15 years leadership experience

Corporate Compliance. Regulatory Affairs. Accreditation. Customer/Physician Rela

tions.
Quality Improvement. Risk Management. HIPAA - Privacy/ Security. Identity Theft
Prevention. PCI a" Data Security Standards.

Independent Contractor - The Compliance Source, LLC

April 27, 2010 to current
a Compliance & Regulatory resource for SFL physician practices and other healt
hcare entities as the PPACA initiatives to detect fraud and abuse are implemente
d, nationally. Auditor/Monitor of all practice Regulatory Affairs: CMS/AHCA bil
ling, HIPAA, Stark, AKS, OSHA, CLIA, HCCR, Accreditation prep, Health Care Clini
c Licensure prep and reviews
a Independent Contractor associated with Beacon Partners and Colaborate
a Developing and implementing audit services to complement the needs of Nation
al healthcare consulting agencies in all Regulatory areas, most notably ARRA/HiT
ech Act a" Business Associate Agreements & Breach Notifications.
Regulatory Compliance & HIPAA Auditor - Broward Health. 1613 SE 17th St.
Ft. Lauderdale, FL 33316. (954)847-4295.
March 31, 2008 a" April 26, 2010
a Responsible for the investigation and response to all Federal/State Regulatory
inquiries, including OIG, CMS/AHCA, RAC, OCR complaints; established a communic
ation strategy for Regulatory Affairs.
a Departmental liaison, auditor and committee manager for the Laboratory Complia
nce Program, including audit project management and oversight of corrective acti
ons and reporting: RFP/Contractor selection, remote and on-site audit facilitati
on, corrective action plan development and monitoring.
a Developed and formalized through documentation, committee and reporting struct
ure, and process institution, a comprehensive, Privacy and Security Program, inc
luding work plan and audit plan.
a Updated, reviewed and revised 41 HIPAA policies and procedures, including deve
lopment of a Breach Investigation and Notification tiered review process to comp
ly with the new Regulations of 2009 (ARRA/HITECH Act/Breach Notifications), incl
uding update of the Business Associate Agreement and all training/education init
iatives.
a Created a Medical Identity Theft Investigation and Response process to address
the rising number of identity theft allegations reported to the medical center
and in preparation for the June 1, 2010 effective date of the aRed Flag Rulesa o
f Fair and Accurate Credit Transactions Act of 2003: formalized the Identity The
ft Prevention Program and related policies/procedures, in addition to the initia
tion of a PCI-DSS compliance risk assessment for credit card security.
a Established a Privacy & Security Sub-committee, including the development of i
ts charge, charter and working responsibilities, including a tiered review of al
l breaches and HIPAA privacy violations.
a Informally appointed compliance expert within the Department of Compliance & E
thics; provided guidance to less senior staff in the department with regard to a
ll compliance risk areas.
Corporate Compliance & Privacy Officer (Director). Sheridan Healthcorp, Inc. 16
13 N. Harrison Parkway, Suite 200. Sunrise, FL 33323 1(800)437-2672
December 4, 2000 - April 28, 2006
a Developed and implemented a comprehensive corporate compliance program at a la
rge, national multi-specialty physician group and billing company. The Company h
as representation in 14 states, at more than 75 locations and employs more than
1400. All elements of the OIG Compliance Program Guidance were satisfied includi
ng the ongoing training/education, auditing/monitoring, investigations/correctiv
e actions, reporting mechanisms and the establishment of requisite policies/proc
edures and a code of conduct.
a Responsible for program budget, work plan development and leadership for a tea
m of 5.
a Created a "Compliance Extension Program" model to reduce risk of exposure to f
raud and abuse at off-site billing locations.
a Achieved significant results with respect to increasing billing and collection
s in the Anesthesia, Emergency, Neonatology and Office Based Divisions. Complian
ce Program initiatives driven by data tracking, trending and monitoring using qu
ality improvement tools and techniques.
a Office-based division oversight and compliance with FL State HCCR requirements
, OSHA, CLIA and more.
a Implemented controls in high-risk areas and established a formal reporting rel
ationship with the Board of Directors. Provided leadership, support and reports
to the Compliance & Integrity Committee.
a Directed the successful implementation of the HIPAA Privacy Regulations, inclu
ding all related training, policy and procedure generation and monitoring proces
ses.
a Assisted the General Counsel with the creation of a corporate Risk Management
and Quality Improvement Program.
a An integral member of the asales teama, a group of individuals that represente
d the Company to attract new business or potential facility contracts. Team lead
of due diligence audits with respect to the purchase of physician practices, ne
w facility contracts and acquisitions.
Corporate Compliance Officer. Mount Sinai Medical Center / Miami Heart Institute
. 4300 Alton Road Miami Beach, FL 33140 (305)674-2121
Mgr., Nov. '98 - Nov. '99, promoted to Officer, Nov. '99 a" Dec. 2000
a Responsible for the development, implementation and ongoing administration of
a corporate compliance program in accordance with the OIG Program Guidance for H
ospitals, Laboratories, Home Health Agencies and Physician practices.
a Compliance Program development included the creation of a code of ethics as we
ll as all training materials and policies and procedures in support of the compl
iance program and execution of all other auditing/monitoring elements.
a Provided periodic reports to in-house Counsel and the Board of Trustees regard
ing Program implementation and status of compliance with regulatory and institut
ional policies for all components of the medical center: hospital, skilled nursi
ng facility, home health agency, physician practices and laboratory.
a Organizational lead working with outside counsel to negotiate repayment/demand
of the OIG for false claims associated with miscoding of investigational device
s; strategy resulted in more than a 75% reduction in the monetary repayment. No
CIA was demanded, at that time
a Advised Board of regulatory changes, areas of liability and corrective actions
.
a Developed and adhered to annual corporate compliance work and audit plan.
a Facilitated institutional compliance in accord with Medicare Bulletins and Fis
cal Intermediary communications and chargemaster reviews.
a Interacted regularly with senior administration, counsel, regulatory agencies,
physicians and departmental directors.
Director of Regulatory Affairs. Montefiore Medical Center. 111 E. 210th St. Bron
x, New York. 10467 (718)920-6400 Progressive Leadership
June 1994 a" September 1998
a Responsible for ensuring compliance with all regulatory and accreditation requ
irements, including but not limited to, JCAHO and NYSDOH.
a Provided leadership for the preparation and process for the first JCAHO networ
k accreditation survey (accredited with commendation, November 1997) and tri-enn
ial survey of all components: hospital, skilled nursing facility, home health ag
ency, laboratory, ambulatory care center, physician practices and contract manag
ement organization.
a Collaborated with senior executives in the development and implementation of t
he Corporate Compliance Program (subsequently recognized nationally by the Gener
al Accounting Office as a model program).
a Assisted with the establishment of a 200 member preferred provider organizatio
n.
a Developed training materials for providers and their staff.
a Managed and oversaw the activities of 6 provider liaisons for education, recru
itment and retention of over 2000 physicians.
a Principle liaison between all regulatory agencies and the medical center.
a Particularly active in enhancing the support of patient rights and customer se
rvice initiatives through various modalities and consult services.
a Titles of progressive leadership included: Manager, Provider Relations and Net
work Development. Montefiore Medical Center Contract Management Organization. Yo
nkers, New York (March 1997 - September 1997) and Coordinator of Regulatory Affa
irs. Montefiore Medical Center. Bronx, NY (June 1994 - March 1997)
EDUCATION/Certifications:
Master of Arts Degree. Health Advocacy. Sarah Lawrence College. Bronxville, New
York.
Bachelor of Arts Degree. Psychology. Minor: Health Education. University of Mass
achusetts. Lowell, Massachusetts.
Certified in Healthcare Compliance. Health Care Compliance Association. Minneapo
lis, Minnesota.
Certified Professional Coder (CPC-a). American Association of Professional Coder
s a" AAPC.

MEMBERSHIPS:
Health Care Compliance Association (ACTIVE),
Association of Certified Fraud Examiners (ACTIVE),
American Association of Professional Coders (ACTIVE),
Society of Corporate Compliance and Ethics (INACTIVE)
Florida Hospital Association a" Corporate Compliance (ACTIVE)

GAP EXPLANATION:
April 29, 2006 a" March 30, 2008
Entrepreneur- Owner, Medspa Partners of FL, LLC d/b/a Radiance Medspa of Fort La
uderdale.
Researched, investigated and purchased a Broward County franchise territory from
Radiance Medspa Franchise Group. Developed business plan, secured bank financin
g, site selection/lease negotiations, medical director recruitment, architectura
l plans, contractor selection, design and materials selection, permitting, equip
ment purchase, product selection, licensure, a" the franchise parent group filed
with the IRS a corporate restructuring and subsequent bankruptcy. Financing was
withdrawn before ground-breaking for the store in the Fall of 2007; project ter
minated. Lessons learned: priceless!