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