10 Common Healthcare Fraud Schemes
Basic
Online
Description
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.
Key Takeaways:
- Understanding of health care schemes
- Proactive measures to prevent health care fraud
- Red flags commonly associated with health care fraud
Prerequisites
None
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
Table of Contents
Lesson 1 | Introduction |
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Lesson 2 | Bribery and Kickbacks |
Lesson 3 | Upcoding |
Lesson 4 | Unbundling |
Lesson 5 | Double Billing |
Lesson 6 | Fictitious |
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 |
CPE Information
CPE Credit: | 2 Credits |
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NASBA Information: | Specialized Knowledge |
Advanced Preparation: | None |
Last Updated: | September 2022 |
Delivery Method: | QAS Self-Study |
Credit by Field of Study
Policies
CPE Credit
Please note: To be eligible for CPE credit, you must complete the final exam within one year of purchase date. You may only claim CPE credit for a course once.
ACFE Online Self-Study Courses
Features:
- 24/7 access to courses through your Internet browser
- Save time and quickly earn CPE credits with instant access, grading and printable certificate
- The flexibility to start or stop a course and pick-up right where you left off
- No additional shipping fees
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System Requirements:
- Internet access: High-speed connection recommended
- Speakers required for video sound
The 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: www.nasbaregistry.org.
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