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Fraud On-Demand Webinars

Course Details



Fraud: Behavior Change, A New Approach to Defeating Fraud, Waste, and Abuse

Fraud, Waste, and Abuse (FWA) is a continuing problem for all healthcare payers. The size, persistence, and growth of the problem suggests that a new approach is needed. This on-demand webinar will present the case for a new approach in which the goal is to effect a pre-pay behavior change rather than post-pay enforcement and recovery. The benefits of a successful pre-pay behavior change solution include a cost effective impact on small FWA, “high tech, low touch”, i.e. technology over professional staff, dollar for dollar savings versus pennies on the dollar recovery, and network effects.

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Anti-Fraud, Waste, and Abuse-Theory and Principles

Is the commission of fraud, waste, and abuse (FWA) an intractable problem? Should we accept that the dollars lost to FWA are simply a cost of doing business? This on-demand webinar will prove to you that the answer is No. It is important to deal with petty aspects of FWA and take an incremental approach to lowering its incidence. You’ll learn how informatics, clinical knowledge, and forensics-along with the smart use of information technology-can be used as tools to both detect and prevent FWA. You’ll also gain an understanding of the important role leadership plays in spearheading anti-fraud efforts. Ineffective leadership can blunt the best anti-fraud tools while effective leadership can speed the intractable issue becoming the solved problem.

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  • $35 AHIP Members
  • $50 Non-members