Office of Healthcare Compliance

Office of Healthcare Compliance

1909 21st Avenue South
Nashville, TN 37212

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


2016 OIG Work Plan

OHCC Goals for FY2017 and Office Structure

The Office of Healthcare Compliance (OHCC) strives to increase our service and collaborative efforts throughout VUMC. View a summary of our
FY17 Team Goals
FY17 Org Chart

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

  • Written code of conduct and policy
  • Compliance officer and oversight committee
  • Regular training of employees
  • Process to receive complaints
  • Process to respond to allegations and remedy problems
  • Audits to monitor compliance
  • Process to investigate identified concerns

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
James S. Mathis, JD, CHC, CHP

Revenue Cycle and Reimbursement Compliance Officer
Bob Mangeot

VUH Compliance Officer

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

Policy System Coordinator Amie Hollis, JD

Manager, Compliance Audit

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

Compliance Data Analyst
Bethany Moss, HCISPP

Sr. Executive Secretary for James S. Mathis
Zayda Cunningham

Administrative Assistant II
Frances N. O'Connor

This page was last updated September 26, 2016 and is maintained by