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Fraud, Part I (Introduction)

Health insurance providers, managed care organizations, and other health care stakeholders are increasingly tasked with achieving more on shrinking budgets. This places a premium on strategies that combat and deter the financial effects of health care fraud. With Fraud, Part I (Introduction), you’ll gain valuable expertise in detecting, deterring, and reducing health care fraud, to help you do your job even better

At a Glance

  • 7-hour course length, plus 1 exam
  • Students have up to 90 days to complete course
  • Counts toward DBA, HCAFA, HCSA, HIA®, and MHP professional designations
  • Flexible, self-paced online format
  • Technical support available by phone or email

What You’ll Learn

  • Explore the methods investigators use to uncover and deter fraud against the health care and health insurance industries
  • Compare the different ways fraud schemes work and where they often occur
  • Understand how to identify fraudulent practice
  • Focus on investigative methods at the organizational level, among health care consumers, and in other arenas where fraud can occur
  • Navigate the legal, regulatory, and compliance issues impacting anti-fraud efforts
  • Examine relevant terms, case scenarios, and key concepts

Who Should Take This Course

  • Agents and brokers
  • Claims analysts
  • Compliance officers
  • Corporate counsel
  • Federal regulatory personnel
  • Fraud examiners
  • Health insurance provider staff
  • Legal advisors
  • Privacy officers
  • State regulatory personnel

Enrollment

To enroll in a course, please log in and browse our online catalog. If you are a new user, please create an account to get started.

For even greater ROI, contact our experts at TrainingSolutions@ahip.org or call the Support Team at 800.509.4422. We can create a custom blend of courses, test prep classes, and group sessions that make the most sense for you and your budget.

Interested in getting the AHIP member rate for this course? Learn about becoming an Individual Member and sign up here!

Earn a Career-Driving Professional Designation

This course is good towards earning the following designations:

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