Fraud Management

This course examines the major types of fraud prevalent in the healthcare industry. Participants will learn to identify common healthcare fraud schemes, analyze their impacts, and develop strategies to prevent, detect, and respond to fraud.

Learning Objectives:

Participants who successfully complete this course will be able to:

• Identify the major types of healthcare fraud such as billing, prescription, medical identity, theft, insurance fraud, etc.
• Analyze the motivations behind healthcare fraud and factors that enable it
• Develop skills to detect signs of fraud through data analysis and auditing
• Discuss ethical implications of healthcare fraud