Global Certificate Healthcare Fraud Risk Assessment
-- ViewingNowThe Global Certificate Healthcare Fraud Risk Assessment course is a comprehensive program designed to equip learners with the necessary skills to identify, assess, and mitigate fraud risks in the healthcare industry. This course is crucial in a time when healthcare organizations face increasing fraudulent activities, resulting in significant financial losses and reputational damage.
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⢠Introduction to Healthcare Fraud Risk Assessment: Understanding the basics of fraud, waste, and abuse in healthcare systems.
⢠Types of Healthcare Fraud: Exploring various fraud schemes, including upcoding, unbundling, and phantom billing.
⢠Fraud Detection Techniques: Identifying red flags and using data analytics to detect potential fraud.
⢠Legal and Regulatory Framework: Examining federal and state laws and regulations related to healthcare fraud, such as the False Claims Act and the Anti-Kickback Statute.
⢠Risk Assessment Methodologies: Implementing a systematic approach to assess and mitigate fraud risks in healthcare organizations.
⢠Conducting Internal Investigations: Learning how to investigate suspected fraud, including interviewing techniques and evidence collection.
⢠Compliance Programs: Designing and implementing effective compliance programs to prevent and detect fraud.
⢠Reporting and Disclosure Requirements: Understanding mandatory and voluntary reporting obligations for suspected fraud.
⢠International Perspectives on Healthcare Fraud: Exploring fraud trends and regulations in different countries and regions.
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