Managed Care

SIU Organizational Structure

  • 1.  SIU Organizational Structure

    Posted 01-24-2013 09:24 AM
    This message has been cross posted to the following eGroups: Managed Care and Chief Compliance and Ethics Officer Health Care .
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    Good Morning,

    Is anyone willing to share how they have structured their SIU department.  Does your SIU report to CCO, GC, CFO, VP Claims Operations?  Is the individual in charge of the SIU funcition a manager, director, or VP? Any information you have will be greatly appreciated.

    Kind Regards,

    Cory

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    Cory Fitzpatrick MBA
    Audit Analyst
    Medica
    Minnetonka,MN
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    2019 HCCA Compliance Institute


  • 2.  RE:SIU Organizational Structure

    Posted 01-28-2013 08:13 PM
    Hi Cory I am the Compliance Director responsible for the SIU functions. I have one associate assisting me with those functions she is our special investigations claims auditor and she is a certified AHIMA coder. We use an SIU vendor for the identification of fraud. You may contact me at any time. ------------------------------------------- Rocio Chavez CHC Compliance Director El Paso First Health Plans, Inc El Paso,TX -------------------------------------------
    2019 HCCA Compliance Institute