Healthcare Fraud (Auditing and Detection Guide)

An invaluable tool equipping healthcare professionals, auditors,and investigators to detect every kind of healthcare fraud

According to private and public estimates, billions of dollarsare lost per hour to healthcare waste, fraud, and abuse. Amust-have reference for auditors, fraud investigators, andhealthcare managers, Healthcare Fraud, Second Editionprovides tips and techniques to help you spot—andprevent—the "red flags" of fraudulent activity within yourorganization. Eminently readable, it is your "go-to" resource,equipping you with the necessary skills to look for and deal withpotential fraudulent situations.

• Includes new chapters on primary healthcare, secondaryhealthcare, information/data management and privacy, damages/riskmanagement, and transparency
• Offers comprehensive guidance on auditing and fraud detectionfor healthcare providers and company healthcare plans
• Examines the necessary background that internal auditors shouldhave when auditing healthcare activities

Managing the risks in healthcare fraud requires an understandingof how the healthcare system works and where the key risk areasare. With health records now all being converted to electronicform, the key risk areas and audit process are changing. ReadHealthcare Fraud, Second Edition and get the valuableguidance you need to help combat this critical problem.

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