10 Common Healthcare Fraud Schemes

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Course Level
Delivered via
2 Credits


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 



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
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
NASBA Information: Specialized Knowledge
Advanced Preparation: None
Last Updated: September 2022
Delivery Method: QAS Self-Study

Credit by Field of Study


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.

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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:


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