472 results.
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Word is Collaboration: How HIM, Revenue: Cycle, and Compliance Team Up for Success
Author: McDavid, Jan P; Truscott, Tricia; Crump, Dawn; Brocato, Lori
Source: AHIMA Convention
Publication Date: October 02, 2011
Background:
The need for HIM, Compliance and Revenue Cycle Management to work together is more important than ever. New initiatives, regulations and more stringent compliance demands are crossing the lines of various departments throughout the healthcare continuum. Departments which may....
HHS Steps up HIPAA Audits: Now Is the Time to Review Security Policies and Procedures
Author: Greene, Adam H
Source: Journal of AHIMA
Publication Date: October 2011
Now Is the Time to Review Security Policies and Procedures
In June 2011 the Department of Health and Human Services awarded KPMG a $9.2-million contract to create an audit protocol and audit organizational compliance with the HIPAA privacy and security requirements.1 The co....
Implementation of Recovery Auditing at the Centers for Medicare & Medicaid Services
Author:
Source: Government (U.S.)
Publication Date: September 30, 2011
Medicaid Program; Recovery Audit Contractors; Final Rules
Author: U.S. Centers for Medicare & Medicaid Services
Source: Government (U.S.)
Publication Date: September 16, 2011
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....
CMS Information Security
Author: U.S. Centers for Medicare & Medicaid Services
Source: External web site
Publication Date: July 22, 2011
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.
ACO Primer: Reviewing the Proposed Rule on Accountable Care Organizations
Author: White, Susan E; Kallem, Crystal; Viola, Allison F.; Bronnert, June
Source: Journal of AHIMA
Publication Date: June 2011
In April the Centers for Medicare and Medicaid Services (CMS) published a notice of proposed rulemaking for the Medicare Shared Savings Program. The program was mandated by the Affordable Care Act to encourage the development of accountable care organizations (ACOs) in Medicare.
The....
Low-Tech Threats in a High-Tech World
Author: Rollins, Genna
Source: Journal of AHIMA - website
Publication Date: April 2011
Despite the rise of health IT, healthcare providers still face daily privacy and security risks of the mundane variety—paper records are misplaced, improperly disclosed, or released without confidential information redacted. No matter the opportunities and risks that technology bring....
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.
....
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