January 31, 2013

Change in VUMC's Clinical Compliance leadership

by John Howser

Following a national search, James S. Mathis, J.D., a Nashville area attorney, has been recruited to Vanderbilt to serve as the Medical Center’s new Chief Clinical Enterprise Compliance Officer. Mathis will also hold the title of assistant vice chancellor for Health Affairs. He will assume these new responsibilities beginning Feb. 4.

In this role, Mathis will be responsible for executive and operational control of the Medical Center’s Office of Compliance and Corporate Integrity (OCCI), succeeding Robert H. Ossoff, M.D., DMD, who has served in this capacity since 2008.

Ossoff, the Guy M. Maness Professor of Laryngology and Voice, has accepted a new appointment as Special Assistant to the vice chancellor for Health Affairs. He will also continue his long and distinguished service as a senior faculty member in the Vanderbilt Bill Wilkerson Center’s Department of Otolaryngology and executive medical director of the Vanderbilt Voice Center through his patient care, educational and research responsibilities there.

The OCCI 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 the OCCI is involved with a multitude of compliance-related functions and responsibilities, the primary focus is compliance with billing and coding.

A native of Williamson County, Mathis, who earned both his undergraduate and law degrees from Vanderbilt, comes to the Medical Center with significant health care compliance experience at large for-profit, multi-site providers.

He has extensive compliance operations experience, with more than a decade spent working with regulatory agencies and has assisted several large health care entities in interactions with the U.S. Department of Health and Human Services. Mathis is certified in Healthcare Compliance (CHC) and by the American Health Information Management Association (CHP).