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“Does this really make a compliance program “effective”” ...continued from page 29 Also, what are the structures and processes you can point to in order to demonstrate that you have been proactive in trying to address regulatory risk by performing an annual risk assessment based upon the OIG Work Plan, Conditions of Participation, etc, prioritized areas to monitor and audit each year and completed such activities. certified in CHC healthcare compliance The Compliance Professional’s Certification The Compliance Certification Board (CCB) compliance certification examination is available in all 50 states. Join your peers and become Certified in Healthcare Compliance (CHC). In conclusion, this is not about being perfect. This is about having the structures and processes in place to proactively address on-going regulatory risks and react and respond appropriately to reported concerns of potential non-compliance. n Be Sure to Get Your CHC CEUs Inserted in this issue of Compliance Today is a quiz related to the articles: n The 1-2-3s of claims sampling to resolve overpayment errors — By B. Bo Martin, page 32 n Quality of care and compliance: Existing challenges and first steps for hospitals — By Cheryl L. Wagonhurst and Nathaniel M. Lacktman, page 46 n Complying with the HIPAA Privacy Rule: What you need to know — By Rebecca C. Fayed, page 59 To obtain your CEUs, take the quiz and print your name at the top of the form. Fax it to Liz Hergert at 952/988-0146, or mail it to Liz’s attention at HCCA, 6500 Barrie Road, Suite 250, Minneapolis, MN 55435. Questions Please call Liz Hergert at 888/580-8373. Compliance Today readers taking the CEU quiz have one year from the published date of the CEU article to submit their completed quiz. CHC certification benefits: n Enhances the credibility of the compliance practitioner n Enhances the credibility of the compliance programs staffed by these certified professionals n Assures that each certified compliance practitioner has the broad knowledge base necessary to perform the compliance function n Establishes professional standards and status for compliance professionals n Facilitates compliance work for compliance practitioners in dealing with other professionals in the industry, such as physicians and attorneys n Demonstrates the hard work and dedication necessary to perform the compliance task Since June 26, 2000, when CHC certification became available, hundreds of your colleagues have become Certified in Healthcare Compliance. Linda Wolverton, CHC, says she sought CHC certification because “many knowledgeable people work in compliance and I wanted my peers to recognize me as one of their own.” For more information about CHC certification, please call 888/580-8373, e-mail ccb@hcca-info.org or click on the CCB Certification button on the HCCA Web site at www.hcca-info.org. n Congratulations on achieving CHC status! The Compliance Certification Board announces that the following individuals have recently successfully completed the Certified in Healthcare Compliance examination, earning CHC designation: Catherine M. Duffy Carol A, Kriebel Marshall Vernon Preddy Beth-Ann Nmn Saul Amy Katherine Terrell CHC-F Debbie Troklus Steve Ortquist Shawn DeGroot Rita Scichilone Christine Bachrach Sheryl Vacca Marti Arvin John Falcetano October 2008 30 Health Care Compliance Association • 888-580-8373 • www.hcca-info.org
Certification – the recognized mark of a professional By Margaret Dragon The survey also indicates a 6% increase for the compliance certification requirement for attorneys. (Survey results are available on the HCCA website at www.hcca-info.org under the “Compliance Info” tab). Editor’s note: Margaret Dragon is Director of Communication for the Society or Corporate Compliance and the Health Care Compliance Association. She may be reached by e-mail at margaret.dragon@corporatecompliance.org or by telephone at 781/593-4924. Why go through the preparation and process of becoming certified Why do so many employers prefer certification when hiring Compliance department staff What value does certification hold for the compliance and ethics professional Compliance Today asked a number of compliance and ethics professionals these and other questions about compliance and ethics certification, and here are the results. Employers take notice It is common knowledge that certification indicates a certain level of competency in a specific profession, so it is no surprise that, more and more, compliance certification is becoming preferred or even required. According to Compliance Certification Board (CCB) President Debbie Troklus, CHC-F “Employers believe compliance and ethics professionals, who have taken the time to obtain certification, demonstrate a high level of knowledge in the field and dedication to the profession.” Professional certification provides employers with “assurance of competency and also demonstrates a personal commitment to excellence,” explains Rita Scichilone, MHSA, RHIA, CCS, CCS-P, CHC-F, Director, Practice Leadership with the American Health Information Management Association. With an increasingly competitive workforce, employers can and are requiring professional credentials, explains Scichilone. “Some employers may widen their search by listing a compliance position as CHC [Certified in Healthcare Compliance] or CCEP [Certified Compliance and Ethics Professional] preferred, since it can be a negotiation factor for the right individual,” said Scichilone. “Compliance certification lends credibility to the candidate,” adds Troklus. Compliance and ethics professional Shawn DeGroot, CHC-F, CCEP, Vice President of Corporate Responsibility for Regional Health in Rapid City, South Dakota points out that during her interview with Regional Health Board of Directors, the compliance credential “relayed the point that I was personally and professional motivated to continue to learn and improve.” DeGroot says that she requires compliance certification for the Director position [at Regional Health] or [requires] that he/she “attain the credential within two years.” Survey confirms trend Recent survey results agree with Scichilone and DeGroot. According to a national survey conducted by the Health Care Compliance Association (HCCA) in 2008, the compliance certification requirement has steadily increased since it first began tracking this information in 2006. For example, the 2008 survey indicated that 21% of the respondents require Assistant Compliance Officers be CHC, up from 17% in 2006; during that same time, the certification requirement for Compliance Generalists increased by 7%. John Falcetano, CCEP, CHC, CHC-F, CHRC, CIA, Chief Audit & Compliance Officer for the University Health Systems of Eastern Carolina, says he prefers certification when hiring Compliance department staff. “I have worked with my staff and encourage them to become certified. In fact, one of my staff just completed the Research Academy in June 2008 and became Certified in Healthcare Research Compliance (CHRC).” Heightened credibility Employers are hiring certified compliance and ethics professionals. “The credential provides increased credibility in the industry on both the individual and organizational levels,” says Robert Lesser, Deputy Director, McHenry County Mental Health Board, in Crystal Lake, Illinois... “Having a credentialed staff demonstrates that both the individual and the organization are committed to ensuring that they will be meeting the required standards, whether they related to financial, clinical, legal, or licensure requirements,” he added. Lesser suggests that having a certified compliance officer “facilitates confidence in the minds of monitoring entities. The regulators who monitor know that their monitoring activities will likely occur with greater ease, because of the increased likelihood of finding record keeping performed in a manner that facilitates easier review and accuracy.” Compliance certification is a job requirement and it “was a factor in the decision to interview me for the job,” said Danna Teicheira, CHC, CCEP, Compliance Specialist/Privacy Continued on page 88 Health Care Compliance Association • 888-580-8373 • www.hcca-info.org 31 October 2008
Page 1 and 2: Volume Ten Number Ten October 2008
Page 3 and 4: INSIDE Publisher: Health Care Compl
Page 5 and 6: which ensures that the understandin
Page 7 and 8: Table 1: 14 CLAS Standards U.S. Dep
Page 9 and 10: Scholarship Recipients The Four Dua
Page 11 and 12: and need emergency care (e.g., an i
Page 13 and 14: Court analyzes first case under Sta
Page 15 and 16: It was established in 1969 in respo
Page 17 and 18: and get linked up with e-newsletter
Page 19 and 20: Social networking Many compliance p
Page 21 and 22: Focus on Organizational Compliance
Page 23 and 24: Medicare’s medical necessity crit
Page 25 and 26: Is no notice enough notice Legal pr
Page 27 and 28: Exploring the question: Does this r
Page 29: “Does this really make a complian
Page 33 and 34: suffice. This potential error can b
Page 35 and 36: Introducing Compliance & Ethics Soc
Page 37 and 38: who typically sell multiple plans o
Page 39 and 40: n State OIG that fight Medicaid fra
Page 41 and 42: Coordinating external requests for
Page 43 and 44: The what, why and how of Medicare C
Page 45 and 46: The what, why and how of Medicare C
Page 47 and 48: to hear the message first. Educatin
Page 49 and 50: COMPLIANCE ACADEMIES February 2-5 S
Page 51 and 52: or whistleblower lawsuit. Moreover,
Page 53 and 54: SEC Disclosure: Managing informatio
Page 55 and 56: Upcoming Regional Conferences Octob
Page 57 and 58: SEC Disclosure: Managing informatio
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Page 67 and 68: PHI under false pretenses, that per
Page 69 and 70: Improving competitiveness and compl
Page 71 and 72: Speakers Sharon Anolik Blue Cross B
Page 73 and 74: commitment to overhaul deficient co
Page 75 and 76: e g i s t e r n o w f o r HCCA’s
Page 77 and 78: New principles can help advance ind
Page 79 and 80: New principles can help advance ind
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When to use a monitor Although some
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ASKLEADERSHIP John asks the leaders
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Enforcement actions in health care
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Corruption enforcement actions targ
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“I am a compliance professional a
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n M. Michelle Walker, LifePoint Hos
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600 U.S. BANK PLAZA SOUTH 220 SOUTH
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