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We are pleased to introduce The Duane Morris, LLP Certified in Healthcare Compliance (CHC) Scholarship Health Care Compliance Association Beginning in 2008, Duane Morris, LLP will sponsor four Certified in Healthcare Compliance (CHC) Scholarships annually. The Duane Morris, LLP CHC Scholarship is intended to offer health care professionals the opportunity to expand their knowledge and advance their careers by obtaining the Certified in Healthcare Compliance (CHC) credential. Obtaining the CHC credential demonstrates an advanced knowledge of compliance and ethics principles and practice. Each recipient of the Duane Morris LLP CHC Scholarship will be awarded $4,000 to cover the HCCA Compliance Academy tuition and CHC test fees, as well as a portion of travel expenses to attend the Academy. (Both Academy tuition and test fees have member and non-member pricing, so the portion of travel expenses covered will vary based on membership status.) All applicants must successfully demonstrate financial need of their employer, as this scholarship is designed to provide educational assistance to health care professionals in organizations that may not otherwise be able to fund Academy attendance and CHC testing. Applicants must also meet the following criteria for consideration: v Do not presently hold the CHC credential v Have worked in the Health Care Compliance field for at least one year v Meet the criteria to sit for the CHC exam v Commit to prepare and sit for the CHC exam through the professional testing service or at the conclusion of the HCCA Academy Background: The CHC credential is awarded to candidates who pass the Healthcare Compliance Certification Board CHC Examination. The Examination is offered at the conclusion of the HCCA Compliance Academy. The Compliance Academy offers four days of intense sessions covering the seven elements of health care compliance. Duane Morris LLP and HCCA encourage equal opportunity for all CHC Scholarship applicants and candidates. Applications are available at www.hcca-info.org, please call 888-580-8373 to receive an application. October 2008 8 If you have questions about the scholarship or the Compliance Academy program please contact Jennifer Power at 952/405-7916 or by email at jennifer.power@hcca-info.org Health Care Compliance Association • 888-580-8373 • www.hcca-info.org
Scholarship Recipients The Four Duane Morris LLP HCCA Health Care Compliance Scholarships for 2008 were awarded to: Kimberly Carroll Compliance Analyst LSU Health Sciences Center – Shreveport Shreveport, LA Michele Gildener Compliance & Privacy Officer Kona Community Hospital Kealakekua, Hawaii Roger Lowe Privacy Officer Yukon Kuskokwim Health Corp Bethel, Alaska Sharon Taylor Director of Risk Management/Accreditation Services Burgess Health Center Castana, IA To submit an application for the 2009 Duane Morris LLP HCCA Scholarship please visit www.hcca-info.org Introducing Compliance & Ethics Social Networking By Shawn Leonard Editor’s note: Shawn Leonard is the Webmaster/Privacy Officer at HCCA. He can be reached by phone at 952/567-6220 or by e-mail at shawn.leonard@ hcca-info.org.com. When it comes to social networking, many compliance and ethics professionals tend to grow deeply concerned: Visions of questionable content on Facebook and MySpace pages haunt their dreams. Despite the high profile disasters, social networking has grown to be an important part of business networking. LinkedIn, which helps professionals network with each other, now has more than 25 million members. The Health Care Compliance Association even has its own group on that site. To help bring online collaboration among ethics and compliance professionals to the next level, HCCA, along with our sister organization the Society of Corporate Compliance and Ethics, has invested in creating a social networking site just for compliance and ethics professionals. This site will enable you to connect with others in the profession year round. You’ll be able to expand your network of peers and won’t need to wait until the next industry meeting to connect directly. The site is designed to make it easy for you to find other ethics and compliance professionals who share the same interests and challenges you do, whether it’s dealing with the complexities of the federal Anti-kickback and Stark Laws or a general ethics issue. Asking a question of your peers is easy (e.g., Do you have a policy that covers x What’s a best practice for y). Giving an answer is just as simple. Here’s how it works. Go to the HCCA site (www.hcca-info.org) and log in. Then click on the Network link, which will take you directly to the Compliance & Ethics Exchange. Once there, you will see a list of various social networks you can join, based on areas of interest. Simply click on an e-group or groups that interest you. Then indicate how you want to learn about what’s going on with it (i.e, you might want an e-mail whenever someone posts to the Continued on page 35 Health Care Compliance Association • 888-580-8373 • www.hcca-info.org 9 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: Table 1: 14 CLAS Standards U.S. Dep
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 and 30: “Does this really make a complian
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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
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Page 49 and 50: COMPLIANCE ACADEMIES February 2-5 S
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Page 53 and 54: SEC Disclosure: Managing informatio
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Complying with the HIPAA Privacy Ru
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Health Care Compliance Association
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Improving competitiveness and compl
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Speakers Sharon Anolik Blue Cross B
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commitment to overhaul deficient co
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e g i s t e r n o w f o r HCCA’s
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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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