ONLINE SELF-STUDY

10 Common Healthcare Fraud Schemes

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Course Level
Basic
Delivered via
Online
CPE
2 Credits

Description

Health care fraud is a global problem that costs hundreds of billions of dollars per year. Due to the highly technical nature of the health care industry and the diversity in payment systems throughout the world, health care fraud schemes can be among the most complex. This course discusses ten of the most common health care fraud schemes and tips for detecting and preventing them.

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
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: Auditing
Advanced Preparation: None
Last Updated: October 2024
Delivery Method: QAS Self-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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