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

• $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.

Earn a Career-Driving Professional Designation

This course is good towards earning the following designations:

• Dental Benefit Associate (DBA)
• Health Care Anti-Fraud Associate (HCAFA)
• Healthcare Customer Service Associate (HCSA)
• Health Insurance Associate (HIA®)
• Managed Healthcare Professional (MHP)

Related

• Fraud, Part II (Key Products)
• Fraud on-demand webinars
• Continuing Education (CE) credits
• AHIP online courses
• AHIP professional designations