10 Common Healthcare Fraud Schemes
Basic
Online
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
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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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