines ■ Alan Peterson, Tucker Alan, Inc. ■ Robert S. Spadoni, Oak Park Hospital ■ Stephen Weiser, Duan Morris, LLC Indiana ■ Ronald Buskirk, AS, BS, MPA, St. Joseph Hospital ■ Charlotte L. Howells, RN, Greater Lafayette Health Services, Inc. ■ Nancy Lund, Community Foundation of Northwest Indiana ■ Jan Teal, Advantage Health Solutions, Inc. Kansas ■ Edward Barker, SCL Health System, Inc. ■ Erica Bush, Shawnee Mission Medical Center ■ Jan Clay, The Consotium Inc. ■ Cindy S. Flentie, RHIT, Community Hospital Onaga Kentucky ■ Donna D. Curry, RN, BS, CCM, DAHM, Center Care Health Benefits Programs ■ Kevan Shaheen, Data Advantage Lousiana ■ Cindy Baughman, MS, CPA, Ochsner Clinic Foundation ■ Louella P. Givens-Harding, MBA, JD, House Call ■ Shirin Harrell, JD, Sessions, Fishman, & Nathan LLP ■ Karen Hebert, University Medical Center Maryland ■ Victor Blanchard, Protiviti, Inc. ■ Cheryl T. Godsey, MS, Keswick Multi Care Center ■ Noreen Herbert, Mental Hygiene Admin. ■ Pamela Hodges, BA, RAC, Human Genome Sciences, Inc. ■ Linda Rago, CPC, LBR Assoicates, LLC ■ Lisa Shay, Montgomey General Hospital ■ Tracy Thomas, Catholic Health Inititatives ■ Robert A. Wells, BA, JD, International Physicians Network Massachusetts ■ David T. Haig, BS, Hallmark Health System Inc. ■ David Rogers, Deloitte & Touche, LLP Michigan ■ David L. Currin, BA, MBA, St. John Health ■ Denise A. Dach, McLaren Health Care ■ Julie Gutzman, Trinity Continuing Care Services ■ Hala Helm, Spectrum Health ■ Lena Payne, Integrated Health Associates ■ Brenda Wilson, Training & Treatment Innovations, Inc. ■ Kimberly Winnik, MSM, CIA, CFE, Health Care Compliance Association • 888-580-8373 • www.hcca-info.org OCSA, Blue Cross Blue Shield of Michigan Minnesota ■ Sean K. Bailey, DaVita ■ Mary De Ranitz, UCare Minnesota ■ Susan Hanstad, BA, Centerpulse Spine- Tech Division ■ Andrew Labowitch, TruSource, Inc. Mississippi ■ Debbie Adams, AA, CPC, Cardiology Associates of North MS ■ Cathy Robinson, Rush Health Systems Missouri ■ Camille D. Cohen, RehabCare Group ■ Lynn Idle, University of Missouri Health System ■ Patricia L. Weir, BN, BSN, MBA, Rehab Care Group, Inc Montana ■ Michael Frank, Blue Cross Blue Shield of Montana ■ Mary K. Nash, II New Hampshire ■ Tonya Eastman, Littleton Regional Hospital ■ Linda Gilmore, RN, BSN, CCRN, Littleton Regional Hospital ■ Susan Sanfacon, BS, MBA, Simione Consultants New Jersey ■ Alex Cocoziello, Dendrite International New York ■ Melanie Belman-Gross, Ernst & Young ■ Ellen Bennett, Sanofi-Synthelabo, Inc. ■ Ann M. Curran, Medical Management Resources, Inc. ■ David Ross, Protiviti, Inc. ■ Ewa Winiarska, RN, BSN, Schervier Nursing C.C. North Carolina ■ Pamela F. Farmer, NorthEast Medical Center ■ Lea Fourkiller, JD, Cherokee Indian Hospital
■ Andy Hunter, MedClaim, Inc. ■ Linda Jordan, Brody School of Medicine ■ Deane E. Schweinsberg, RN, BSN, Duke Univ. Health System ■ Paula Vaughn, Wake Forest University Oklahoma ■ Judy M. Dunford, CMMPA, Tulsa Nephrology, Inc. ■ Gwen Ford, DaVita ■ Bill Oden, Oden Insurance Services ■ David Stanton, Purcell Municipal Hospital Ohio ■ Madelyn Anderson, RN, Community Health Partners ■ John N. Petrus, JD,CPA, Univ. Hospitals Health System ■ Pat Roam, Mount Carmel Health System ■ Vicki Stubbers, Mercy Health Partners ■ Greg A. Wessinger, Abbott Labs-Ross Products Division ■ Nancy White, RHIT, Cincinnati Children’s Hosp. Med. Center Oregon ■ Phoebe Bennett, Bay Area Hospital ■ Bonnie Mullins, Oregon Anesthesiology Group, PC ■ Marcus C. Mundy, Kaiser Permanente Pennsylvania ■ Lori Biacchi, MHA, RRA ■ Chetan Deshmukh, MS, MBAL, HP3 ■ Steve Gallerizzo, VA Medical Center ■ Geoffrey A. Jennings, DaVita ■ Paul Lench, BS, MS, JEVS ■ Phoebe Moore, BA, CPC, CPC-H, HP3 ■ Donna Osborn, Susquehanna Health System ■ Diane Posternack, JEVS ■ Stephanie Randall, Children’s Paraclete ■ Cyndi M. Shipman, BS, Community Alternatives, Inc. ■ Andrew Stuart, Klingensmith Healthcare ■ Carol Ann R. Wilcock, DaVita ■ WEBSITES OF ■ CMS Unveils New Website http://www.cms.hhs.gov ■ CMS Health Care Industry Market Update http://www.cms.hhs.gov/reports/hcimu/ default.asp CMS Program Memos ■ Managing Medicare Appeals Workloads in FY 2004 http://cms.hhs.gov/manuals/pm_trans/ AB03133.pdf ■ 2004 Annual Update for Skilled Nursing Facility (SNF) Consolidated Billing for the Common Working File (CWF) and Medicare Carriers http://cms.hhs.gov/manuals/pm_trans/ B03068.pdf ■ Addition of Three New International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) Diagnosis Codes to be Effective as Part of the October 1, 2003, ICD-9-CM Update http://cms.hhs.gov/manuals/pm_trans/ AB03129.pdf ■ Changes to Code List for Therapy Services http://cms.hhs.gov/manuals/pm_trans/ B03065.pdf ■ Instructions for Provider Credit Balance Reporting Activities http://cms.hhs.gov/manuals/pm_trans/ A03072.pdf ■ FY 2004 Inpatient Prospective Payment System (IPPS), Long Term Care Hospital (LTCH), and Other Bill Processing Changes http://cms.hhs.gov/manuals/pm_trans/ A03073.pdf Federal Register ■ Table of Contents INTEREST http://www.access.gpo.gov/su_docs/ fedreg/frcont03.html ■ FR–CMS published in the FR on pages 50717-50722, Final Rule related to Electronic Submission of Cost Reports rule http://a257.g.akamaitech.net/7/257/ 2422/14mar20010800/edocket.access. gpo.gov/2003/03-21441.htm GAO ■ The Month in Review contains the reports, testimony, correspondence, legal products, and other publications made publicly available during the previous month, grouped according to subject categories, subscribe at http://www.gao.gov OIG ■ Audit–Review of Outpatient Cardiac Rehabilitation Services– Saint Luke’s Medical Center, Milwaukee, Wisconsin http://oig.hhs.gov/oas/reports/region5/ 50200084.htm ■ Ineligible Medicare Payments to Skilled Nursing Facilities Under the Administrative Responsibility of Cahaba Government Benefit Administrators http://oig.hhs.gov/oas/reports/region5/ 50300051.pdf ■ Ineligible Medicare Payments to Skilled Nursing Facilities Under the Administrative Responsibility of Veritus Medicare Service http://oig.hhs.gov/oas/reports/region5/ 50300035.pdf ■ Health Care Compliance Association • 888-580-8373 • www.hcca-info.org 31 November 2003
Page 1 and 2: Volume Five Number Eleven November
Page 3 and 4: Key priority #8: Develop partnershi
Page 5 and 6: Health Care Compliance Association
Page 7 and 8: methodology by which the audit resu
Page 9 and 10: multiple units. As a result, the bi
Page 11 and 12: Model Act Section § 2.T. (Definiti
Page 13 and 14: Model Act Section § 8.A.(4) Descri
Page 15 and 16: feature Compliance Professional in
Page 17 and 18: eviewed to identify areas of focus
Page 19 and 20: urgent basis without requiring a pr
Page 21 and 22: apprehensive about being secondgues
Page 23 and 24: ■ Data must be used to identify o
Page 25 and 26: The ballots for the HCCA Board of D
Page 27 and 28: Compliance vs. the legal department
Page 29: Erin O’Donnell Director of Operat

INSIDE - Health Care Compliance Association

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?