Office of Healthcare Compliance

1909 21st Avenue South
Nashville, TN 37212

phone: (615) 343-7266
fax: (615) 343-9138

email:
compliance.office
@vanderbilt.edu

2017 OIG Work Plan

View the entire plan

or a summary.

OHCC FY18 Goals, Work Plan, and Office Structure

The Office of Healthcare Compliance (OHCC) strives to increase our service and collaborative efforts throughout VUMC. View a summary of our
FY18 Team Goals
FY18 Work Plan

Current Org Chart

CCI Committee

VUMC has established a Compliance and Corporate Integrity (CCI) Committee, which has direct oversight responsibility for the compliance activities of VUMC, and which supports VUMC in fulfilling its legal compliance obligations. The Compliance Committee is chaired by the Chief Executive Officer of VUMC and consists of representatives from throughout VUMC who are appointed by the Chief Executive Officer and confirmed annually by the Audit Committee of the Board of Directors. The Compliance Committee meets monthly and as needed to fulfill its duties.

A Word from Our Chief Compliance Officer,

James Mathis

Since joining Vanderbilt in 2013 as the Chief Clinical Enterprise Compliance Officer, I have been responsible for the leadership and guidance of the compliance program, addressing regulatory compliance in the clinical enterprise.  I feel honored that I have since been appointed the position of Chief Compliance Officer for VUMC, effective July 1, 2014.  In furtherance of my efforts to enhance Vanderbilt's growing reputation as a national leader, I will oversee the Office of Healthcare Compliance to ensure that VUMC implements and maintains an effective compliance program that includes the seven key elements as follows:

James S Mathis

While VUMC's compliance program is managed by the Office of Healthcare Compliance, it is everyone's responsibility to ensure successful compliance by following VUMC's policies and procedures, which are designed to follow the laws, rules, and regulations that govern the healthcare industry, and by doing the right thing and speaking up when unethical, illegal or unsafe activity is known or suspected.

The mission of VUMC's Office of Healthcare Compliance is to ensure and promote the highest standards of business ethics.  VUMC is committed to complying with all federal and state laws, rules, and regulations. The Office of Healthcare Compliance specifically is charged with:

  • Preventing any accidental or intentional violations of law.
  • Detect violations if they occur.
  • Immediately take corrective measures if violations occur.

We make integrity a priority in everything we do.

James S. Mathis, JD, CHC, CHP
Chief Compliance Officer
VUMC Office of Healthcare Compliance


The Office of Healthcare Compliance is charged with identifying and mitigating risks associated with potential violations of the Anti-kickback Statute, Stark Laws, the Federal and State False Claims Act, and various other laws and rules that impact billing, coding, and reimbursement for the Medical Center.  While Healthcare Compliance is involved with a multitude of compliance related functions and responsbilities, the primary focus is compliance with billing and coding.

Compliance Office Personnel

Chief Compliance Officer
Jim Mathis, JD, CHC, CHP

Revenue Cycle and Reimbursement Compliance Officer
Bob Mangeot, CPA, CHC

VUH Compliance Officer
Mark Jenkins, CPA, CHC, CHRC, CHPC, CHCO, CIA, CFE, CGMA

VCH Compliance Officer
Roxanne Womack, JD, RHIA, CHC, CHPS

Policy System Coordinator
Amie Hollis, JD

Compliance Consultants
Joy Carr, RHIT
Shelly Ellis, BS, CPC
Lakisha Jackson

 

Compliance Data Analyst
Bethany Moss, HCISPP

Lead Administrative Assistant
(assistant for Jim Mathis)

Frances N. O'Connor

Senior Administrative Assistant
(assistant for Mark Jenkins, Bob Mangeot and Roxanne Womack)

Colleen Snyder

Looking for University Compliance? Please visit

www.vanderbilt.edu/compliance