Health Care Fraud




CPE Credit: 16
Course Level: Overview
Prerequisite: None

Health care costs are a top concern for both businesses and individuals, and for good reason: By the year 2019, total national health care spending is expected to exceed $4.57 trillion, representing 19.6% of the U.S. Gross Domestic Product. Health care companies and providers today face unique industry regulations, procedures and considerations, as well as a heightened potential for fraudulent activity. Consequently, fraud fighters need an in-depth understanding of the industry environment and the types of health care fraud that can occur, including how to prevent, detect and investigate them.

This 2-day, instructor-led course is designed for anti-fraud and audit professionals who work in the payer, provider, vendor and employer benefit areas or advise clients who operate within the health care continuum. Get the targeted training you need to keep up with the latest fraud schemes and related laws affecting this highly complex profession. 


Upcoming Courses 

No courses are scheduled at this time. Please view our Calendar of Events for other upcoming seminars.


You Will Learn How To:  

Navigate the complex payment systems in the U.S. health care industry

Identify the common health care schemes committed by providers, beneficiaries and third parties

Categorize health care violations under the legal enforcement framework

Conduct a health care fraud investigation

Develop fraud prevention procedures specific to the health care industry 

Who Should Attend:  

Accountants, auditors, attorneys and investigators who service health care industry clients

Detectives and private investigators

Government investigators charged with identifying fraud or noncompliance with government-funded health care facilities and efforts

Internal auditors for hospitals, medical offices and other health care organizations

Public-sector investigators

Certified Fraud Examiners and other anti-fraud professionals 


Members: $795
Non-Members: $995 

CPE Credit


Field of Study
Specialized Knowledge 


Course Level



Advanced Preparation


Delivery Method


Full Course Outline


Event Cancellation Policy 

Our cancellation policy is intended to keep costs low for attendees. Due to financial obligations incurred by ACFE, Inc. you must cancel your registration prior to the start of the event. Cancellations received less than 14 calendar days prior to an event start date are subject to a $100 administrative fee. No refunds or credits will be given for cancellations received on or after the start date of the event. Those who do not cancel and do not attend are responsible for the full registration fee. Should an event be cancelled or postponed by the ACFE due to unforeseen circumstances, ACFE will process a full refund of registration fees within 30 days of such circumstances becoming known. ACFE will attempt to notify affected customers by phone and email after it determines cancellation is necessary.


Satisfaction Guarantee 

ACFE seminars are unmatched in scope and effectiveness and backed by our unconditional satisfaction guarantee. If you attend an ACFE event and are not completely satisfied, please contact an ACFE Member Services Representative at or call (800) 245-3321 / +1 (512) 478-9000.


NASBA CPEThe Association of Certified Fraud Examiners, Inc. is registered with the National Association of State Boards of Accountancy (NASBA) as a sponsor of continuing professional education on the National Registry of CPE Sponsors. State boards of accountancy have final authority on the acceptance of individual courses for CPE credit. Complaints regarding registered sponsors may be submitted to the National Registry of CPE Sponsors through its website:


If you would like to begin receiving email notifications from the ACFE, please click here to subscribe.