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ABNs--Always Been Neglected

Author: Dunn, Rose T

Source: AHIMA community resource

Publication Date: November 14, 2003

For something that has been around for nearly 2 decades and supported by regulation since 1965, Advance Beneficiary Notices (ABNs) continue to cause headaches today. The use of written notices has been available since the enactment of PL 92-603 in 1972. The specific format called an Advance B....

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....

Journal Q&A (4/03)

Author: AHIMA Professional Practice Team

Source: AHIMA Q and A

Publication Date: April 02, 2003

Q: An attorney recently told our facility that we need to retain records for at least 10 years to comply with the False Claims Act (FCA). Our state law only requires seven years. Which takes precedence?

A: The FCA (31 USC§3729–3733) applies to actions, jurisdiction, and procedu....

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....

False Claims


Source: U.S. Code

Publication Date: January 02, 2002

From the U.S. Code Online via GPO Access
[Laws in effect as of January 2, 2001]
[Document not affected by Public Laws enacted between January 2, 2001 and January 28, 2002]

Final Stark II Regulations

Author: Bergeson, Donna; Butler, Jennifer

Source: AHIMA Convention

Publication Date: October 10, 2001


The Stark Law1is designed to prohibit physician referrals for certain services when the referring physician has a financial relationship with the facility providing the service. This paper will summarize the history of the Stark Law and provide a brief discussion of the fu....

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