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Committee to study automated coding, nationwide health network

EHR Connection, June 22, 2005

The Foundation of Research and Education (FORE) of the American Health Information Management Association (AHIMA) appointed a group of industry experts to participate in a cross industry Anti-Fraud Health Care Executive Committee.

The foundation is under contract from the Office of the National Coordinator for Health Information Technology to look at how automated coding software and a nationwide interoperable health information technology infrastructure can address healthcare fraud issues.

The committee plans to identify best practices to enhance nationwide interoperability including healthcare fraud prevention, detection, and prosecution, reports AHIMA.

At their first meeting on May 24 in Washington, DC, the committee was charged with the following tasks:

  1. Identifying basic principles applicable to antifraud activity, focusing on the areas of technology infrastructure, management practices and processes, human interaction, (including consumer roles), and the legal and regulatory environment
  2. Reviewing and discussing the proposed economic models to value healthcare anti-fraud
  3. Drafting the outline for the final committee report and recommendations

The final report is scheduled for completion in September 2005.

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