RED FLAGS RULE: No Red Flags Program? You Could Be Losing Thousands

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Note:  The following article synopsis was NOT provided by AAPC. It was created by Find-A-Code/innoviHealth.

Article Overview

This article discusses the FTC Red Flags Rule and its relevance to medical practices, with emphasis on identity-theft prevention, patient identification checks, staff oversight, and privacy considerations. It is aimed at practice administrators, billing and coding professionals, compliance staff, and healthcare managers who need a general understanding of the types of safeguards and operational issues involved in Red Flags program planning.

Why This Topic Matters

Medical practices may need to update compliance processes to address identity-theft risks, staff controls, and patient identity verification in a way that aligns with privacy requirements.

What You Will Learn

  • Why the FTC Red Flags Rule matters for medical practices
  • General considerations for building an identity-theft prevention program
  • How patient identification checks relate to compliance planning
  • Why HIPAA privacy concerns come up when handling identification documents
  • The role of employee background checks in a Red Flags program

Who Should Read This

  • Medical practice administrators
  • Compliance officers
  • Billing and coding professionals
  • Office managers
  • Healthcare providers

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