Conducting Internal Risk Adjustment Coding Audits

Fundamentals of a Healthcare Internal Business System Audit

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

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Fraudsters Prey on Factors Influencing Health Outcomes

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

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Compliance & Internal Investigations

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

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Part 3: Audit Documentation to Avoid Potential Appeal Consequences

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

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Part 2: Understanding How Payers Deny Claims

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

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Healthcare Apps and Data Privacy/Security Risks

Written by Susan Walberg, JD MPA CHC Healthcare apps have become increasingly

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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

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Telemedicine: Fraud and Abuse During the COVID Pandemic

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

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When Healthcare White-Collar Crimes Turn Red

Implementing Detection & Reporting Systems in the Smallest Of Organizations Written by

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

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

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

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

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COVID-19 Fraud

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

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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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Introduction to what Prosecutors Will Consider When Evaluating Your Compliance Program – Updated as of October 2023

Written by: Compliance bloggerOriginally Posted 6/6/2019Updated after NEW Justice Manual posted June 2020Updated

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The Need for Internal Forensic Healthcare Auditors

Written by: Compliance bloggerPosted 12/11/2017Updated 10/21/2020The exponential growth of technology and the

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