Lessons Learned in the Evolving World of Compliance: Before I was a Compliance Officer…
Presenter: Jim Sheehan
Executive Deputy Commissioner/Chief Integrity Officer, New York City Human Resources Administration
In this course, Jim Sheehan shares 10 things he thought he knew before he became a compliance officer. Drawing on years of experience as a prosecutor and enforcer of regulations, one of the ‘good guys’; Jim presents 10 insights about compliance issues in today’s healthcare environment. Jim introduces each of the 10, reviews what the regulations say and then gives his thoughts on what he used to think; and what he has since learned about each of them. The 10 cover everything from Hot Line Complaints to Risk Management.
The course is divided into two parts.
Time to view Part 1 is 26:11.
Time to view Part 2 is 28:14.
Course Learning Objectives
At the conclusion of this course, the learner will understand the role of the compliance officer relative to:
- Hotline complaints
- General counsel relationships
- Getting people to follow the rules
- Government regulations
- Issue resolution processes and the law
- Their role and the roles of others when it comes to compliance
- What happens when a significant compliance problem arises
- The effect of an investigation of settlement on an organization
- Risk management and compliance
- The hierarchy of compliance risks – Internal and external
Time to complete the course is approximately 85 minutes.
Presenter: Jim Sheehan
James Sheehan is the Executive Deputy Commissioner/Chief Integrity Officer of the New York City Human Resources Administration. Previously, Mr. Sheehan was the New York State Medicaid Inspector General. There he oversaw the fraud and abuse enforcement activities of New York’s $50 billion Medicaid program. The New York State Office of the Medicaid Inspector General audits and investigates Medicaid providers, recovers revenue through its enforcement system, and develops and operates automated health care data detection systems. Mr. Sheehan also served as the Associate U.S. Attorney for Civil Programs in the Eastern District of Pennsylvania. His practice has emphasized health care fraud since 1987 and he has personally handled or directly supervised over five hundred health care fraud cases. In 1997, he was lead counsel in U.S. v. SmithKline Beecham Clinical Labs, which resulted in a $332 million recovery for the United States. He has given over three hundred presentations on health care fraud issues to a variety of professional, governmental, consumer, and business groups.
Mr. Sheehan received his B.A. from Swarthmore College and his J.D. from Harvard Law School.
Developing Organization: The Bonadio Group
Big Firm Capability. Small Firm Personality.
The Bonadio Group is comprised of a set of different companies, alliances and strategic partnerships that taken as a whole, delivers over fifty different services.
Complementing this structure is the diverse spectrum of law firms, banks, government officials and programs, regulators, insurers, venture capitalists, & MORE that we have built over the years into one of the area’s largest referral networks.
In effect, if you have a financial need, issue or problem—whether you’re a commercial company, a not-for-profit, or an individual—yes, we can help through our association, our affiliations, or through any one or combination of the Bonadio family of companies, described below.