Valerie S. Reich » Leadership Team

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Valerie S. Reich

Professional Services, Senior Vice President, Compliance Officer

Phone: (312) 835-9446
(312) 835-9446

Profile

Practice Focus
Valerie has broad experience advising a variety of healthcare providers including health systems, hospitals, hospices, nursing homes, third-party billing companies, laboratories and home health agencies on regulatory compliance, government investigations and transactions.  Valerie has managed numerous projects related to regulatory compliance, compliance program effectiveness, federal and state fraud investigations, document review, self-disclosure analysis, drafting and implementing corporate integrity agreements, performing independent review organization services, HIPAA/HITECH compliance, due diligence, enterprise risk assessments and ICD-10 implementation.  Valerie’s varied experience provides clients with operational solutions to complex regulatory matters.

Practice Areas

  • Compliance Program Assessments
  • Best Practices for Compliance Programs
  • ICD-10 Services
  • Post ICD-10 Compliance
  • Healthcare Investigations and Litigation Support
  • Ensuring HIPAA and HITECH Compliance
  • Accountable Care Organizations Implementation and Compliance
  • Implementation of Healthcare Reform Reimbursement Models
  • 501(r) Compliance
  • Stark and Anti-Kickback Statute Compliance
  • Corporate Integrity Agreement Services
  • Sentinel Events – Data Analytics and Process Improvement
  • Enterprise Risk Management
  • Ensuring Repayment Compliance

 Education

  • Juris Doctor, DePaul University College of Law, Health Law Certificate
  • Bachelor of Science, Food Science and Human Nutrition, Chemistry

Professional Associations

  • American Health Lawyers Association
  • Health Care Compliance Association
  • American Bar Association – Health Law Section

Representative Engagements

  • Key team member in the ICD-10 work group having assisted major health systems with various ICD-10 initiatives including, training and education, payer readiness, systems readiness, and operational impacts
  • Assess organization’s ability to identify and remediate sentinel events and provide recommendations for root cause analyses and mitigation efforts
  • Assist ACOs with developing infrastructure in compliance with federal recommendations and creating tools for tracking and reporting quality measures
  • Develop policies and processes to assist healthcare organizations with responding and appealing RAC requests/findings
  • Perform compliance program effectiveness assessments for major health systems, physician groups, laboratories, hospice, nursing homes and home care identifying strengths, opportunities for improvements and providing recommendations based on best practices and federal and state guidance
  • In collaboration with outside counsel, assisted with investigations related to length of stay, Stark compliance and E&M levels
  • Play a key role in our credentialing and privileging assessment work stream assessing compliance with state and federal law as well as Joint Commission standards
  • Assist general counsels with meeting Corporate Integrity Agreement obligations as related to policies and procedures, training and education, and the overall compliance program
  • Act as the Independent Review Organization for a corporation that owns and operates 21 skilled nursing facilities
  • Assess health systems compliance with research billing rules and regulations