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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

  • 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.

  • Please use the following links for associated compliance information:

    • The Office of Billing Quality Assurance – The Office of Billing Quality Assurance works to protect the clinical revenue and reputation of the School of Medicine and its faculty.
    • The Office of Hopkins Internal Audit – The Office of Internal Audit supports Johns Hopkins entities by identifying and evaluating risk, assessing controls for effectiveness, investigating suspected misuse of resources, and validating management action plans.
    • The Johns Hopkins Legal Department – The Johns Hopkins Legal Department seeks to preserve and protect the legal, ethical and financial integrity of the Johns Hopkins Health System, Johns Hopkins Medicine, and their respective affiliates.
    • Health Insurance Portability and Accountability Act (Intranet) – The Johns Hopkins HIPAA website is designed to assist the Johns Hopkins community understand and comply with this important federal legislation.
  • Johns Hopkins Health System

    Pamela T. Owens, Esq.
    Chief Compliance Officer

    Rhonda Tucker
    Deputy Chief Compliance Officer

    Kimberley Droboniku
    Director of Compliance Education

    Brittany Geary
    Associate Compliance Program Manager

    Mark Gibbs
    Compliance Systems Architect

    Stephanie Mackowiak, RN, Esq.
    Associate Senior Counsel and Director of Billing Compliance

    Megan Zinn
    Programmer Analyst

    The Johns Hopkins Hospital

    Ashley Ambrose
    Compliance Program Manager

    Johns Hopkins Bayview Medical Center

    Yvonne Bradle, MPA
    Compliance Program Manager

    Howard County General Hospital

    Brittany Meyers
    Associate Compliance Program Manager
    410-740-7643 or 410-502-7780

    Johns Hopkins All Children's Hospital

    Jenny Tarsha, RN, MSHCA
    Director of Corporate Compliance

    Johns Hopkins Health Care

    John Wells
    Executive Director of Compliance

    Mary Donnelly, RN, CFE, CPC
    Senior Director of Corporate Compliance Medicare Advantage

    Johns Hopkins Home Care Group

    Melissa Kaufman, CHC, MBA
    Director of Corporate Compliance

    Sibley Memorial Hospital

    Brittany Geary (Acting)
    Associate Compliance Program Manager

    Suburban Hospital


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