Advanced Certificate in Investigating Healthcare Fraud
-- ViewingNowThe Advanced Certificate in Investigating Healthcare Fraud is a comprehensive course that equips learners with the necessary skills to identify, investigate, and prevent healthcare fraud. This program is vital in today's industry, where healthcare fraud costs billions of dollars annually, impacting the quality of care and causing financial strain on healthcare systems.
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⢠Introduction to Healthcare Fraud
⢠Types of Healthcare Fraud:
• Medicare Fraud
• Medicaid Fraud
• Private Insurance Fraud
⢠Legal Aspects of Healthcare Fraud Investigations
⢠Investigative Techniques:
• Data Analysis
• Interviewing and Interrogation
• Surveillance Techniques
⢠Healthcare Fraud Schemes:
• Billing Fraud
• Upcoding and Unbundling
• Providers and Prescriber Fraud
⢠Digital Forensics in Healthcare Fraud Investigations
⢠Advanced Topics in Healthcare Fraud Investigations:
• Cross-Border Healthcare Fraud
• Healthcare Fraud and Organized Crime
• Artificial Intelligence and Machine Learning in Healthcare Fraud Detection
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