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Trends to Watch in Home Health Compliance

Author: Abraham, Prinny

Source: Journal of AHIMA

Publication Date: May 2001




The implementation of the Home Health Prospective Payment System (PPS) on October 1, 2001, has presented some unique compliance risks for HIM and billing managers. This article will briefly describe some of the compliance-related issues on the OIG's agenda that are of interest to HIM....

Governmental Audit Toolkit

Author: AHIMA

Source: AHIMA toolkit

Publication Date: December 02, 2011

This toolkit is designed to provide guidance to HIM professionals on how to prepare for and ensure compliance in managing governmental audits.

Journal Q&A (1/98)

Author: AHIMA Professional Practice Team

Source: AHIMA Q and A

Publication Date: January 02, 1998

Q: I am employed as a coder and am concerned about my potential risk with respect to fraud and abuse charges involving coding practices. Would you advise me to obtain professional liability insurance?

A: If you work for someone else, contact your employer's legal counsel to fi....

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....

Journal Q&A (1/98)

Author: AHIMA Professional Practice Team

Source: AHIMA Q and A

Publication Date: January 02, 1998


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....

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