Health Information Management

Note the date: Red Flags Rules deadline is May 1

APCs Insider, April 3, 2009

Want to receive articles like this one in your inbox? Subscribe to APCs Insider!

Medical identity theft is an ugly reality for healthcare organizations, patients, and payers. It's only going to get worse if providers don't have an effective theft prevention program, a specific requirement of the Federal Trade Commission's (FTC) Red Flags Rule, which has a compliance deadline of May 1.

"It's very real," says Kate Borten, CISSP, CISM, president of The Marblehead Group in Marblehead, MA.

Part of the problem is that it is increasingly difficult to verify identity, particularly in the frenetic hospital setting. Increasingly, patients are posing as other people to gain free healthcare. And the hospital culture can facilitate that. For example, EMTALA requires that hospitals provide care first in an emergency.

"The whole idea is to just give the care and worry about if they can pay later," says John C. Parmigiani, HIPAA security and privacy consultant and president of John C. Parmigiani & Associates, LLC, in Ellicott City, MD.

You can read the complete article on the HCPro, Inc. Web site. Health Information Compliance Insider subscribers have free access to this article in the April issue via their online subscriptions.



Want to receive articles like this one in your inbox? Subscribe to APCs Insider!

    Briefings on APCs
  • Briefings on APCs

    Worried about the complexities of the new rules under OPPS and APCs? Briefings on APCs helps you understand the new rules...

  • HIM Briefings

    Guiding Health Information Management professionals through the continuously changing field of medical records and toward a...

  • Briefings on Coding Compliance Strategies

    Submitting improper Medicare documentation can lead to denial of fees, payback, fines, and increased diligence from payers...

  • Briefings on HIPAA

    How can you minimize the impact of HIPAA? Subscribe to Briefings on HIPAA, your health information management resource for...

  • APCs Insider

    This HTML-based e-mail newsletter provides weekly tips and advice on the new ambulatory payment classifications regulations...

Most Popular