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Examining Fraud

Examining Fraud

August 29, 2016 – 2:06 am |

Most medical providers are honest and they work hard to improve their patients’ health. However, like the old proverb “one bad apple can spoil the whole bunch” some want to illegally increase the size of their …

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Features

Features include articles that are noteworthy of special attention.

Medical Records

Medical records are challenging to manage. Articles will address improvements, trends and tools to help manage medical records more efficiently.

Technology

Learn about tools, software and more that can help improve efficiencies in medical records services.

Fraud

Content will address activities in the medical space related to medicaid and medicare fraud.

Operations

These articles related to the administrative operations of medical services.

Data, Medical Records »

Bringing the Patient into the Circle

August 29, 2016 – 2:04 am |
Bringing the Patient into the Circle

Patient-generated health data is one of the goals of the Affordable Care Act and the Meaningful Use initiative. It is also one area that creates much uncertainty as a result of the challenges its use presents to providers. Health IT Interoperability brought this information to us in their article, “Top Challenges to Leveraging Patient-Generated Health Data.”

The role of patient-generated health data is set to change given the increased focus on patient engagement in the forthcoming Merit-based Incentive Payment Program. Patient-generated data is not a new concept to healthcare, though many are still unsure about its ultimate purpose.

The Office of the National Coordinator for Health Information Technology has been exploring the usefulness of patient-generated health over the past few years.

The term alone brings to mind Fitbits, wearables, and other smart devices. However these devices are not approved by the Food & Drug Administration for clinical use. Patient-generated data could include something as simple as a patient being able to correct erroneous information contained in their electronic health record (EHR). But we shouldn’t stop there.

Melody K. Smith

Sponsored by Access Integrity, delivering advanced technology solutions for full and complete compliant processing of medical transactions to the healthcare industry.

Photo, https://commons.wikimedia.org/wiki/File:US_Navy_050526-F-5586B-077_Shannon_Bathurst,_left,_Emergency_Medical_Technician_and_John_Hybart,_Medical_Director_Emergency_Department_performs_a_medical_evaluation_to_a_simulated_patient_during_exercise_Lifesaver_2005.jpg

Preventing Breaches

August 29, 2016 – 2:02 am |
Preventing Breaches

Here’s another instance of medical record data being held ransom after a computer system was hacked was recently reported. Marin Medical Practices Concepts provides medical billing and electronic medical records (EMR) services to many Marin physicians. …

Flexible Documentation Options

August 26, 2016 – 2:06 am |
Flexible Documentation Options

An electronic health record (EHR) integrated mobile speech solution has been released by Entrada. It will provide caregivers with options for capturing and editing dictations and returning the documentation directly into patient encounter templates within a clinic’s …

Give It Time

August 26, 2016 – 2:04 am |
Give It Time

Doctors have long been frustrated with electronic health records (EHRs). You can chalk it up to the fear of change or the fear of technology. If it is the latter, then buckle up because technology never …

Fighting the Good Fight

August 26, 2016 – 2:02 am |
Fighting the Good Fight

According to the Department of Justice (DOJ), over 300 people have been charged already this year in health care fraud sweeps across the country with fraudulent billings totaling $900 million. This interesting news came to us …

Partnering with Technology

August 25, 2016 – 2:06 am |
Partnering with Technology

The healthcare industry and technology are becoming very good friends. With electronic health records (EHRs) and the ICD-10 coding classification transition, technology is an asset to the business and patient care aspects of healthcare. Technological breakthroughs …

Finding the Guilty

August 25, 2016 – 2:04 am |
Finding the Guilty

In the fight against fraud, another offender was sentenced to 37 months in prison for his role in a multimillion-dollar health care fraud scheme in the greater Tampa, Florida, area. This news came to us from eNews …

There is Hope in Data

August 25, 2016 – 2:02 am |
There is Hope in Data

Electronic health records (EHRs), claims systems, registries and patients themselves provide a massive amount of data. This offers a unique opportunity to learn from real-world evidence in clinical trials and the drug development process. Health Data Management …

Are We There Yet?

August 24, 2016 – 2:06 am |
Are We There Yet?

The Health Information Technology for Economic and Clinical Health (HITECH) Act was passed in 2009, allocating $30 billion to provide Americans with electronic health records (EHR). Has that goal been achieved yet? A recent study in …

Health Information Challenges

August 24, 2016 – 2:04 am |
Health Information Challenges

Information management has changed over the decades from the “computer guy” in the basement to a high-powered, responsibility-laden position in most organizations. This is also true for the military, and the new information chief to the Defense …

Tightening the Perimeter

August 24, 2016 – 2:02 am |
Tightening the Perimeter

The Centers for Medicare and Medicaid Services (CMS) is taking measures to combat fraud. They are extending and expanding a temporary moratorium on provider enrollment in six states. This interesting news came to us from Healthcare …