Healthcare Fraud Investigation Guidebook



Book Title

 By Charles E. Piper, CFE 


Description: 

Unlike other books on health care fraud, this book will teach you how to both detect and investigate health care fraud. By mastering how to investigate a health care fraud, you’ll be able to increase the likelihood of a successful prosecution of the fraudster in court.

In the Healthcare Fraud Guidebook, retired Federal Special Agent Charles E. Piper, CFE, shares his unique approach to investigating in which as many as 10 simultaneous investigations are conducted on each case.




Product Details:
Copyright 2016
978-1498752602
Paperback, 231 pages
CRC Press; 1 edition
 

Table of Contents:

 

Chapter 1: Background on healthcare insurance and related fraud

Chapter 2: Twenty common healthcare provider fraud schemes

Chapter 3: Other healthcare fraudsters and schemes

Chapter 4: Victims, investigators, complainants, laws, and statutes

Chapter 5: Codes, numbers, forms, and documents

Chapter 6: Investigative sources and resources

Chapter 7: Investigative tools and techniques

Chapter 8: Interviews and interrogations

Chapter 9: Investigative reports and evidence

Chapter 10: Investigative case planning, goals, and strategies

Chapter 11: Case presentations and testifying

Chapter 12: Post-adjudicate action

Chapter 13: Sample case study utilizing “The Piper Method”

Conclusion