Vp Of Legal Affairs And Chief Compliance Officer
• Developed compliance monitoring programs utilizing analytics to better focus company’s resources to ensure the laboratory is operating in full compliance with all applicable federal, state, and local law including federal anti-kickback statutes, Stark Law, applicable OIG and CMS guidance and opinions, and various laboratory accrediting agencies.• Develop a compliance tracking system to assist in identifying trends in compliance issues.• Assist Sales in the development of a competitor activity tracker to document inappropriate actions by competitors in the solicitation of laboratory work.• Addressed competitor activities through communication with competitor laboratories Compliance Department or utilized outside counsel to escalate issues when a business case justified doing so.• Ensure the company acts in compliance with all provisions of HIPAA requirements as company’s Privacy Officer including the completion of HIPAA audits required by CAP and the OCR.• Monitor LCD/NCD’s from various MAC jurisdictions and payor releases and assist the Billing Department and Marketing Department to respond accordingly.• Provide legal advice and guidance to company leadership regarding legal hurdles and ethical decisions in the healthcare space.• Act as the point of contract with outside counsel regarding litigation matters.• Develop and approve informational material to be provided to the field regarding development in the industry including regulatory changes, recent OIG actions, and advice regarding best practices.• Supervised the company’s Quality Department and lead activities regarding CLIA, CAP, ISO 15189 accreditation and state licenses. • Provide leadership and direction to company's HR Department.