Health IT Pulse:

upcoding


December 17, 2013  1:29 PM

Providers concerned with EHR security, few fighting copy/paste fraud

Alex Delvecchio Alex Delvecchio Profile: Alex Delvecchio
EHR, EHR copy and paste, EHR security, OIG, upcoding

Amid other EHR security concerns, few hospitals are protecting themselves from potential EHR copy and paste fraud. Less than a quarter (24%) of hospitals surveyed by the HHS Office of the Inspector General (OIG) confirmed they had...

February 12, 2013  12:38 PM

Health care fraud program recovered over $4 billion in 2012

Alex Delvecchio Alex Delvecchio Profile: Alex Delvecchio
EHR, health care fraud, health care social media, hhs, social media, upcoding

The government recovered $7.90 for every $1 they spent on health care fraud over the past three years. The three year average return on investment is the highest in the history of the Health Care Fraud and Abuse Control Program,


January 3, 2013  5:09 PM

Study: Medical coding, billing problems not related to EHRs

Ed Burns Ed Burns Profile: Ed Burns
clinical coding, EHR, Meaningful use, OIG, upcoding

For those of you following the medical coding flap – and how some forces inside and outside of health care are suggesting that EHRs might be to blame for rising health care costs thanks to the ease of upcoding procedures -- there is new information to add to the debate.


October 3, 2012  10:32 AM

The paradox of politics and coding health care procedures

Don Fluckinger Profile: Don Fluckinger
AHIMA, CMS, EHR, hhs, upcoding

CHICAGO – A few weeks ago, a New York Times piece raised concerns about how EHR systems can be used to game payer reimbursements through "upcoding" health care procedures, or exaggerating the amount of care a patient receives. Attorney General Eric Holder and HHS Secretary Kathleen...


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