In this course, you will learn about 10 of the most common health care fraud schemes and how to prevent and detect them. Schemes covered include upcoding, unbundling, rolling lab schemes, medical identity theft and more.
- Understanding of health care schemes
- Proactive measures to prevent health care fraud
- Red flags commonly associated with health care fraud
ACFE Ordering and Return Policy
You Will Learn How To:
- Identify and compare common health care fraud schemes
- Recall best practices for preventing common health care fraud schemes
- Recognize red flags of common health care fraud schemes
ADVANCED PREPARATION: NONE
FIELD OF STUDY: SPECIALIZED KNOWLEDGE
LAST UPDATED: DECEMBER 2020
DELIVERY METHOD: QAS SELF-STUDY
Table of Contents:
- Lesson 1: Introduction
- Lesson 2: Bribery and Kickbacks
- Lesson 3: Upcoding
- Lesson 4: Unbundling
- Lesson 5: Double Billing
- Lesson 6: Fictitious Services
- Lesson 7: Unnecessary Services
- Lesson 8: Non-Covered Services
- Lesson 9: Waiving Copayments or Deductibles
- Lesson 10: Rolling Lab Schemes
- Lesson 11: Medical Identity Theft
- Lesson 12: Issues in Health Care Fraud Examinations
ACFE Online Self-Study Courses Feature:
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Internet access: High-speed connection recommended
Free Adobe Flash Player
Speakers required for video sound
Online Self-Study Troubleshooting Guide:
Problem: When I attempt to access my courses from “My Online Learning,” the course never launches, or I receive an error message saying my pop-up blocker needs to be turned off.
Solution: Your web browser must be configured to allow pop-ups in order to access ACFE Self-Study courses. Your browser may prompt you to allow pop-ups, or you may have to allow them manually. You may either allow them for all sites, or allow them just for the current site.
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Do not click that link; instead, allow your browser to automatically open the eLearning window on its own, which should happen after a few seconds. This will log you in automatically so that you can access your online courses.
Problem: I receive the following error when I try to load a different lesson with a course:
Solution: This occurs in Internet Explorer when trying to load a different lesson without closing the current lesson. This error can be avoided two different ways:
Always close the current lesson before going to another one. Always click the Close Window button (usually the red “X” in the upper right corner) of the current lesson before clicking on another lesson.
Use a different browser. This error seems to only occur in Internet Explorer, so using Mozilla Firefox or Google Chrome should resolve the issue (see below for links to download either of these browsers).
Other Troubleshooting Tips: If you encounter other errors, such as courses freezing or crashing, we recommend taking the following action:
Try a different browser. ACFE online self-study courses are designed to run on all modern web browsers, but if you encounter a problem that is not solved using one of the suggestions above, you can try using a different web browser to see if it eliminates the problem. We have most frequently seen where using Mozilla Firefox or Google Chrome has resolved an issue that was seen in Internet Explorer.
Mozilla Firefox can be downloaded here
Google Chrome can be downloaded here
Make sure you are running the latest version of Flash. Go to Adobe.com to see what version of Flash you are running, and then compare that to the table on that page to see what the latest version is for your operating system/browser combination. If you are not running the newest version, you should upgrade and see if that resolves the problem.