Masterclass Certificate in Healthcare Fraud: Case Studies
-- ViewingNowThe Masterclass Certificate in Healthcare Fraud: Case Studies is a comprehensive course designed to equip learners with critical skills in identifying, investigating, and preventing healthcare fraud. This course is crucial in an industry where fraudulent activities cost billions of dollars annually, affecting the quality of patient care and trust in the system.
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โข Introduction to Healthcare Fraud: Overview of healthcare fraud, its impact on the industry, and different types of fraud.
โข Healthcare Fraud Laws and Regulations: Examination of federal and state laws and regulations governing healthcare fraud, including the False Claims Act, Anti-Kickback Statute, and Stark Law.
โข Common Schemes and Red Flags: Analysis of common schemes and red flags in healthcare fraud, including upcoding, unbundling, and phantom billing.
โข Investigating Healthcare Fraud: Techniques for investigating healthcare fraud, including data analysis and forensic accounting.
โข Case Studies in Healthcare Fraud: Review of real-world cases of healthcare fraud and their outcomes.
โข Prevention and Detection of Healthcare Fraud: Strategies for preventing and detecting healthcare fraud, including internal controls and audits.
โข Responding to Healthcare Fraud: Steps to take when healthcare fraud is suspected, including reporting and remediation.
โข Ethical Considerations in Healthcare Fraud: Discussion of ethical considerations in healthcare fraud, including the role of whistleblowers and compliance programs.
โข Emerging Trends in Healthcare Fraud: Examination of emerging trends in healthcare fraud, including telemedicine fraud and opioid diversion.
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