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Brailer to HIM: Continue 'Larger, Louder, and Faster'

Author:

Source: Journal of AHIMA

Publication Date: January 2007


“Do what you are doing larger, louder, and faster,” David Brailer, PhD, MD, told attendees during his general session presentation. Brailer, who served as national coordinator for health information technology in the Department of Health and Human Services from 2004 to 2006, thanked the audienc....

Busy Year for the RACs

Author: Easterling, Sharon

Source: Journal of AHIMA

Publication Date: March 2012



Learning from last year's denials and preparing for what's ahead will help providers avoid being stung in 2012.


When the Recovery Audit Contractor (RAC) permanent program began in 2009, providers were hopeful that the process for identifying underpayments and overpayments w....

Catching Up with HIPAA: Managing Noncompliance

Author: Weintraub, Abner E.

Source: Journal of AHIMA

Publication Date: May 2003


With the April 14 HIPAA privacy deadline behind us, many covered entities are still struggling to become compliant. Limited budgets and staff, conflicting advice, and unforeseen delays have all conspired to keep many covered entities from meeting the deadline.


What do you tell....

Catching Up with PEPP

Author: Bryant, Gloryanne H.; Fletcher, Robin

Source: Journal of AHIMA

Publication Date: September 2000


A year ago, the Journal of AHIMA reported on the newly created Payment Error Prevention Program (PEPP), which went into effect in August 1999. What has happened since then?
Best Billing Practices

PEPP was created to reduce Medicare prospective payment system (PPS) ....

Clearing the HIPAA Cobwebs: New ONC Chief Privacy Officer Lucia Savage Focuses on Balancing Privacy and Security with Expanding Interoperable EHR Exchange

Author: Dimick, Chris

Source: Journal of AHIMA

Publication Date: April 2015



The spiders of time have been hard at work on the US healthcare privacy and security rules, to the point that their place in health IT interoperability has become fogged and is inhibiting their proper role in the meaningful exchange of health information, according to Lucia Savage, JD, th....

CMS Bans Use of Physician Signature Stamps

Author: Bryant, Gloryanne H.

Source: Journal of AHIMA

Publication Date: November 2008


Question: What is the new Centers for Medicare and Medicaid Services ruling on use of signature stamps?

Answer: The Centers for Medicare and Medicaid Services (CMS) has made it clear that it will only accept signatures that are handwritten, electronic, or facsimiles of original wri....

CMS’s 2009 Security Assessment Process

Author: Dinh, Angela K.

Source: Journal of AHIMA

Publication Date: September 2009


In 2008 the Centers for Medicare and Medicaid Services (CMS) conducted 10 HIPAA security assessments in covered entities (CEs) nationwide. CMS’s stated purpose was not to identify flaws but to gain a true understanding of industry compliance with the HIPAA security rule.

CMS co....

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....

Compliance Efforts Get Some PEPP

Author: Bryant, Gloryanne H.

Source: Journal of AHIMA

Publication Date: September 1999


Earlier this year, the Office of the Inspector General (OIG) informed the Health Care Financing Administration (HCFA) that "the DRG system is vulnerable to abuse by providers who wish to increase reimbursement inappropriately through upcoding, particularly so within certain DRGs.&....

Compliance Efforts Lead to Process Improvements

Author: Swope, Shana

Source: Journal of AHIMA

Publication Date: June 2000




After Medicare regulations and the accompanying paperwork threatened to overwhelm an outpatient rehabilitation center, staff took steps to simplify the recertification process. The result was improved efficiency plus increased commitment to the electronic medical record. He....

Conference Handouts

Author: AHIMA

Source: HIPAA Conference 2000

Publication Date: March 13, 2000






 

Conference Handouts


If you weren't able to attend the HIPAA Conference in March, you can review the text of handouts and presentations provided at the sessions.

....

Coping with Government Audits

Author: Butler, Mary

Source: Journal of AHIMA - website

Publication Date: August 2014





The HIM Problem: Medicare Auditor Scrutiny of Inpatient Claims


This spring, the Centers for Medicare and Medicaid Services (CMS) issued its “two midnight rule” which was intended to define and clarify what Medicare considers to be criteria justifying an inpatient st....

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