{"product_id":"electronic-health-records-isbn-9780470258200","title":"Electronic Health Records","description":"\u003ci\u003eElectronic Health Records: An Audit and Internal Control Guide\u003c\/i\u003e describes the infrastructure of electronic health records and the impact that the government's new criteria will have on the private and public marketplace. Understand what to look for in a health care record management system and find tips and helpful guidance for implementation. If you are trying to facilitate an audit of a health record management system, you can apply the example described in the model, which will serve as a timely model and invaluable resource.  Preface.  \u003cp\u003eAbout the Author.\u003c\/p\u003e \u003cp\u003eAcknowledgments.\u003c\/p\u003e \u003cp\u003eIntroduction.\u003c\/p\u003e \u003cp\u003e\u003cb\u003eChapter 1. Market Background.\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eE-Health.\u003c\/p\u003e \u003cp\u003eHow is Electronic Information Created?\u003c\/p\u003e \u003cp\u003eInformation Technology Considerations.\u003c\/p\u003e \u003cp\u003eHow is Health Information Created?\u003c\/p\u003e \u003cp\u003eReview of Primary HCC Market Players.\u003c\/p\u003e \u003cp\u003ePatients.\u003c\/p\u003e \u003cp\u003eProviders.\u003c\/p\u003e \u003cp\u003eThird Party Vendors.\u003c\/p\u003e \u003cp\u003ePayers.\u003c\/p\u003e \u003cp\u003eReview of HCC Secondary Market Players.\u003c\/p\u003e \u003cp\u003eMajor Initiative for E-Health.\u003c\/p\u003e \u003cp\u003eAudit Implication Overview.\u003c\/p\u003e \u003cp\u003e\u003cb\u003eChapter 2. Industry Application.\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003ePublic Uses.\u003c\/p\u003e \u003cp\u003ePrivate Uses.\u003c\/p\u003e \u003cp\u003eInformation Continuum.\u003c\/p\u003e \u003cp\u003eMarket Standards and Initiatives.\u003c\/p\u003e \u003cp\u003eAgency for Healthcare Research and Quality.\u003c\/p\u003e \u003cp\u003eHealth Level Seven.\u003c\/p\u003e \u003cp\u003eCertification Commission for Healthcare Information Technology.\u003c\/p\u003e \u003cp\u003eDepartment of Defense Records Management Program.\u003c\/p\u003e \u003cp\u003eAssociation of Records Managers and Administrators.\u003c\/p\u003e \u003cp\u003eAudit Implication Overview.\u003c\/p\u003e \u003cp\u003e\u003cb\u003eChapter 3. Impact of E-Health on Case Management.\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eFinancial Picture.\u003c\/p\u003e \u003cp\u003eHospital-Based FCM Application.\u003c\/p\u003e \u003cp\u003eBackground Information and Provider Perspective.\u003c\/p\u003e \u003cp\u003eProblem: Getting Paid Correctly for Services Provided.\u003c\/p\u003e \u003cp\u003eFindings.\u003c\/p\u003e \u003cp\u003eAdditional Findings.\u003c\/p\u003e \u003cp\u003eSummary.\u003c\/p\u003e \u003cp\u003eConsumer-Based FCM Application.\u003c\/p\u003e \u003cp\u003eMarket Problems: The Industry as It Operates Today.\u003c\/p\u003e \u003cp\u003eConsumer FCM Model.\u003c\/p\u003e \u003cp\u003eHealthcare Portfolio Application.\u003c\/p\u003e \u003cp\u003eVirtual Case Management.\u003c\/p\u003e \u003cp\u003eVCM Payer Model.\u003c\/p\u003e \u003cp\u003eVCM Patient Model.\u003c\/p\u003e \u003cp\u003eVCM Hospital Model.\u003c\/p\u003e \u003cp\u003eVCM Physician Model.\u003c\/p\u003e \u003cp\u003eVCM Allied Health Services.\u003c\/p\u003e \u003cp\u003eVCM Nontraditional Health Services Model.\u003c\/p\u003e \u003cp\u003eVCM Other Business Services Model.\u003c\/p\u003e \u003cp\u003eAudit Implication Overview.\u003c\/p\u003e \u003cp\u003e\u003cb\u003eChapter 4. Data in an E-Health Environment.\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eData Library.\u003c\/p\u003e \u003cp\u003eData Intelligence.\u003c\/p\u003e \u003cp\u003eNew Data.\u003c\/p\u003e \u003cp\u003eMore New Data.\u003c\/p\u003e \u003cp\u003eProcessed Data.\u003c\/p\u003e \u003cp\u003eData Warehouse.\u003c\/p\u003e \u003cp\u003eAudit Implication Overview.\u003c\/p\u003e \u003cp\u003e\u003cb\u003eChapter 5. Algorithms.\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eBackground.\u003c\/p\u003e \u003cp\u003eUnderstanding Algorithms.\u003c\/p\u003e \u003cp\u003eData Elements.\u003c\/p\u003e \u003cp\u003eCase Study.\u003c\/p\u003e \u003cp\u003eAlgorithm Selection\u003c\/p\u003e \u003cp\u003eAuditor Implication Overview.\u003c\/p\u003e \u003cp\u003e\u003cb\u003eChapter 6. Data-Driven Health Decisions in an E-Health Environment.\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eKnowledge Models.\u003c\/p\u003e \u003cp\u003ePrimary Healthcare Continuum.\u003c\/p\u003e \u003cp\u003eSecondary Healthcare Continuum.\u003c\/p\u003e \u003cp\u003eInformation Continuum.\u003c\/p\u003e \u003cp\u003eThird-Party Vendor Knowledge Model.\u003c\/p\u003e \u003cp\u003eKnowledge Models For White-Collar and Organized Crime.\u003c\/p\u003e \u003cp\u003eSample Identity Theft Case.\u003c\/p\u003e \u003cp\u003eMedical Identity Theft.\u003c\/p\u003e \u003cp\u003eMedical Identity Theft – Definition.\u003c\/p\u003e \u003cp\u003eHow Medical Identity Theft Occurs.\u003c\/p\u003e \u003cp\u003eDamages To Primary Victims.\u003c\/p\u003e \u003cp\u003eMedical Identity Theft From A Consumer Perspective.\u003c\/p\u003e \u003cp\u003eWhen The Consumer Is Not Aware.\u003c\/p\u003e \u003cp\u003eWhen The Consumer Is Involved.\u003c\/p\u003e \u003cp\u003eWhen An Individual Wants Products Or Services.\u003c\/p\u003e \u003cp\u003eDamages To Secondary Victims.\u003c\/p\u003e \u003cp\u003eMedical Identity Theft From An Entity’s Perspective.\u003c\/p\u003e \u003cp\u003eAuditor Considerations.\u003c\/p\u003e \u003cp\u003eSample Fraud Case.\u003c\/p\u003e \u003cp\u003eSample Pharmaceutical Fraud Case.\u003c\/p\u003e \u003cp\u003eAudit Implication Overview.\u003c\/p\u003e \u003cp\u003eExamples Of Worldwide Activity.\u003c\/p\u003e \u003cp\u003e\u003cb\u003eChapter 7. Analytic Tools and Audit Checklists.\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eE-Health And Healthcare Business Processes.\u003c\/p\u003e \u003cp\u003ePatient Business Process.\u003c\/p\u003e \u003cp\u003eProblem #1: Financial Case Management Advocacy.\u003c\/p\u003e \u003cp\u003eProblem #2: Clinical Case Management Advocacy.\u003c\/p\u003e \u003cp\u003eProvider Business Process.\u003c\/p\u003e \u003cp\u003eProblem #1: Lack Of Electronic Internal Controls.\u003c\/p\u003e \u003cp\u003eProblem #2: Lack Of Internal Controls With User Identity.\u003c\/p\u003e \u003cp\u003eProblem #3: Lack Of Internal Controls For Services Provided And Charged.\u003c\/p\u003e \u003cp\u003ePayer Business Process.\u003c\/p\u003e \u003cp\u003eProblem #1: Use And Loss Of Health Information – Handling Subcontracted Vendors.\u003c\/p\u003e \u003cp\u003eProblem #2: Lack Of Insurance – Processing Fraudulent Claims For Enrolled Beneficiaries.\u003c\/p\u003e \u003cp\u003ePlan Sponsor Business Process.\u003c\/p\u003e \u003cp\u003eProblem #1: Employee Working Environments.\u003c\/p\u003e \u003cp\u003eProblem #2: Employer Increase In Healthcare Expenditures.\u003c\/p\u003e \u003cp\u003eThird-Party Vendor Business Process.\u003c\/p\u003e \u003cp\u003eProblem: Increase In Pharmaceutical Expenditures.\u003c\/p\u003e \u003cp\u003eAudit Implication Overview.\u003c\/p\u003e \u003cp\u003e\u003cb\u003eChapter 8. Electronic Health Records.\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eCurrent E-Health Offerings.\u003c\/p\u003e \u003cp\u003eMarket Evolution.\u003c\/p\u003e \u003cp\u003eE-Health Content Standards.\u003c\/p\u003e \u003cp\u003eE-Health Offering Vulnerabilities.\u003c\/p\u003e \u003cp\u003eAudit Implication Overview.\u003c\/p\u003e \u003cp\u003e\u003cb\u003eChapter 9. Healthcare Portfolio.\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eHealth Infomediary Support.\u003c\/p\u003e \u003cp\u003ePHR Attributes.\u003c\/p\u003e \u003cp\u003eFuture Considerations.\u003c\/p\u003e \u003cp\u003eMajor Market Activity.\u003c\/p\u003e \u003cp\u003eAudit Implication Overview.\u003c\/p\u003e \u003cp\u003e\u003cb\u003eChapter 10. Conclusions.\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eMarket Overview.\u003c\/p\u003e \u003cp\u003eMarket Standards.\u003c\/p\u003e \u003cp\u003eMarket Conflicts.\u003c\/p\u003e \u003cp\u003eMarket Intelligence.\u003c\/p\u003e \u003cp\u003eMarket Audits.\u003c\/p\u003e \u003cp\u003eMarket Directions.\u003c\/p\u003e \u003cp\u003eConsumer Response to PHRs.\u003c\/p\u003e \u003cp\u003eAudit Implication Overview.\u003c\/p\u003e \u003cp\u003e\u003cb\u003eIndex.\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eRebecca S. Busch, RN, MBA, CCM, CBM, CHS-III, CFE, FHFMA, is President and CEO of Medical Business Associates, Inc. (MBA), a consulting firm specializing in healthcare audits for employers, hospitals, and insurance companies. MBA has just released an electronic version of its PHR system, Portfolia, the most comprehensive tool in the market to help individuals manage their health care experience and mitigate medical and financial errors. She has over twenty years of progressive achievement in the healthcare management industry. She is a faculty member of the Association of Certified Fraud Examiners (ACFE), has published numerous articles, and is a frequent public speaker. Her firm can be found at www.mbanews.com.\u003c\/p\u003e   \u003cp\u003eElectronic Health Records\u003c\/p\u003e \u003cp\u003eAn Audit and Internal Control Guide\u003c\/p\u003e \u003cp\u003eWith the use of electronic healthcare records (EHR) set to transform the healthcare industry, the use of information technology in the maintenance of personal health records poses a range of issues and opportunities for every medical organization. Reflecting the U.S. government's goal of achieving widespread adoption of interoperable electronic health records to improve the quality and efficiency of healthcare while maintaining the levels of security and privacy that consumers expect, Electronic Health Records: An Audit and Internal Control Guide expertly walks readers through the elements required for an efficient, well-run healthcare record management system. This timely book details the audit tools necessary for continued internal controls regardless of the systems implemented.\u003c\/p\u003e \u003cp\u003eProviding an application readers can adopt as a model, this important book examines the infrastructure of electronic health records and how government criteria will impact both private and public marketplaces. Clearly addressing how auditors, controllers, and healthcare providers can keep up with the market's aggressive move towards an interoperable e-health world, without neglecting clinical and financial accountability in the delivery of healthcare services, this invaluable resource:\u003c\/p\u003e \u003cul\u003e \u003cli\u003e \u003cp\u003eDiscusses several key market movements on standards, including those by various organizations that make important contributions to e-health initiatives\u003c\/p\u003e \u003c\/li\u003e \u003cli\u003e \u003cp\u003eReviews initiatives created by the Association of Records Managers and Administrators (ARMA)\u003c\/p\u003e \u003c\/li\u003e \u003cli\u003e \u003cp\u003eIntroduces the concept of data and a methodology to sort and identify information\u003c\/p\u003e \u003c\/li\u003e \u003cli\u003e \u003cp\u003eCovers the development of analytic tools and audit checklists to ensure appropriate internal controls\u003c\/p\u003e \u003c\/li\u003e \u003cli\u003e \u003cp\u003eExplores what the market is currently offering as well as a comparison on how vendors are contributing to the direction of e-health developments and market conflicts\u003c\/p\u003e \u003c\/li\u003e \u003cli\u003e \u003cp\u003eProvides a patient-focused perspective on the personal health record\u003c\/p\u003e \u003c\/li\u003e \u003c\/ul\u003e \u003cp\u003eAs e-health continues to develop and transform at a swift pace, auditors in the healthcare industry can expect today's environment to be obsolete within the next ten years. Informed by the author's expertise and depth of knowledge in the area of auditing and IT in the healthcare industry, Electronic Health Records: An Audit and Internal Control Guide thoughtfully prepares professionals to plan and implement an effective EHR and internal controls system within any clinical setting.\u003c\/p\u003e  \u003cp\u003ePraise for Electronic Health Records An Audit and Internal Control Guide\u003c\/p\u003e \u003cp\u003e\"Busch has created a thought-provoking reference tool, equally for those contemplating adoptionof health information technology (HIT) or for those who have already done so. She identifies foundational but frequently overlooked areas such as audit trails, security, and healthcare business requirements—all essential for successful implementation. Ms. Busch clearly articulatesthe need for HIT to address both business and clinical requirements to attain the widely publicized benefits of this technology.\"\u003cbr\u003e —Gail L. Graham, RHIA, CPHIMS, Director, Health Data and Informatics\u003c\/p\u003e \u003cp\u003eDepartment of Veterans Affairs, Veterans Health Administration\u003c\/p\u003e \u003cp\u003e\"In a time of rapid change for managing health information, Ms. Busch has created a very usefulresource covering important concepts required to protect data integrity in electronic environments. This book advances adoption of EHRs for the benefit of healthcare consumers by offering a comprehensive view of the benefits and areas of concern faced by providers today.\"\u003cbr\u003e —Rita A. Scichilone, MHSA, RHIA, CCS, CCS-P, CHC\u003c\/p\u003e \u003cp\u003eDirector, Practice Leadership\u003c\/p\u003e \u003cp\u003eAmerican Health Information Management Association\u003c\/p\u003e \u003cp\u003e\"Rebecca Busch's Electronic Health Records: An Audit and Internal Control Guide is an excellent resource for auditors in the healthcare industry. Ms. Busch gives a thorough description of the changing nature of information and data in this industry along with a wonderful 'Audit Implication Overview' to conclude each topic. Ms. Busch demonstrates substantial expertise and knowledge in the area of healthcare auditing that will greatly benefit auditors in this important industry.\"\u003cbr\u003e —M. Kevin Robinson, CIA, CFE\u003c\/p\u003e \u003cp\u003ePresident, Association of College and University Auditors\u003c\/p\u003e \u003cp\u003e\"As anyone who's tried to challenge a medical bill or insurance payment can attest, healthcare records are complicated and confusing. The healthcare industry was on the forefront of the 'paperless revolution,' but since there are so many different software programs in use, the challenges for fraud examiners and auditors are enormous. I am pleased that Rebecca has chosen to share her experience and expertise in analyzing these records. This book is essential for anyone dealing with healthcare records.\"\u003cbr\u003e —John D. Gill, JD, CFE, Research Director, Association of Certified Fraud Examiners\u003c\/p\u003e \u003cp\u003e\"Auditing and controlling medical records can be a monumental task, but it is critical for healthcare organizations to keep information private and secure. This book is a comprehensive resource that provides clear guidance and good practices regarding the current and future healthcare e-information landscape.\"\u003cbr\u003e —Lynn Lawton, CISA, FBCS CITP, FCA, FIIA, PIIA, International President, ISACA\u003c\/p\u003e","brand":"Wiley","offers":[{"title":"Default Title","offer_id":47989117223141,"sku":"NP9780470258200","price":82.95,"currency_code":"USD","in_stock":false}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/1842\/7735\/files\/9780470258200.jpg?v=1761782867","url":"https:\/\/k12savings.com\/es\/products\/electronic-health-records-isbn-9780470258200","provider":"K12savings","version":"1.0","type":"link"}