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Understanding the Red Flag Rules - Log in - American Health ...

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<strong>Understand<strong>in</strong>g</strong> <strong>the</strong> <strong>Red</strong> <strong>Flag</strong> <strong>Rules</strong><br />

Notes/Comments/Questions<br />

Categories of <strong>Red</strong> <strong>Flag</strong>s – cont<strong>in</strong>ued<br />

• Presentation of suspicious documents<br />

• Documents appear altered or forged<br />

• Physical description is not consistent<br />

with <strong>the</strong> appearance of <strong>the</strong> patient<br />

11<br />

Categories of <strong>Red</strong> <strong>Flag</strong>s – cont<strong>in</strong>ued<br />

• Presentation of suspicious personal<br />

identify<strong>in</strong>g <strong>in</strong>formation (e.g., suspicious<br />

address change)<br />

• Personal identify<strong>in</strong>g <strong>in</strong>formation is <strong>in</strong>consistent<br />

• Personal identify<strong>in</strong>g <strong>in</strong>formation provided is<br />

associated with fraudulent activity as <strong>in</strong>dicated<br />

by sources<br />

• Failure to provide all required <strong>in</strong>formation<br />

12<br />

AHIMA 2009 Audio Sem<strong>in</strong>ar Series 6

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