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Fraud, Part I (Introduction)

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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 insurance 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

  • $195 AHIP Members
  • $240 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:

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