Holding the compass of compliance in nine states — and across the

Compliance
TODAY
January 2015
a publication of the health care compliance association
www.hcca-info.org
Holding the compass of compliance
in nine states — and across the world
an interview with Ruth Krueger
Enterprise Compliance Program Manager, Sanford Health
See page 20
27
35
OIG 2015
Work Plan, Part 1:
Do fewer projects
mean a sharper
focus?
Medicare claims
appeals process: Newly
announced alternatives
to ALJ hearings
Nathaniel Lacktman
Jessica C. Forster and
Kevin R. Miserez
39
OCR enforcement:
Lessons learned
and
preparing for
what’s ahead
Betta Sherman
47
Comparative
billing reports
support
auditing efforts
Kimberly Hrehor and
Dan McCullough
This article, published in Compliance Today, appears here with permission from the Health Care Compliance Association. Call HCCA at 888-580-8373 with reprint requests.
LETTER FROM THE CEO
by Roy Snell, CHC, CCEP‑F
Year in review
W
Snell
e had another great year. Both
HCCA and SCCE continue to
grow. More people are getting
certified. There are more conferences, and
more people are attending the conferences.
Most everything you would typically measure is proving successful. However,
I would rather try to convey to you
the things our board and staff think
are more important than numbers.
They are more subjective and difficult
to measure, but very important.
To begin with, we are working with the right people. Our staff,
board, volunteers, authors, speakers,
bloggers, etc., are more focused on helping the
profession than helping themselves. We surround ourselves with people based on their
knowledge and ability to work with others.
A professional association should be a conduit
to facilitate people helping people. We have
the right people in the right places. Someone
recently told me we are the chief enablers for
our profession. Every year we are making
progress on this objective.
We are now in a better place with regard
to helping the profession define the profession.
Because of growth in the numbers (particularly membership) we are now sought out by
those who work with compliance professionals and compliance programs. They come
to us to find out more about the role of the
compliance officer and the function of the
compliance program. In the past, we have
had a lot of people trying to tell business
leadership, government, etc., how compliance
programs should work and how the role of
compliance officer should be defined. Many
of these people have never spent a day in the
role of compliance officer or managed a compliance program. There is less misinformation
now than there was in the past, because we
now have a voice. This makes the lives of the
people in our profession easier.
In the past, we have had
a lot of people trying to tell
business leadership, government,
etc., how compliance programs
should work and how the
role of compliance officer
should be defined.
Because we are speaking for ourselves
now, people are finding compliance professionals to be an impressive group of people.
Because we have done so much to help people
understand what a compliance program is,
they are embracing the concept. In fact, the
concept of compliance programs is gradually
being embraced all over the world. We have
a long way to go, but if you ask me, we have
come a long way. We may have even reached
a tipping point. Any way you look at it, things
are easier for our profession than ever before.
And it’s because of our staff, board, members,
and volunteers.
888-580-8373 www.hcca-info.org Compliance Today January 2015
Please don’t hesitate to call me about anything any time.
612-709-6012 Cell • 952-933-8009 Direct
[email protected]
@RoySnellSCCE
/in/roysnell
5