Spotting Financial Fraud & Exploitation of the Elderly
American Institute of Healthcare Compliance Blog
by Compliance Blogger
3d ago
Part 3 in a series of articles to support World Elder Abuse Awareness Written by Joanne Byron, BS, LPN, CCA, CHA, CHCO, CHBS, CHCM, CIFHA, CMDP, OHCC, ICDCT-CM/PCS of the American Institute of Healthcare Compliance (AIHC), a non-profit healthcare education organization. AIHC is sharing this information in support of World Elder Abuse Awareness Day.  The information below is not all-inclusive or comprehensive, but it is a good start to increase awareness to educate your workforce, patients, caregivers and family members.  Please feel free to repost, print and make available to your wo ..read more
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Detecting Abuse of the Elderly
American Institute of Healthcare Compliance Blog
by Compliance Blogger
6d ago
Warning Signs of Elder Physical, Sexual, Psychological Abuse, Abandonment and Neglect Part 2 in a series of articles to support World Elder Abuse Awareness Written by Joanne Byron, BS, LPN, CCA, CHA, CHCO, CHBS, CHCM, CIFHA, CMDP, OHCC, ICDCT-CM/PCS of the American Institute of Healthcare Compliance (AIHC), a non-profit healthcare education organization. Elder Abuse Awareness for the Healthcare Workforce The Department of Justice lists the following information that can be used by nurses, physicians and healthcare workforce members.  AIHC is sharing this information in support of World El ..read more
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Elder Abuse Awareness for the Healthcare Workforce
American Institute of Healthcare Compliance Blog
by Compliance Blogger
2w ago
Part 1 in a series of articles to support World Elder Abuse Awareness Written by Joanne Byron, BS, LPN, CCA, CHA, CHCO, CHBS, CHCM, CIFHA, CMDP, OHCC, ICDCT-CM/PCS    Please feel free to repost, print and make available to your workforce members. Detecting elder abuse can be difficult.  AIHC is publishing a series of articles to help providers and workforce members detect potential abusive situations in support of World Elder Abuse Awareness Day which is recognized on June 15th. Please feel free to repost, print and make available to your workforce members.  This infor ..read more
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AI and Algorithms: An Effective Approach to Medical Claims Processing
American Institute of Healthcare Compliance Blog
by Compliance Blogger
2w ago
Authored by Corliss Collins, BSHIM, RHIT, CRCR, CSM, CCA, CBCS, CPDC    Founder. Principal and Managing Consultant      This is Part 7 in a series of articles providing a general overview of Artificial Intelligence (AI) impacting the healthcare industry.  This information is an overview of very basic suggestions on Standard Operating Procedures (SOP), Policies and Best Practices for smaller hospitals and provider organizations. This information is not designed to be all-inclusive. and is not intended as consulting or legal advice. Introduction The Health Lead ..read more
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AI and Algorithms: The Other Side of Medical Claims Processing
American Institute of Healthcare Compliance Blog
by Compliance Blogger
1M ago
Written by Corliss Collins, BSHIM, RHIT, CRCR, CSM, CCA, CBCS, CPDC    Artificial Intelligence (AI) and Revenue Cycle Management (RCM) are hot topics in the healthcare industry.  Optimizing RCM across all payment and reimbursement models can reduce overhead and improve accuracy which results in allowing your RCM workforce to focus on financial counseling and other important area requiring personal interactions with your patients and conducting pre and post documentation and coding audits.  This article addresses what Chief Financial Officers (CFOs) and other C-Suite execu ..read more
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HITECH Compliance
American Institute of Healthcare Compliance Blog
by Compliance Blogger
1M ago
Checklist for Individual & Small Group Practices Written by: Nancie Lee Cummins, CFE, CHA, CIFHA, OHCC, CHCM, CHCO, CORCM       This article provides an overview of Health Information Technology for Economic and Clinical Health Act (HITECH) and basic checklist of policies and procedures for compliance of smaller health care organizations. This information is not all-inclusive and is not intended as consulting or legal advice. HITECH is a critical aspect of the Health Insurance Portability & Accountability Act (HIPAA).  Since 2009, HITECH has given “tee ..read more
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The Challenge of Conducting Internal Investigations
American Institute of Healthcare Compliance Blog
by Compliance Blogger
1M ago
Why do interviewees try to deceive you?    Written by Meric Craig Bloch, Certified Fraud Examiner, Certified Financial Crime Specialist, Certified Compliance and Ethics Professional-Fellow, Professional Certified Investigator     Does the name Meric Craig Bloch “ring a bell”?  If you completed the AIHC Internal Forensic Auditor – Conducting Investigations certification course, then it should!  Meric is the author of the textbook for the investigative interviewing lessons. One of the biggest challenges we face when investigating a complaint as a healthcare administ ..read more
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Artificial Intelligence, Extinction-Level Threat or Solution?
American Institute of Healthcare Compliance Blog
by Compliance Blogger
1M ago
Written by the AIHC Education Department     This article provides an overview of how the media and government are reacting to the potential of artificial intelligence (AI) and potential threats associated with this advanced technology.  Please read other AI articles published by the American Institute of Healthcare Compliance regarding how AI can advance quality of care, how AI is regulated, use of AI and HIPAA privacy/security, to name a few topics. A Government-Commissioned Report Released February 2024 The U.S. State Department commissioned the first-ever assessm ..read more
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The Cobra Effect & Enforcing Compliance Standards
American Institute of Healthcare Compliance Blog
by Compliance Blogger
1M ago
Lessons Learned about Consequences & Incentives Submitted by the AIHC Education Department     Introduction    The Office of Inspector General has released the new General Compliance Program Guidance or “GCPG” in late 2023.  The GCPG is a reference guide for the health care compliance community and other health care stakeholders and provides information about relevant Federal laws, compliance program infrastructure, OIG resources, and other information useful to understanding health care compliance. The GCPG standardized the seven Elements of a Successful C ..read more
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Artificial Intelligence – Resources to Technology Governance
American Institute of Healthcare Compliance Blog
by Compliance Blogger
1M ago
This article provides an introduction to Artificial Intelligence, large multi-modal models and the impact on health care.  This information is not intended as legal or consulting advice.  Please utilize resources provided within this article for more information.      During the design and development of machine-learning models (aka general-purpose foundation models), the responsibility rests with the developers. A general-purpose foundation model can be used by a third party (a “provider”) through an active programming interface for a specific purpose or use. Governm ..read more
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