About Us

The UCSF Clinical Enterprise Compliance Program (CECP) is a unit of the Office of Ethics and Compliance, which is part of the Office of the Executive Vice Chancellor and Provost (EVCP), and has reporting relationships to the Chancellor and the UC Office of the President's Office of Ethics, Compliance & Audit.  The goal of the program is to ensure UCSF's clinical enterprise operates in an ethics-based environment that is compliant with applicable laws, rules and regulations. The CECP's oversight covers: faculty, staff, house staff, students, volunteers, contractors, and agents participating in the delivery of health care on behalf of UCSF. Our Program Description provides further detail about our Mission and Scope.

Please contact us should you have any questions. We are here to assist the UCSF community stay in compliance with current rules, regulations and related University policies.

*Names listed below are in alphabetical order*

 

Brian D. Annulis
Interim Director, Clinical Enterprise Compliance Program

brian.annulis@ucsf.edu
415-514-2579

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Brian D. Annulis has spent his entire career counseling health care providers, suppliers, practitioners, manufactures and health plans.  Well-versed in matters affecting health care entities, he focuses his practice on health care regulatory and compliance concerns.  Mr. Annulis started his career with the Office of General Counsel, United States Department of Health and Human Services (HHS) in Baltimore, MD, where he concentrated on matters involving the Medicare program.  After leaving public service, he joined Katten Muchin Rosenman LLP, counseling clients on matters involving Medicare and Medicaid reimbursement and program participation, corporate compliance, the federal Stark Law, the federal health acre Anti-Kickback Statue and the federal civil False Claim Act.  He joined Meade & Roach, LLP and Aegis Compliance & Ethics Center, LLP in April 2009.  He has assisted clients with compliance investigations and negotiating settlement agreements with the United States Department of Justice and the Office of Inspector General for HHS, including a multi-million dollar settlement agreement behalf of a hospital concerning hospital-physician arrangements and agreements.  He also routinely counsels health care provider and health plan clients on matters involving health care privacy and security standards under the Health Insurance Portability and Accountability Act of 1996 (HIPPA) and other applicable state and federal privacy and security statutes, rules and regulations.  Mr. Annulis obtained a B.A. from Loyola University in Maryland in 1988.  He earned his J.D. from the Saint Louis University School of Law in 1992 and a M.H.A from the Saint Louis University School of Public Health in the same year.  He is a member of the American Bar Association, the American Health Lawyers Association (where he served previously as a Vice Chair for the Fraud  and Abuse Practice Group), the Illinois State Bar Association,  the Health Care Compliance Association (HCCA) and the Illinois Association of Health Attorneys.  He is certified in Health Care Compliance by HCCA.  His is listed in the Illinois Super Lawyers publication under Health Care (2009-2015).  Mr. Annulis is very active with the Juvenile Diabetes Research Foundation and previously served on the Executive Committee of the Board of Directors for the Illinois Chapter.  He is also an Adjunct Professor at the Loyola University Chicago School of Law, where he teaches a Health Care Fraud & Abuse Seminar.

 

Jacquie Eichhorn
Clinical Research Billing Compliance Manager

jacquie.eichhorn@ucsf.edu
415-514-2576

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Jacquie joined the Compliance office in January 2013. She has over 20 years experience in healthcare, most recently at Lucille Packard Children’s Hospital at Stanford, where she was responsible for management of clinical trial and study related services to ensure compliant billing and charge capture.  Prior to that, she worked as the Compliance Coordinator/HIPAA Privacy Officer at Daughters of Charity Health System, a multi-hospital system. She developed a clinical trial management program to manage all aspects of clinical trials/studies. She was responsible for audits on trial participant registration, billing, charge capture, and revenue allocation/reconciliation. She has served as an IRB Board Member for two Bay Area hospitals.

 

Yelena Kushner
Clinical Research Billing Compliance Coordinator

yelena.kushner@ucsf.edu
415-514-2577

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Yelena joined the Clinical Enterprise Compliance Program in March 2014.  Prior to UCSF she was employed at Caritas Business Services, Daughters of Charity Health System (DOCHS) where she excelled in the Charge Master Analyst position. She was responsible for maintaining the integrity of the Charge Description Master (CDM) through effective management of the facility and professional charge-related master files within multiple systems supporting six hospitals in Northern and Southern California.  Yelena provided decision-making support to all levels of the organization as it related to billing and defensible pricing practices. She also provided education to departments related to charge processes, compliance, changes to CDM; supported internal and external charge audit functions.  She holds a B.A. in Business Administration from the University of Latvia. Yelena is a certified HCPCS/CPT Coding I specialist.

 

John Naranjo, RHIA, RT(R), CCS, CHC
AHIMA Approved ICD-10-CM/PCS Trainer

Billing Compliance Manager

john.naranjo@ucsf.edu
415-514-2574

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John’s experience includes an extensive background in health care compliance, revenue cycle operations and coding. He previously held the role of Compliance Coordinator within the CECP focusing on hospital billing and operations. Prior to UCSF, John performed various roles within the compliance and revenue cycle departments of large multi-hospital health care systems in Arizona and Texas.  John holds a Bachelor of Science in Health Information Management and an Associates of Applied Science in Radiologic Technology. He is a Registered Radiologic Technologist, Certified Coding Specialist (CCS) and holds certification in health care compliance with HCCA.

 

JulieRose P. Pangelinan, BIS, CCS, CPC, CRCR
Sr. Compliance Program Consultant

julierose.johnson@ucsf.edu
415-514-2572

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JulieRose joined the UCSF CECP in December, 2015 from Sutter Health where she led the Optum Computerized Assisted Coding (CAC) business engagement. She previously worked at Stanford Healthcare as a Revenue Integrity Program Manager in 2014. Prior to that, she worked at Kaiser Permanente Northern California for 16 years. Her roles at Kaiser included working as a Regulatory Auditor for National Compliance and as a Hospital Charge Capture Consultant in Revenue Cycle where she supported 21 hospitals. She earned a Bachelor of Integrated Studies in Health Administrative Services, Health Information Management & Health Science from Weber State University. She is a Certified Coding Specialist, Certified Professional Coder and Certified Revenue Cycle Representative.

 

Tiffanie Samatra-Montalvo
Compliance Office Coordinator

tiffanie.samatra-montalvo@ucsf.edu
415-514-2579

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Thaddeus San Pascual, CPC
Compliance Coordinator – Professional Services

thad.sanpascual@ucsf.edu
415-502-2170

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Thad joined the Compliance office in February 2014, transferring from his position as a Compliance Quality Analyst for the UCSF Office of Revenue Management.  He came to UCSF in 2010 from UC Los Angeles where he started as a coder for UCLA Neurosurgery and then later as a compliance auditor and trainer for the UCLA Office of Compliance Services.    Thad’s background includes Evaluation and Management physician training, development & implementation of operational work flows, and medical documentation audit reviews.  He holds a Master of Science degree in Communication from Clarion University of Pennsylvania.  Thad is a Certified Professional Coder and holds professional affiliation with the American Academy of Professional Coders (AAPC).

 

Peggy Scherrer, RN, BSN, MBA, CHC, CHPC
Assistant Director Compliance Operations

peggy.scherrer@ucsf.edu
415-502-2172

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Peggy started in Compliance in March 2013.  She is an RN with over 30 years of experience. Prior to coming to UCSF, Peggy worked as a Program Manager for the Northern California Regional Compliance Department at Kaiser Permanente and as a Regional Durable Medical Equipment (DME) Compliance Officer. Her compliance oversight experience includes Revenue Cycle, UM, DME, Graduate Medical Education, auditing, and corrective action plan development, and she has worked as a hospital Interim Compliance Officer.  Peggy also has a strong background in managed care organizations which include Hill Physicians Medical Group, Prudential HealthCare, and North American Medical Management.  Her range of experience includes pre-authorization and referrals, network management, bill auditing, and Utilization Management (UM).  Peggy has an extensive clinical background, primarily in Emergency, Trauma, and ICU.  She received a Bachelor’s of Science in Nursing from the University of Phoenix, and a Masters in Business Administration from Benedictine University. Peggy holds a certification in Health Care Compliance (CHC), and a certification in Health Care Privacy (CHCP), and is a member of the Health Care Compliance Association (HCCA).