Journal Q&A (1/98)
Author: AHIMA Professional Practice Team
Source: AHIMA Q and A
Publication Date: January 02, 1998
Compliance, Medical Records, and the FBI: Preventing Fraud and Abuse
Q: I am a coder in a hospital HIM department. I am being pressured to code in a manner I believe to be fraudulent in order to maximize reimbursement and improve the hospital's case mix. What should I do?
A: Always remember to exhaust all avenues for resolving the matter....
Author: Vincze, L. Stephan
Source: Journal of AHIMA
Publication Date: January 1998
The possibility of an investigation related to fraud and abuse is the last thing most people want to think about, but it's important to be prepared, just in case. The author gives some advice on how to react if your facility is the target of an investigation and points out some imp....