Healthcare Fraud Investigation Guidebook

By Charles E. Piper, CFE

This book’s author is a CFE

This book's author is a CFE.

Cover of the Healthcare Fraud Investigation Guidebook
Healthcare Fraud Investigation Guidebook


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

In the "Healthcare Fraud Investigation 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

This book's author is a CFE.
Label Value
ISBN 978-1-498-75260-2
Publisher CRC Press
Published Copyright 2016
Pages 231
Format Paperback

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”

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