Health Care Fraud Archives

Auditing, General, Leadership

Fraud Indicators and Red Flags, Part 2

Part 2: When Criminal Behavior Infiltrates Your Audit Program Written by Carl J

Auditing, General, Leadership

Fraud Indicators and Red Flags, Part 1

Part 1: When Audit Managers Knowingly Skew Audit Results Written by Carl J

Conducting Internal Risk Adjustment Coding Audits

Auditing, General

Fundamentals of a Healthcare Internal Business System Audit

Written by Joanne Byron,BS, LPN, CCA, CHA, CHCO, CHBS, CHCM, CIFHA, CMDP,

General

Fraudsters Prey on Factors Influencing Health Outcomes

This article addresses various forms of fraud and how criminals’ prey on

Auditing, Coding, Corporate Compliance, General

You Play a Vital Role in Protecting the Integrity of the U.S. Healthcare System

Written by: Joanne Byron, BS, LPN, CCA, CHA, CHCO, CHBS, CHCM, CIFHA,

Auditing, General

Compliance & Internal Investigations

Written by: Joanne Byron, BS, LPN, CCA, CHA, CHCO, CHBS, CHCM, CIFHA,

Auditing, Billing/RCM, General

Part 3: Audit Documentation to Avoid Potential Appeal Consequences

Written by: AIHC BloggerThis article provides educational information related to mitigating the

Auditing, Billing/RCM, General

Part 2: Understanding How Payers Deny Claims

Written by: AIHC BloggerThis article provides educational information related to fighting unreasonable

General, HIPAA

Healthcare Apps and Data Privacy/Security Risks

Written by Susan Walberg, JD MPA CHCHealthcare apps have become increasingly prevalent,

General, HIPAA

Scenarios That Can Lead to HIPAA Violations – Are you doing anything to avoid them?

Written by: Salman Rashid HIPAA, which stands for the Health Insurance Portability

General, Telehealth

Telemedicine: Fraud and Abuse During the COVID Pandemic

Written by: Susan Walberg, JD, MPA, CHC The COVID-19 pandemic has brought

Auditing, General

When Healthcare White-Collar Crimes Turn Red

Implementing Detection & Reporting Systems in the Smallest Of OrganizationsWritten by Joanne

General

Healthcare & Technology: What’s 5G got to do with it?

Written by Heather Goe,BS, DBAEditing provided by Nayiri-TaraAs Data becomes more readily

General

A Reemerging Threat in the Age of COVID-19 & Remote Healthcare

Hacking With Worldwide ImplicationsWritten by Carl J. Byron, CCS, CHA, CIFHA, CPC,

General

COVID-19 Fraud

Heather Goe, BS, DBA Editing provided by Joanne Byron, BS, LPN, CCA, CHA,

Billing/RCM

Avoid Patients Discovering Surprise Fees, Wrong Charges and Inappropriately Denied Claims

Written by: Compliance blogger Most patients are educated and internet “savvy” these

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