FRD117 - Heathcare Fraud

$140.00

CPE Credit Hours - 20

According to private and public estimates, approximately $24 million is lost per hour to healthcare waste, fraud, and abuse. In addition to burdening the nation with enormous financial costs, it also threatens the quality of healthcare and steals the very essence of human life. This course provides tips and techniques to help readers spot the "red flags" of fraudulent activity and reveals the steps to take when fraud is suspected. This course will help auditing professionals in the healthcare industry to sharpen their fraud detection skills to see beyond the eclipse created by healthcare fraud. This course features: · Comprehensive guidance on auditing and fraud detection for healthcare providers and company healthcare plans. · It shows how data mapping and mining can be used as a key tool to maximize both the effectiveness and efficiency of fraud investigations. · Insightful discussion from a number of perspectives – clinical, research, internal audit, investigative, data intelligence and forensic. · Cases providing actual audit and investigative tools · Useful outlines of healthcare fraud prevention, detection and investigative methods. This course will serve as an invaluable tool equipping auditors and investigators to detect every kind of healthcare fraud, from false statements to elaborate collusive schemes.

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