40 results.
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Preventing Fraud and Abuse in Clinical Documentation
Author: Butler, Mary
Source: Journal of AHIMA - website
Publication Date: July 2015
The HIM Problem: The US Department of Health and Human Services’ Office of the Inspector General (OIG) is expected to increase enforcement activities surrounding clinical documentation and fraud. Training and awareness are key in preventing penalties.
The HIM Problem Solver:....
Understanding Governmental Audits (2013 update)
Author: Rihanek, Theresa; Lopez, Doreen
Source: AHIMA practice brief
Publication Date: November 2013
This practice brief supersedes the July 2011 practice brief "Understanding Governmental Audits."
Today, armed with enhanced fraud and abuse laws, the federal government has launched new audits that organizations and providers must contend with on a regular basis. Recent additions....
Integrity of the Healthcare Record: Best Practices for EHR Documentation (2013 update)
Author: AHIMA Work Group
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: August 2013
Editor’s note: This update replaces the 2007 practice brief “Guidelines for EHR Documentation to Prevent Fraud.”
Electronic documentation tools offer many features that are designed to increase both the quality and the utility of clinical documentation, enhancin....
Predictive Modeling 101: How CMS’s Newest Fraud Prevention Tool Works and What It Means for Providers
Author: White, Susan E
Source: Journal of AHIMA
Publication Date: September 2011
In July the Centers for Medicare and Medicaid Services (CMS) began applying predictive modeling techniques to Medicare claims data to detect fraud. CMS contracted with Northrop Grumman, an information solutions company, to develop the technology. Northrop Grumman partnered with Verizon and Nat....
Understanding Governmental Audits
Author: AHIMA
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: July 2011
This practice brief has been updated. See the latest version here. This version is made available for historical purposes only.
Stopping Fraud: Detecting and Preventing Fraud in the e-Health Era
Author: Eramo, Lisa A
Source: Journal of AHIMA
Publication Date: March 2011
Stopping fraud will require health record systems, organizations, and individuals capable of, and committed to, detecting and preventing false claims before they are paid.
Healthcare fraud continues to plague the country, costing the United States billions of dollars per year.
....
Study of Health Care Fraud and Abuse: Implications for Professionals Managing Health Information
Author: AHIMA Foundation
Source: AHIMA report
Publication Date: November 2010
Stop Medicare Fraud [external web site]
Author: U.S. Department of Health and Human Services; U.S. Department of Justice
Source: Government (U.S.)
Publication Date: July 15, 2009
Medicare fraud results in higher health care costs for everyone. Eliminating fraud cuts costs for families, businesses, and the federal government. It also increases the quality of services for those who need care.
Fraud Enforcement and Recovery Act of 2009
Author: U.S. Congress
Source: Government (U.S.)
Publication Date: May 20, 2009
Framework For Combating Fraud, Waste, And Abuse In Federal Health Care Programs
Author: Morris, Lewis
Source: Government (U.S.)
Publication Date: April 22, 2009
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