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| Home: Health IT |
Office of the National Coordinator for Health Information Technology (ONC)Health Information Technology and Health Care Anti-FraudUnder contract with the Office of the National Coordinator for Health IT (ONC) the Foundation of Research and Education (FORE) of the American Health Information Management Association (AHIMA) published two reports on October 17, 2005 detailing how health information technology can address the growing problem of healthcare fraud. While only a small percentage of the estimated 4 billion healthcare claims submitted each year are fraudulent, the total dollar amount of these claims can add up. According to the National Health Care Anti-Fraud Association (NHCAA), estimates of the country�s losses to healthcare fraud range from 3 to 10 percent of U.S. health expenditures each year, or an estimated $56.7 billion to $170 billion annually. Under the terms of the contract, FORE focused on two main tasks. Task One is a descriptive study of the issues and the steps in the development and use of automated coding software that will enhance healthcare anti-fraud activities. Task Two identified best practices to enhance the capabilities of a nationwide interoperable health information technology infrastructure to assist in healthcare fraud prevention, detection and prosecution. An expert cross-industry committee composed of senior level executives from both the private and public sectors will guide this second task. The field research methodology utilized these cross-industry experts as well as literature review, structured survey process and data collection, and site visits and interviews. Final reports: |
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Last revised: November 25, 2005
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