Mary Evans

Retired

Development, implementation and enforcement of compliance program to ensure conformance of with applicable laws, regulations, accreditation standards, and organizational code of conduct. This includes oversight of compliance committee, development of education and training, auditing and monitoring, policy development, responding to and investigating allegations of misconduct including proper reporting, managing the compliance hotline, conducting risk assessments, contract review, development of audit plan and annual budget, providing guidance to the management team, and reporting compliance activities and initiatives to the board of directors.  Ensures organization complies with the Health Insurance Portability and Accountability Act (HIPAA) and Health Information Technology for Economic and Clinical Health (HITECH) including obtaining and negotiating Business Associate Contracts, policy development, responding to privacy and security questions/complaints, complying with breach notification requirements, developing training/education, conducting audits and security risk assessments and development of a disaster recovery plan.  Management of Health Information Department and Coding including supervision of five staff members. Serves as resource for issues pertaining to release of information, subpoenas and court requests, record storage and retention, physician and facility credentialing, electronic record authentication, physician documentation, and coding standards and audits.  Oversees other federal reporting requirements including Physician Quality Reporting, Medicare Electronic Health Record Incentive program attestation, and responding to equipment/medical device recalls. Also participates on quality assurance teams for both MRI and radiation oncology.

 Implemented Health Insurance Portability and Accountability Act (HIPAA) and Health Information Technology for Economic and Clinical Health (HITECH) including obtaining and negotiating Business Associate Contracts, responding to privacy and security questions/complaints, release of information questions, breach notification requirements, training/education, auditing and policy development.  Participated on teams related to electronic health record strategies including CareLink, CareEverywhere, Meaningful Use, and access auditing.  Reviewed, updated and implemented system-wide compliance program and action plans, including managing the compliance committee, compliance education and hotline.  Reviewed financial arrangements between Meriter and related parties to ensure compliance with Anti-kickback and Stark physician referral laws.  Developed and updated policies and procedures impacted by new laws such as those for Medicare, Medicaid or the State of Wisconsin.  Investigated complaints or questions related to regulations and provided consultative leadership to all Meriter entities including hospital, home health, laboratory, and medical group/clinics.

Employee/Union Relations Representative September 1996- September 2001  Responded to employee complaints/grievances, unemployment hearings and discrimination charges.  Advised and assisted managers with employee corrective action plans, work conduct and performance deficiencies.  Led management team on preparatory work for union negotiations and was a management bargaining team member for union negotiations. Personnel Manager September 1989- September 1996  Managed the Human Resource functions for Meriter Retirement Services, Inc.  Responsible for recruitment and retention, employee relations, wage and salary administration, policy development and compliance with state laws pertaining to nursing home, community based residential facilities and retirement centers.  Responsible for supervision of 24/7 secretarial staff and resident call center. Employment Coordinator December 1988- September 1989  Responsible for professional, technical and clerical recruitment.  Conducted new employee orientation.  Reviewed and administered policies for union and non-union employees.