Author: U.S. Department of Health and Human Services. Office of the Inspector General

Source: Government (U.S.)

Publication Date: October 12, 2006

Author: Sheeder, Frank

Source: Journal of AHIMA

Publication Date: October 2006

Large providers dozing on January 1 will put their Medicaid reimbursement at risk. But it will not take long before new federal anti-fraud mandates become universal requirements or voluntary practices for providers of all sizes.
On February 8, 2006, the president signed the Deficit Redu....

Author: Gellman, Robert

Source: Journal of AHIMA

Publication Date: October 2006

In the past year there have been some surprising twists in the interpretation of HIPAA’s criminal penalty. This article reviews current views of the penalty and considers the effect on sanctions for healthcare workers who fail to comply with health privacy policies.
The Statute and....

Author: AHIMA Privacy and Security Practice Council

Source: Journal of AHIMA

Publication Date: September 2006

Job shadowing is a popular method of providing a work-based learning experience. It allows an individual to follow or “shadow” a healthcare professional during a typical workday. The participant can observe the healthcare professional’s job duties, ask questions, and eval....

Author: Blevins, Alicia; Davis, Nancy; Hjort, Beth M.; Lemery, Chrisann; Mangin, Wendy L; Mikels, Debra A; Nicholas, Cindy

Source: AHIMA practice brief | Journal of AHIMA

Publication Date: August 2006

This practice brief has been retired. It is made available for historical purposes only.

Author: AHIMA

Source: AHIMA report

Publication Date: April 19, 2006

This third annual survey looks at how well the industry is maintaining HIPAA privacy and security compliance as a part of the normal course of business as it moves further away from the implementation deadlines.

Author: Garvin, Jennifer Hornung; Watzlaf, Valerie J.M.; Moeini, Sohrab

Source: Journal of AHIMA

Publication Date: March 2006

Automation helps streamline the coding process. When combined with sophisticated analytic software, it can reduce fraud, too.

Automating coding software is generating interest for many reasons--an important one is its ability to speed the turnaround time between patient enco....

Author: Hanson, Susan P.; Cassidy, Bonnie S.

Source: Journal of AHIMA

Publication Date: March 2006

With the right planning, health IT and nationwide health data exchange can deter healthcare fraud.
Fraud is a significant drain on the US healthcare system. The National Health Care Anti-Fraud Association estimates that 3 percent of the nation's annual healthcare outlay--$51 billion--was....

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: March 2006

The financial losses from healthcare fraud in the US are staggering...and growing. Fraud was estimated to be between 3 and 10 percent of total health expenditures in 2003, or $51 to $170 billion, according to the National Health Care Anti-Fraud Association. Whether an interconnected health IT....

Author: Stanfill, Mary H

Source: Journal of AHIMA - Coding Notes | Journal of AHIMA

Publication Date: March 2006

Code assignment for physician evaluation and management (E/M) services is inherently problematic because of the multiple coding rules and reporting guidelines that must be applied and the subjectivity of the codes. Consistent E/M coding practices are critical in the physician practice setting.....