Office of Regulatory Affairs & Compliance, Compliance Office 210-567-2014, Compliance Line 1-877-507-7317
 

Office of Regulatory Affairs & Compliance Staff

 

The Office of Regulatory Affairs & Compliance reports to the Senior Executive Vice President/Chief Operating Officer, Michael Black, with access to the President and The University of Texas System-wide Compliance Officer.

 
Gail Madison Brown

Gail Madison-Brown, RN, JD, CHC, CPHQ
Chief Compliance Officer
(210) 567-2066 (voice)
(210) 567-9285 (fax)
MadisonBrown@uthscsa.edu

 
  • Responsible for daily oversight of the Institutional compliance and privacy programs.
  • Conducts research and provides guidance regarding compliance and regulatory matters to institutional stakeholders.
  • Acts as the Business Continuity manager for the Institution.
 

 
Kathy James

Kathy James, CHSP, CHC
Assistant Compliance Officer
Assistant Privacy Officer
(210) 567-0705 (voice)
(210) 567-9285 (fax)
jameskd@uthscsa.edu

 
  • Responsible to assist in the design, development, implementation, and evaluation of the institutional compliance program.
  • Provides guidance on regulatory matters relating to clinical, research, and academic aspects of this Institution.
  • Oversees investigations of compliance incidents and/or concerns to include HIPAA Privacy.
 

 
Silhouette

Ellie Mendiola, CPC
Senior Compliance Consultant
(210) 567-5206 (voice)
(210) 567-9285 (fax)
mendiolaem@uthscsa.edu

 
  • Conducts privacy incident investigations and provides follow-up remediation and corrective action recommendations, including reporting of breaches.
  • Performs privacy auditing/monitoring reviews on a continuous basis. Assist with review of privacy related contracts, business associates and all matters involving privacy.
  • Participates in all new satellite clinic implementations, as well as ongoing compliance walk-throughs to ensure compliance.
  • Conducts risk based clinical trial billing reviews.
  • Assists with compliance investigations as needed.
 

 
Silhouette

Alexa L. Moore, JD
Compliance & Human Resources Investigator
(210) 450-8197 (voice)
(210) 567-9285 (fax)
Moorea8@uthscsa.edu

 
  • Responsible for conducting internal investigations of reports of non-compliance or complaints received through UTHSA Hotline or other means.
  • Conducts research relating to healthcare, governmental and academic regulatory matters.
  • Assists with compiling legislative updates.
 

 

Mary Vice
Office Manager
(210) 567-2014 (voice)
(210) 567-9285 (fax)
vice@uthscsa.edu

 
  • Manages and organizes the administrative operations and procedures for the department.
  • Manages and tracks all Compliance trainings for UT Health San Antonio employees.
  • Manages and maintains the Handbook of Operating Procedures (HOP).
 

 

Clinical Research

David K. Welch, MBA

David K. Welch, MBA
Research Compliance Manager
(210) 567-5212 (voice)
(210) 567-9285 (fax)
welchdk@uthscsa.edu

 
  • Oversees and conducts routine, for-cause, and/or voluntary compliance audits for IRB approved research studies to ensure compliance with all federal, institutional, and other applicable laws.
  • Conducts presentations on research compliance and provides educational resources.
 

 

Melissa Bazan, MA
Senior Research Compliance Specialist
(210) 567-6784 (voice)
(210) 567-9285 (fax)
bazanM@uthscsa.edu

 
  • Conducts routine, for-cause, and/or voluntary compliance reviews for IRB approved research studies to ensure compliance with our organization and all applicable laws.
  • Provides educational resources and presentations on research compliance.
 

 

Billing Compliance Programs

Alice Allen

Alice Allen, CPC, CHC
Compliance Manager
(210) 567-9270 (voice)
(210) 567-9285 (fax)
allenA4@uthscsa.edu

 
  • Oversees all coding/billing retrospective risk reviews and team members.
  • Conducts presentations and research related to coding/billing and documentation regulations and guidelines.
  • Participates in institutional work groups regarding regulatory matters.
 

 
Charlotte Billington

Charlotte Billington, MBA, RHIA, CCS-P, CRC
Senior Compliance Specialist
(210) 567-2091 (voice)
(210) 567-9285 (fax)
billington@uthscsa.edu

 
  • Conducts retrospective coding/billing risk reviews for the School of Dentistry and Department of Pathology, as well as serving as liaison regarding compliance rules, regulations and coding/billing guidelines.
  • Performs EPIC charge review edits to ensure conformance with coding & billing guidelines.
  • Maintains provider clearance status by department.
  • Coordinates and presents coding education to the Institution.
  • Updates Physician Practice Plan and Knowledge Center training.
 

 

Nadine Gonzalez

Nadine L. Gonzalez, CPC, CRC
Senior Compliance Specialist
(210) 567-2047 (voice)
(210) 567-9285 (fax)
gonzaleznl@uthscsa.edu

 
  • Conducts retrospective coding/billing risk and prospective new provider/coder reviews for the Departments of Pediatrics, Psychiatry and Anesthesiology.
  • Presents medical documentation education and training including Initial Basic E/M Training for new providers and reviews providers for clearance to code their own medical services.
  • Participates in UTHP HCC Risk Adjustment coding/training work group, focusing on coders and providers.
 

 
Hernandez

Lisa Franz, BS, RHIA, CPC
Compliance Education Consultant
(210) 567-2038 (voice)
(210) 567-9285 (fax)
franzl@uthscsa.edu

 
  • Conducts retrospective coding/billing risk and prospective new provider/coder reviews for the Departments of Ophthalmology, Otolaryngology, Rehabilitation Medicine, Neurology and Orthopedics.
  • Presents medical documentation education and training including Initial Basic E/M Training for new providers and reviews providers for clearance to code their own medical services.
 

 
Hernandez

Lisa Hernandez, CPC, CHC
Compliance Education Consultant
(210) 567-2036 (voice)
(210) 567-9285 (fax)
hernandezL17@uthscsa.edu

 
  • Conducts retrospective coding/billing risk reviews for the Departments of Radiology, Emergency Medicine, Urology, Surgery, Transplant Center and Cardiothoracic Surgery.
  • Presents medical documentation education and training including Initial Basic E/M Training for new providers and reviews providers for clearance to code their own medical services.
  • Assists with compliance Investigations as needed.
 

 
Montoya

Sarai (Sara) Montoya, CPC
Compliance Education Consultant
(210) 567-0559 (voice)
(210) 567-9285 (fax)
montoyas3@uthscsa.edu

 
  • Conducts retrospective coding/billing risk and new provider/coder reviews for the Department of Medicine and the Division of Pain Medicine in the Department of Anesthesiology.
  • Presents medical documentation education and training including Initial Basic E/M Training for new providers and reviews providers for clearance to code their own medical services.
  • Performs compliance duties, including investigations, new clinic implementation and special reviews for compliance risk.
 

 

Cruz (Edith) Ramirez

Cruz (Edith) Ramirez, CCS-P
Compliance Education Consultant
(210) 567-2015 (voice)
(210) 567-9285 (fax)
ramirezc9@uthscsa.edu

 
  • Conducts retrospective coding/billing risk reviews for the Departments of Family & Community Medicine, Primary Care Center, Obstetrics & Gynecology and the School of Nursing.
  • Presents medical documentation education and training including Initial Basic E/M Training for new providers and reviews providers for clearance to code their own medical services.
  • Administrator for the MDAudit auditing system. Monitors the refund/rebilling process related to compliance activities.
 

 

Cruz (Edith) Ramirez

Dolores Anderson, CPC
Compliance Education Consultant
(210) 567-4825 (voice)
(210) 567-9285 (fax)
sanmigueld@uthscsa.edu

 
  • Conducts retrospective coding/billing risk and new provider/coder reviews for the Departments of Neurosurgery, Hematology Oncology/Medical Oncology, and the Division of Hospital Medicine.
  • Presents medical documentation education and training including Initial Basic E/M Training for new providers and reviews providers for clearance to code their own medical services.
 
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