Corporate Compliance
The Johns Hopkins Health System Corporate Compliance Department assists and advises all employees - directors, officers, hospital staff, and associated or affiliated contract workers - on how to prevent, detect, and correct employee violations of the Federal, State, or local laws, or institution policy and procedure violations.
Founded in 1998, the Compliance program is designed to:
- Protect our organization, employees, and patients.
- Preserve the level of integrity for which Hopkins is known.
- Maintain effective internal controls that promote adherence to legal and ethical standards.
- Promote the prevention, detection, and resolution of illegal or unethical conduct.
- Promote the continued effort to do the right thing.
Have compliance questions? First check out our compliance documents below. You can reach the Compliance Department by calling 1-844-SPEAK2US, or contact a Corporate Compliance Department representative (see below) for additional information.
Additional Resources
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The Johns Hopkins Health System Corporate Compliance Department was founded to prevent, detect, and correct employee violations of the federal, state, or local laws, or institution policy and procedure violations.
The Johns Hopkins Health System Corporation (JHHSC) and all of its affiliates take health care fraud and abuse very seriously. JHHSC is committed to following all applicable laws and regulations, in particular those that address health care fraud, waste, abuse, and disrupt the proper billing of Medicare, Medicaid and other government-funded health care programs. This includes the Federal False Claims Act and State law or other related enforcement policies.
Since 1998, it has been our primary responsibility to provide the JHHS entities with oversight support, audits, ongoing monitoring, and institutional training for any matter related to facility billing for services provided.
Compliance Enforcement
A large majority of our work centers on compliance with the necessary regulatory requirements and conditions for participating in government-funded insurance programs. In order for us to participate in these programs (such as Medicare and Medicaid), we must comply with medical record and patient consent documentation standards, facility and practitioner licensing processes, coding and billing claims for payment claims, among other things.
Failure to comply with these regulations, conditions and standards can result in civil and criminal sanctions, monetary penalties, and elimination from those programs.
Non-Compliance Enforcement
There are a number of federal and state law enforcement agencies funded solely to investigate and prosecute people or entities that commit “health care fraud” and to recover non-fraudulent overpayments. Some of these agencies include the Office of Inspector General (OIG), the Department of Justice (DOJ) and state Medicaid Fraud Control Units (MFCU).
The OIG, for example, can investigate an allegation of healthcare-related fraud on its own, and audit a hospital’s billing patterns to a Federal payor such as Medicare. The OIG or DOJ may investigate a healthcare fraud investigation based on information from a “whistleblower” (typically an employee who provides inside information to investigate and prosecute the case against the organization).
These suits would be brought under the Federal False Claims Act (FCA), and is in fact one of the most powerful weapons in the government’s arsenal. The types of “frauds” usually alleged under the FCA include, among others, billing for services not rendered and billing for services considered not “medically necessary” or in excess of those provided and kickbacks in return for influencing the provision of health care services.
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- Complimentary Local Transportation (CC0014)
- Conflict of Interest and Conflict of Commitment (CC0007)
- Corporate Compliance Plan (CC0010)
- Corporate Finance- Payments to Physician Under Personal Service Agreement (CC0003)
- Federal and State False Claims Acts and Whistleblower Protections: Education and Commitment (CC0006)
- Governmental Agency Audits, Subpoenas, Interviews, and Other Contacts Policy (ADMIN018)
- Issue Reporting Policy (ADMIN003)
- JHHS Trustees & Officer Conflict of Interest Policy (CC0012)
- Physician Non-Monetary Compensation for JHACH, HCGH, Sibley, and Suburban (CC0001)
- Physician Non-Monetary Compensation Policy for The Johns Hopkins Hospital and Johns Hopkins Bayview Medical Center (CC0005)
- Physician Contracting Policy (CC0008)
- Physician Personal Service Arrangement Payment Policy (CC0002)
- Policy on Johns Hopkins Health System Compliance Department Audit Ratings (CC0004)
- Sunshine Act Policy (CC0009)
- Trustee Investment in Companies Closely Engaged with Johns Hopkins (CC0011)
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Johns Hopkins Health System
Pamela T. Owens, Esq.
VP and Chief Compliance Officer
410-955-7930
powens9@jhmi.eduRhonda Tucker
Deputy Chief Compliance Officer
410-955-4508
rtucker1@jhmi.eduStephanie Mackowiak, RN, Esq.
Senior Counsel and Deputy Chief Compliance Officer
410-955-8577
smackow1@jhmi.eduKimberley Droboniku
Director of Compliance Education
410-502-5614
kdrobon1@jhmi.eduMark Gibbs
Compliance Systems Architect Manager
443-287-0410
mgibbs9@jhmi.eduJanice Taft
Associate Compliance Program Manager
410-614-6693, 410-614-2326
janicetaft@jhmi.eduMegan Zinn
Business Analyst II
443-287-4243
mpeyton4@jhmi.eduThe Johns Hopkins Hospital
Ashley Ambrose
Senior Compliance Program Manager
410-955-7151
aambros4@jhmi.eduJohns Hopkins Bayview Medical Center
Yvonne Bradle, MPA
Senior Compliance Program Manager
410-550-5262
ybradle1@jhmi.eduJohns Hopkins Howard County Medical Center
Regina Holmes
Compliance Program Manager
410-502-7780
rholme18@jhmi.eduJohns Hopkins All Children's Hospital
Jenny Tarsha, RN, MSHCA
Director of Corporate Compliance
727-767-4507
jtarsha1@jhmi.eduJohns Hopkins Health Plans
Melissa Mohon
Executive Director of Compliance JHHP
443-857-0852
Mmohon1@jh.eduMary Donnelly, RN, CFE, CPC
Senior Director of Corporate Compliance – Medicare Advantage
410-424-4855
mdonnelly@jhhc.comAmanda Walter
Assistant Director of Corporate Compliance-EHP, USFHP & Priority Partners
410-424-4700
ariley8@jhu.eduJohns Hopkins Home Care Group
Melissa Kaufman, CHC, MBA
Director of Corporate Compliance
410-288-8154 or 443-386-6198
mkaufma9@jhmi.eduJohns Hopkins Surgery Centers Series
Ambulatory Surgical Centers (ASC)Kari Miller
Compliance Program Manager
410-614-0515
Kmill184@jhmi.eduSibley Memorial Hospital
Jonathan Martin, JD, CHC
Compliance Program Manager
202-660-6802 (Sibley Memorial)
410-614-1787 (Baltimore)
jmart268@jhmi.eduSuburban Hospital
Alice M. Elford
Compliance Program Manager
301-896-2669 (Suburban Hospital)
410-614-6560 (Baltimore)
aelford1@jhmi.edu