Providing an application readers can adopt as a model, this important book also examines the infrastructure of electronic health records and how government criteria have impacted and will continue to impact both private and public marketplaces.
Providing an application readers can adopt as a model, this important book also examines the infrastructure of electronic health records and how government criteria have impacted and will continue to impact both private and public marketplaces.
Rebecca Mendoza Saltiel Busch, RN, MBA, CCM, CFE, CPC, CHS-IV, CRMA, CICA, FIALCP, FHFMA, is the founder and chief executive officer of Medical Business Associates, Inc. (MBA), established in 1991 as a minority, woman-owned medical data auditing and healthcare consulting firm. The author attributes her company's success to the development and implementation of a unique analytical workflow process-interactive and iterative behavioral model, system, and method for detecting fraud, waste, and abuse-that identifies all critical tasks, conditions, and standards that promote a stable, dynamic, and scalable healthcare business. In addition to authoring three books (Healthcare Fraud: Audit & Detection Guidebook, Electronic Health Records: An Audit and Internal Control Guide, and Personal Healthcare Portfolio: Your Health & Wellness Record), Rebecca has been granted seven U.S. data analytic design patents (pharmaceutical applications), one U.S. patent pertaining to electronic health record case management systems, and patents pending on an anomaly tracking system and an interactive and iterative behavioral model, system, and method for detecting fraud, waste, and abuse. Rebecca has authored 52 articles and delivered more than 100 presentations to consumers, government, corporate, and professional entities, has prepared academic course work, and serves as an adjunct professor for a healthcare fraud, examination, risk management, and compliance certificate program. Recognized as an expert in her field, Rebecca has developed data management practice standards for emerging chief data officers, medical data scientist, and auditors that ultimately support and defend complex issues impacting the bottom line. She currently provides technical investigative, audit, and review expertise to various government agencies and expert testimony on health related issues in both state and federal courts.
Inhaltsangabe
About the Author. Preface. Acknowledgements. Introduction. Chapter 1: Navigating Health Informatics Within the Cyber Space. Chapter 2: Transcending Case Management within A Cyber Based Environment. Chapter 3: The Cyber-Nurse Case Manager. Chapter 4: Cyber Data Strategy, Analytics, and Informatics. Chapter 5: Data in the Cyber Environment. Chapter 6: Algorithms. Chapter 7: Cyber Data Driven Health Decisions. Chapter 8: Business Processes and Data Implications. Chapter 9: Evolving from E-Health Systems. Chapter 10: The Data Driven Cyber Patient. Chapter 11: Summary of Key Points in the Book. Chapter 12: Reference Guide. Appendix. Endnotes.
About the Author. Preface. Acknowledgements. Introduction. Chapter 1: Navigating Health Informatics Within the Cyber Space. Chapter 2: Transcending Case Management within A Cyber Based Environment. Chapter 3: The Cyber-Nurse Case Manager. Chapter 4: Cyber Data Strategy, Analytics, and Informatics. Chapter 5: Data in the Cyber Environment. Chapter 6: Algorithms. Chapter 7: Cyber Data Driven Health Decisions. Chapter 8: Business Processes and Data Implications. Chapter 9: Evolving from E-Health Systems. Chapter 10: The Data Driven Cyber Patient. Chapter 11: Summary of Key Points in the Book. Chapter 12: Reference Guide. Appendix. Endnotes.
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