Healthcare Fraud Investigation Guidebook



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
ISBN 978-1-498-75260-2
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