Medicare Compliance & Reimbursement - 2009 Issue 7
IDENTITY THEFT: Prepare for Red Flag Rule by Squelching Opportunities for Identity Theft at Your Practice
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Article Overview
This article explains the Federal Trade Commission’s Red Flags Rule as it relates to health care providers and medical practices. It covers who may be affected, the need for a written identity-theft prevention program, internal reporting and oversight expectations, and the importance of ongoing review and updates. It is intended for practice administrators, compliance staff, and health care leaders who need a broad understanding of the rule’s operational impact.
Why This Topic Matters
Medical practices may be subject to federal identity-theft prevention expectations, so understanding the rule helps organizations assess applicability and prepare governance, reporting, and review processes.
What You Will Learn
- How the Red Flags Rule relates to health care organizations
- Which types of provider billing arrangements may bring a practice into scope
- What general elements a written identity-theft prevention program should address
- How oversight, reporting, and periodic review fit into compliance planning
- Why ongoing updates to a prevention program may be necessary
Who Should Read This
- Medical practice administrators
- Compliance officers
- Billing managers
- Health care executives
- Office managers
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