Frauds in Healthcare Organizations

The General Accounting Office estimates healthcare fraud costs the US Government between $60 billion to $600 billion per year. The National Health Care Anti-Fraud Association (NHCAA) estimates that the financial losses due to health care fraud are in the tens of billions of dollars each year. A conservative estimate is 3% of total health care expenditures, while some government and law enforcement agencies place the loss as high as 10% of our annual health outlay, which could mean more than $300 billion.

We have all heard of healthcare fraud, but did you ever wonder how it works? How do these fraud schemes work and how much do they cost individuals, insurance companies, and taxpayers? This course is designed to review various types of healthcare frauds. Examples of actual fraud cases will be provided so participants can understand how these frauds are being committed and how they were uncovered. We will discuss how new technologies such as artificial intelligence make healthcare fraud easier to commit. We will review various methodologies for preventing and detecting healthcare frauds.

Webinar Objectives

• Review methodologies for committing healthcare frauds
• Review methods for detecting healthcare frauds
• Review methods for preventing healthcare frauds
• Review procedures for reporting healthcare fraud

Webinar Highlights

• Fraud
• Healthcare Fraud
• Insurance Fraud
• Reporting Fraud
• Forensic Accounting

Who Should Attend

This course would be appropriate for CFOs, CEOs, business owners, business managers, internal auditors, external auditors, corporate accountants, government accountants, CPAs, CMA, CIAs, MAFFs, CFFs, CGMAs, and healthcare risk management personnel.