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Interpretive Guidelines for Life Safety

Author: U.S. Centers for Medicare & Medicaid Services

Source: Government (U.S.)

Publication Date: October 02, 1986

State Operations Manual
Appendix I - Interpretive Guidelines for Life Safety

Interpretive Guidelines for Physical Therapists in Independent Practice

Author: U.S. Centers for Medicare & Medicaid Services

Source: Government (U.S.)

Publication Date: February 02, 1987

State Operations Manual. Appendix F
Interpretive Guidelines, Physical Therapists in Independent Practice

Fraud and Abuse Implications for the HIM Professional

Author: Prophet, Sue

Source: Journal of AHIMA

Publication Date: April 1997

Healthcare Fraud and Abuse Legislation

On August 21, 1996, President Clinton signed into law the Health Insurance Portability and Accountability Act. This law addresses several issues including the creation of a Health Care Fraud and Abuse Control Program. This program is intended to com....

Fraud and Abuse: What You Can Do

Author: Prophet, Sue

Source: Journal of AHIMA

Publication Date: January 1998



During AHIMA's National Convention, HIM professionals convened to network and share practical ideas on issues pertaining to fraud and abuse. While most of the participants worked in hospitals, other work settings, including colleges, consulting firms, and government agencies were als....

Coding Compliance: Practical Strategies for Success

Author: Prophet, Sue

Source: Journal of AHIMA

Publication Date: January 1998


"Fraud," "abuse," "upcoding," "unbundling," and "compliance" have all become buzzwords in the news media. Eliminating healthcare fraud and abuse has become a top priority for the federal government. Government investigations are on the rise and providers everywhere tremble at the thought of b....

Sentinel Event Procedures Undergo Scrutiny

Author: Fuller, Sandra R.

Source: Journal of AHIMA

Publication Date: February 1998


Substantial changes were made to the Joint Commission on Accreditation of Healthcare Organizations' Sentinel Event Procedures at the November 1997 Board of Commissioners meeting. With an implementation date scheduled for April 1, 1998, all Joint Commission accredited healthcare organiz....

Benchmarks as the Signposts Along the Fraud Case Trail

Author: Kaldal, Karen

Source: Journal of AHIMA

Publication Date: November 1998


Traditionally, payers in the healthcare industry have relied on external tips or complaints for starting points for fraud investigations. But recently the number of leads on fraud activity has increased as the public becomes more aware of the issue. To combat this problem, payers have begun to....

Proposed Rule Mandates Fraud Data Bank

Author:

Source: Journal of AHIMA

Publication Date: January 1999


On October 30, 1998, the Office of the Inspector General (OIG) of the Department of Health and Human Services (HHS) published a Notice of Proposed Rulemaking titled "Health Care Fraud and Abuse Data Collection Program: Reporting of Final Adverse Actions." The notice states that....

In Pursuit of Healthcare Fraud

Author: King, Ellen

Source: Journal of AHIMA

Publication Date: January 1999


How broad is the scope of healthcare fraud and abuse? Here's a look at the many ways the Federal Bureau of Investigation is tackling the problem.

Healthcare fraud takes billions of dollars away from federally funded healthcare programs. These programs, particularly Medicare and Med....

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