Weiser To Lead Compliance Division At BlueCross

Wednesday, February 06, 2013

Health plans across the country are experiencing vast changes under the Affordable Care Act, alongside the evolving challenges presented by advances in technology. To navigate these changes, BlueCross BlueShield of Tennessee has recruited Pat Weiser as vice president and chief compliance officer.

“Health plans must continually review and revamp their compliance programs to be successful in today’s changing health care and regulatory landscape,” said JD Hickey, COO and senior vice president at BlueCross.

“Pat is at the forefront of the industry and is well versed in the specialized rules and regulation surrounding health care. We know that under her leadership we will continue to develop strong programs that are good for our members and our company.”

Ms. Weiser previously served as chief compliance officer for Martin’s Point Health Care in Portland, Maine. While there, she led a complete revamp of that non-profit’s corporate and product compliance programs. Emphasizing transparency, she helped make the company’s compliance plan easier to understand and a regular part of employees’ every day work lives.

Prior to Martin’s Point, Weiser led Medicare product management and compliance teams at EmblemHealth in New York City for eight years. In that time she became an expert in Medicare Advantage, Dual Eligible programs, Part D programs, and Medicaid and Medicare supplement programs. 

Ms. Weiser received a Bachelor of Science in psychology from State University at Albany (New York), and continuing her graduate work in Albany, earned a nursing degree from Maria College and a Masters in Health Services Administration from Sage Graduate School.

Ms. Weiser published “How to Construct a 5-Star Medicare Compliance Program,” in HCCA Compliance Today.


Alex Sheen To Speak Jan. 15

Alex Sheen will speak at a luncheon to benefit Blood Assurance at 11:30 a.m. on Jan. 15 at the Double Tree Hotel in Downtown Chattanooga.  Alex is the founder of because I said I would, a social movement and nonprofit organization.  Through his philanthropic work, his personal commitments and the stories of his supporters, Alex speaks to audiences around the world ... (click for more)

Supreme Court Decides Hospitals Cannot Maintain Liens After Bills Paid In Full

In a unanimous opinion, the Tennessee Supreme Court has decided that hospitals are required to release their hospital lien against a patient as soon as the patient and the patient’s insurance company have paid the full amount of the hospital charges. This lawsuit involves a common practice in the hospital industry. Hospitals charge uninsured patients more for the same services ... (click for more)

2 Suspects Sought In Armed Robbery At Highway 153 Long John Silver's

Police are searching for two suspects in an armed robbery that happened Friday morning. At approximately  8:10  a.m. the Chattanooga Police Department responded to 5317 Highway 153 for a robbery at the Long John Silver's.  Officers discovered that two black men, wearing hoodies and masks, entered the Long John Silver's and forced the assistant manager ... (click for more)

Pair Charged With Beating Man With Stick, Taking His Wallet

Two men are charged with beating a man with a large stick while he slept on the steps of a downtown church, then taking his wallet. Jerry Quincy Allen, 45, and James Leo Boas, 40, both of 727 E. 11th St., are charged with aggravated robbery. In the incident on Wednesday, Bradley Casehart said he and a friend were asleep at Tompkin Chapel Church on Palmetto Street. He ... (click for more)

Please Don't Close The Piccadilly Cafeteria At Hamilton Place - And Response

Oh, no. The Piccadilly Cafeteria at Hamilton Place is closing.  Its last day is Christmas Eve.  I will miss the great food they have there but most of all I will miss their servers, cashiers and waitresses.  They are all so friendly and accommodating.  They make it like it’s a home-style restaurant. I sure wish there was some way that Hamilton Place and ... (click for more)

Roy Exum: ‘Scrooge’ Of The Year

As we move into the last weekend before Christmas, the “Scrooge of the Year” has just appeared in Aurora, Ill. Actually Connie Ley has just died. She passed away on Nov. 25, but in her wake left the worst will many around the country have ever heard – her last wishes included that her nine-year-old dog should be put to death, cremated, and buried with her. Bela, a beautiful German ... (click for more)