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By Chris Haney | 09:08 am | September 13, 2013
Often seen as a black box, RAT-STATS is more akin to a simple calculator. And when the government comes to investigate healthcare providers for abuse or fraud, it pays to understand the software's intricacies and weaknesses to build a sound defense.
By Tom Sullivan | 12:11 pm | September 12, 2013
The general public needs greater urgency in monitoring medical records and reporting these types of crimes. Two experts offer easy ways for patients to get started.
By Erin McCann | 11:57 am | September 12, 2013
Medical identity theft is on the rise and hasn't shown signs of slowing down any time soon, according to a new report released Thursday.
By Tom Sullivan | 10:28 am | September 12, 2013
Big data and analytics are also creating new career opportunities, according to the Journal of AHIMA, and HIM professionals are ripe to grow into the emerging roles.
By Mike Miliard | 09:58 am | September 12, 2013
Ever since URAC developed its first healthcare case management accreditation 14 years ago, it has evolved to stay atop a fast-changing industry. Its latest program enables the application of case management standards across care settings, so providers can demonstrate efficient, outcomes-based care.
By Erin McCann | 12:17 pm | September 11, 2013
UnitedHealth Group has voluntarily recalled its OptumInsight emergency department electronic health record software after a glitch resulted in physician notes failing to appear in the records.
By Mike Miliard | 11:33 am | September 11, 2013
With profligate use of CT and MRI scans widely blamed for increased healthcare spending, a new report shows that pairing automated prior authorization with evidence-based guidelines can ensure such tests are only used when necessary, improving patient safety while reducing medical costs by perhaps 40 percent.
By Tom Sullivan | 10:28 am | September 11, 2013
Cloud computing may have finally reached a tipping point within the healthcare realm, according to a soon to be published report, which found that CIOs' perspectives and trust of the model are evolving quickly.
By Mike Miliard | 12:09 pm | September 10, 2013
As it works to broaden health information exchange capabilities across the care continuum, the Office of the National Coordinator has drawn up a certification guidance aimed at technology developers serving specialized providers who are ineligible for Medicare and Medicaid EHR incentive payments.
By Erin McCann | 11:28 am | September 10, 2013
The 24-hospital Sutter Health system was the talk of the town late August after a software glitch rendered its $1 billion electronic health record system inaccessible to nurses and clinical staff. Reflecting back, a Sutter nurse talks about what the health system should have done differently.