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How Small Organizations Handle HIPAA Compliance

Author: Primeau, Debra

Source: Journal of AHIMA

Publication Date: April 2017



Smaller healthcare facilities typically lack the resources and expertise to address the constant flow of competing priorities, forcing leadership to wear many hats in a fragmented environment. Few have a designated privacy, security, or compliance officer, let alone the corporate support s....

2003 Red Book Reveals Cost-saving Recommendations

Author: Prophet-Bowman, Sue

Source: Journal of AHIMA

Publication Date: September 2003


Although the Department of Health and Human Services (HHS) Office of Inspector General (OIG) has already saved tax payers more than $12 million this year, it offers still more cost-saving recommendations for the Centers for Medicare & Medicaid Services (CMS) in its annual Red Book that hav....

Observation Services Present Compliance Challenges

Author: Prophet-Bowman, Sue

Source: Journal of AHIMA

Publication Date: March 2003


Observation services have been a top fraud and abuse target of the Office of Inspector General (OIG) of the Department of Health and Human Services, primarily due to the complexity of the Medicare billing regulations and the potential for abuse. New regulations regarding reimbursement for thes....

Hot Spots in the 2002 OIG Work Plan

Author: Prophet, Sue

Source: Journal of AHIMA

Publication Date: March 2002


Organizational compliance programs are never static. Rather, they must continually be refined and updated to respond to changes in healthcare delivery and system vulnerabilities. The 2002 Work Plan of the Office of Inspector General (OIG) of the Department of Health and Human Services (HHS) pr....

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....

Make Clinical Research Top Priority

Author: Prophet, Sue

Source: Journal of AHIMA

Publication Date: January 2002


Whenever biomedical or behavioral research is conducted and supported by government agencies, it’s critical to comply with federal regulations designed to protect human subjects. For compliance officers, this means understanding and constantly monitoring a number of federal laws, regulati....

Is the FCA Effectively Fighting Healthcare Fraud?

Author: Prophet, Sue

Source: Journal of AHIMA

Publication Date: May 2002


How effective has the False Claims Act (FCA) been in reducing healthcare fraud? A recent six-month study conducted by New Directions for Policy for Taxpayers Against Fraud sought to determine just that.1 What the study found is that the FCA is very effective in fighting fraud and should not be....

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....

Laboratory Services Regulations Carry HIM Implications

Author: Prophet, Sue

Source: Journal of AHIMA

Publication Date: September 2002


This is Part 1 of a two-part article on national coverage and policies for clinical diagnostic laboratory services payable under medicare Part B. Part 1 concentrates on the administrative policies. Part 2, which will appear in the October issue of the Journal, will focus on the national covera....

Experiences of a VHA Privacy Officer

Author: Putt, Stephanie H.

Source: In Confidence (newsletter)

Publication Date: November 02, 2001


Being the privacy officer for one of the world’s largest healthcare delivery systems is often a daunting responsibility, yet it offers an opportunity to make a difference and face new challenges. The Veterans Health Administration, or VHA, is part of the Department of Veterans Affairs (VA). T....

How to Safely Recycle PCs

Author: Quinsey, Carol Ann

Source: Journal of AHIMA

Publication Date: June 2005


Securing the privacy of both protected health information and personal information should be a primary concern when personal computers have outlived their usefulness. Recycling or disposing of a computer safely can be a challenge.

It’s not enough to simply give an old computer....

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