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E-grāmata: Electronic Health Records - An Audit and Internal Control Guide: An Audit and Internal Control Guide [Wiley Online]

  • Formāts: 256 pages, Exhibits: 114 B&W, 0 Color
  • Izdošanas datums: 17-Oct-2008
  • Izdevniecība: John Wiley & Sons Inc
  • ISBN-10: 470399481
  • ISBN-13: 9780470399484
Citas grāmatas par šo tēmu:
  • Wiley Online
  • Cena: 84,48 €*
  • * this price gives unlimited concurrent access for unlimited time
Electronic Health Records - An Audit and Internal Control Guide: An Audit and Internal Control GuidePalielināt
  • Formāts: 256 pages, Exhibits: 114 B&W, 0 Color
  • Izdošanas datums: 17-Oct-2008
  • Izdevniecība: John Wiley & Sons Inc
  • ISBN-10: 470399481
  • ISBN-13: 9780470399484
Citas grāmatas par šo tēmu:
Wiley Online E-booksMore info about Wiley Online
Rokasgrāmatas mājas lapa: https://onlinelibrary.wiley.com/doi/book/10.1002/9780470399484
Electronic Health Records: An Audit and Internal Control Guide describes the infrastructure of electronic health records and the impact that the government's new criteria will have on the private and public marketplace. Understand what to look for in a health care record management system and find tips and helpful guidance for implementation. If you are trying to facilitate an audit of a health record management system, you can apply the example described in the model, which will serve as a timely model and invaluable resource.
Preface ix
About the Author xv
Acknowledgments xix
Introduction xxiii
Mardet Background
1(24)
E-Health
1(3)
How is Electronic Information Created?
4(4)
Information Technology Considerations
8(3)
How Is Health Information Created?
11(2)
Review of Primary HCC Market Players
13(3)
Patients
13(1)
Providers
14(1)
Third-Party Vendors
14(1)
Payers
14(2)
Review of HCC Secondary Market Players
16(4)
Major Initiative for E-Health
20(2)
Audit Implication Overview
22(3)
Industry Applications
25(20)
Public Uses
26(2)
Private Uses
28(2)
Information Continuum
30(1)
Market Standards and Initiatives
31(1)
Agency for Healthcare Research and Quality
31(5)
Health Level Seven
36(3)
Certification Commission for Healthcare Information Technology
39(2)
Department of Defense Records Mangement Program
41(1)
Association of Records Managers and Administrators
41(1)
Audit Implicatioan Overview
42(3)
Impact of E-Health on CAse Management
45(28)
Financial Picture
47(1)
Hospital-Based FCM Application
48(9)
Background Information and Provider Perspective
49(1)
Problem: Getting Paid Correctly for Services Provided
50(2)
Findings
52(4)
Additional Findings
56(1)
Summary
57(1)
Consumer-Based FCM Application
57(2)
Market Problems: Tghe Inductru as It Operates Today
59(1)
Consumer FCM Model
60(4)
Healthcaare Protfolio Applicatiaon
64(3)
Virtual Case Management
67(5)
VCM Payer Model
68(1)
VCM Patient Model
69(1)
VCM Hospital Model
69(1)
VCM Physican Model
70(1)
VCM Nontraditional Health Service
70(1)
VCM Nontraditional Health Services Model
71(1)
CXM Other Business Services Model
71(1)
Audit Implication Overview
72(1)
Data in an E-Health Enviornment
73(12)
Data Library
75(3)
Data Intelligence
78(1)
New DAta
79(2)
More New Data
81(1)
Processed Data
81(1)
Data Warehouse
82(1)
Audit Implication Overview
82(3)
Algorithms
85(22)
Background
85(1)
Undersatnding Alogrtithms
86(3)
Data Elements
89(2)
Case Study
91(10)
Algorithm Selection
101(4)
Auditor Implication Overview
105(2)
DAte-Driven Health Decisions in an E-Health Environment
107(38)
Knowledge Models
109(15)
Primary Healthcare Continuum
109(13)
Secodnary Healthcare Continuum
122(1)
Infirnation Contnuum
123(1)
Third-Party Vendor Knowledge Model
124(4)
Knowledge Model for white=Collar and Organized Crime
128(1)
Sanmple Identity Theft Case
129(1)
Medical Identity Theft
129(2)
Medical Identity Theft-Definition
131(1)
How Medical Identity Theft Occurs
131(2)
Damages to Primary Victims
133(1)
Medical Identity Theft from a Consumer Perspective
134(2)
When the Consumer Is Not Aware
134(1)
When the Cinsumer Is Involved
134(1)
When an Individual Wants Products or Services
134(2)
Damages to Secondary Victims
136(1)
Medical Identity Theft from an Entity's Perspective
136(1)
Auditor Considerations
137(1)
Sample Fraud Case
138(1)
Sample Pharmaceutical Fraud Case
138(3)
Audit Implication Overview
141(1)
Examples of Worldwide Activity
141(4)
Analytic Tools and Audit Checklists
145(16)
E-Health and Healthcare Business Processes
147(1)
Patient Business Process
147(2)
Financial Case Management Advocacy
148(1)
Clinical Case Management Advocacy
149(1)
Provider Business Process
149(3)
Lack of Electronic Intrnal Controls
150(1)
Lack of Internal Controls with User Identity
151(1)
Lack of Internal Controls for Services Provided and Charged
151(1)
Payer business process
152(2)
Use and Loss of Health Information---Handling subcontracted Vendors
154(1)
Lack of Insurance---Processing Fraudulent Claims for Enrolled Beneficiaries
154(1)
Plan Sponsor Business Process
154(3)
Employee Working Environments
156(1)
Employer Increase in Healthcare Expenditures
156(1)
Third-Party Vendor Business Process
157(3)
Problem: Increase in Pharmaceutical Expenditures
158(2)
Audit Implication Overview
160(1)
Electronic Health Records
161(34)
Current E-Health Offerings
161(8)
Market Evolution
169(4)
E-Health Content Standards
173(2)
E-Health Offering Vulnerabilities
175(19)
Audit Implication Overview
194(1)
Healthcare Portfolio
195(10)
Health Informediary Support
199(1)
PHR Attributes
199(3)
Future Considerations
202(1)
Major Market Activity
203(1)
Audit Implication Overview
204(1)
Conclusions
205(22)
Market Overview
205(7)
Market Standards
208(1)
Market Conflicts
209(1)
Market Intelligence
209(1)
Market Audits
210(1)
Market Directions
211(1)
Consumer Response to PHRs
212(13)
Audit Implication Overview
225(2)
Index 227
Rebecca S. Busch, RN, MBA, CCM, CBM, CHS-III, CFE, FHFMA, is President and CEO of Medical Business Associates, Inc. (MBA), a consulting firm specializing in healthcare audits for employers, hospitals, and insurance companies. MBA has just released an electronic version of its PHR system, Portfolia, the most comprehensive tool in the market to help individuals manage their health care experience and mitigate medical and financial errors. She has over twenty years of progressive achievement in the healthcare management industry. She is a faculty member of the Association of Certified Fraud Examiners (ACFE), has published numerous articles, and is a frequent public speaker. Her firm can be found at www.mbanews.com.
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