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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....

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....

Compliance: A Critical Yet Costly Commitment

Author: Roach, Daniel R.

Source: Journal of AHIMA

Publication Date: May 2001

In the 1970s, the defense budget consumed the largest share of the federal budget. Concerns about both the size and efficiency of the defense bureaucracy triggered a massive crackdown on federal contractors who had either intentionally or inadvertently failed to follow the Department....

Cost of Fraud


Source: Journal of AHIMA

Publication Date: January 1999

According to the Department of Justice Health Care Fraud Report for Fiscal Year 1997, $1.2 billion was awarded or negotiated as a result of criminal fines, civil settlements, and judgments in healthcare fraud matters. And $517 million of that amount came from the settlements of three case....

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]

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