Healthcare Fraud Investigation Guidebook
By Charles E. Piper, CFE
This book’s author is a CFE
This book's author is a CFE.
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.
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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