Health Care Fraud Archives - American Institute of Healthcare Compliance

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Tag: Health Care Fraud

Auditing, Managing Denials Is Important to Good A/R Hygiene

Fraud Indicators and Red Flags, Part 3

Part 3: When Unscrupulous Managers Turn Auditors Against Their Coworkers or Teams

Auditing, Managing Denials Is Important to Good A/R Hygiene

Fraud Indicators and Red Flags, Part 2

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

Auditing, Managing Denials Is Important to Good A/R Hygiene

Fraud Indicators and Red Flags, Part 1

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

Auditing, Managing Denials Is Important to Good A/R Hygiene

Fundamentals of a Healthcare Internal Business System Audit

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

General Compliance

Fraudsters Prey on Factors Influencing Health Outcomes

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

Auditing, Managing Denials Is Important to Good A/R Hygiene

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, Managing Denials Is Important to Good A/R Hygiene

Compliance & Internal Investigations

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

Auditing, Managing Denials Is Important to Good A/R Hygiene

Part 3: Audit Documentation to Avoid Potential Appeal Consequences

Written by: AIHC Blogger This article provides educational information related to mitigating

Billing/RCM in Healthcare

Part 2: Understanding How Payers Deny Claims

Written by: AIHC Blogger This article provides educational information related to fighting

HIPAA Compliance

Healthcare Apps and Data Privacy/Security Risks

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

HIPAA Compliance

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

Telehealth

Telemedicine: Fraud and Abuse During the COVID Pandemic

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

Auditing, Managing Denials Is Important to Good A/R Hygiene

When Healthcare White-Collar Crimes Turn Red

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

General Compliance

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

Hacking With Worldwide Implications Written by Carl J Byron, CCS, CHA,

Billing/RCM in Healthcare

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

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

Compliance in Healthcare

Corporate Compliance

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

Written by: Compliance blogger Originally Posted 6/6/2019 Updated after NEW Justice Manual posted

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