Course
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 insurance 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
- $205 AHIP Members
- $250 Non-members
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.
Publication
Health Care Fraud: An Introduction to Detection, Investigation, and Prevention
- $40 AHIP Members
- $50 Non-members
Earn a Career-Driving Professional Designation
This course is good towards earning the following designations:
Related