Together, Reducing Fraud Worldwide

  • On-Site Training Topic Details

    Healthcare Fraud

    The healthcare industry is faced with many unique regulations, systems, procedures and records. For anti-fraud professionals working in this industry or advising clients who operate healthcare practices, we have designed this course for you. Here you will get the specialized training you need to keep up with the latest fraud schemes and related laws affecting this highly complex industry.

    Who Should Attend: 

    Internal auditors for hospitals and medical offices
    Accountants, auditors, attorneys and investigators who service healthcare industry clients
    Government investigators charged with identifying fraud or noncompliance with government funded healthcare facilities and programs

    What You Will Learn: 

    Federal, state, criminal and civil regulations imposed upon the healthcare industry including HIPAA, anti-kickback rules, and other legalities having a correlation between the industry and fraud.
    Understanding provider reimbursements including Medicare, Medicaid, HMO's and more.
    Fraud issues specific to various sectors within the industry including hospitals, home healthcare, long-term care, pharmaceutical manufacturers and others.
    Investigation techniques appropriately designed for the healthcare environment to address interview techniques, sampling, data analysis, medical records analysis and forensic evidence collection.
    Industry compliance programs, federal sentencing guidelines, and Sarbanes-Oxley's impact on compliance programs in healthcare facilities.

    CPE Credits: 16

    Course Level: Basic

    Prerequisite: None.


  • On-Site Training

    On-Site Training Overview 

    Benefits of On-Site Training 

    Find a Fraud Topic That Suits Your Needs 

    ACFE Faculty 

    Download an On-Site Training guide (PDF) or view the guide as a fact sheet (PDF)


    For additional information or to inquire about rates, please contact:

    Bruce Dorris - Program Director
    Jenny Carnahan - Training Coordinator
    Phone: (800) 245-3321 / +1 (512) 478-9000