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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....

Re-examining HIPAA Six Years Later

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: April 2008


It was six years ago this month that the HIPAA privacy rule went into effect. For many in healthcare, compliance has become a routine part of doing business. But for too many, the current regulations remain poorly understood and poorly implemented. All the while, the environment has been chang....

Fraud Management: a $100 Billion Bonus from Health IT?

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....

RAC Primer for LTC Facilities

Author: Leonard, Mary Ann

Source: Journal of AHIMA

Publication Date: January 2010



Last year the Centers for Medicare and Medicaid Services (CMS) began rolling out the Recovery Audit Contractor (RAC) program to all 50 states and all providers, including long-term care facilities. HIM professionals working in LTC facilities need to understand the basics of the program in....

HIPAA Changes Call for Revising BA Agreements

Author: McDavid, Jan P

Source: Journal of AHIMA

Publication Date: May 2013



Business associates (BAs) of HIPAA-covered entities like hospitals and doctor's offices should already be intimately acquainted with HIPAA's privacy and security regulations. BAs should already have business associate agreements with every covered entity with whom they work and assume resp....

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....

HIPAA Compliance: Is Outsourcing the Answer?

Author: McLaughlin, Mark

Source: HIPAA Conference 2000

Publication Date: March 14, 2000

2000 HIPAA Conference Presentation
HIPAA Compliance: Is Outsourcing the Answer?
Mark McLaughlin, Informatics Standards Liaison, McKessonHBOC Compliance Depends on You!: HIPAA Components for Outsourcing
Transactions Processing Auditing Security Disaster Recovery
Consultants and....

Automation for Privacy and Security Compliance

Author: McLendon, Kelly

Source: Journal of AHIMA

Publication Date: March 2012


There has been a lack of enforcement of the privacy and security rules ever since HIPAA's inception. As such the adoption of comprehensive HIPAA compliance programs has lagged behind EHR development and implementation.

This in turn has caused little funding to be budgeted by provide....

Adapting BA Practices to Meet the Omnibus Rule

Author: McSteen, Thomas

Source: Journal of AHIMA

Publication Date: September 2013



The 2013 HIPAA Omnibus Rule marks a key milestone for implementation of the 2009 Health Information Technology for Economic and Clinical Health Act (HITECH). One of the most far-reaching impacts of HITECH and the Omnibus Rule is that business associates (BA) and their subcontractors now mu....

HIPAA and Privacy: After the Compliance Date

Author: Mikels, Debbie

Source: AHIMA Convention

Publication Date: October 15, 2004

Abstract

This article reviews successful strategies in preparing for HIPAA Privacy compliance. There are ongoing challenges organizations will face after the compliance date, such as managing research issues, identifying all business associates, and managing the accounting of disclosures....

How an Integrated Delivery System Organized, Approached, and Monitored HIPAA Privacy Compliance: a Case Study

Author: Miller, Judith A.

Source: In Confidence (newsletter)

Publication Date: November 02, 2003


Advocate Health Care is a large, fully integrated not-for-profit healthcare delivery system in metropolitan Chicago. Many months prior to the April 14, 2003, deadline, Advocate began preparing for the HIPAA privacy compliance deadline.When April 14 arrived, Advocate’s associates and physician....

Dilemma of Psychotherapy Notes and HIPAA

Author: Nicholson, Ruby E.

Source: Journal of AHIMA

Publication Date: February 2002


For HIM professionals in behavioral health settings, the HIPAA privacy regulations pose a downright dilemma. Here’s why.


The privacy rule defines psychotherapy notes as:


Notes recorded in any medium by a mental health professional documenting or analyzing....

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