Certificate in Claims Auditing & Review
-- ViewingNowThe Certificate in Claims Auditing & Review is a comprehensive course designed to equip learners with the essential skills needed to excel in claims auditing and review careers. This program focuses on the importance of effective claims management, financial accountability, and regulatory compliance in the insurance industry.
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โข Introduction to Claims Auditing & Review
โข Understanding Healthcare Claims and Billing
โข Types of Claims Audits: Pre-payment, Post-payment, and Concurrent Review
โข Legal and Regulatory Compliance in Claims Auditing
โข Data Analysis and Tools for Claims Auditing
โข Fraud Waste and Abuse Detection in Healthcare Claims
โข Clinical Record Review and Medical Necessity
โข Effective Communication and Reporting in Claims Auditing
โข Quality Improvement and Performance Measurement in Claims Auditing
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