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Don't Overlook Fraud in EHRs, OIG Cautions CMS

Jacqueline Fellows, for HealthLeaders Media, January 9, 2014

In a letter dated November 22, 2013, CMS Administrator Marilyn Tavenner, said that it would "develop appropriate guidelines to ensure the appropriate use of the copy paste feature in EHRs," but she stopped short of agreeing to use audit logs consistently because it would require that contractors receive special training in order to interpret the information.

Dagli believes that when it comes to physicians or hospitals developing their protocols in order to protect against fraud, technology works best when paired with consistent policies.

"When I was in government and private practice, I noted the detection and use and review of data to find red flags does not have to be sophisticated," says Dagli. "With hospital practices, a lot of it is a common sense—periodic review of billing procedures, review of office protocols, a system in place to review patient files. It doesn't require a lot of technology, but it does require management principle."

Jacqueline Fellows is an editor for HealthLeaders Media.
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