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Fraud, Part I (Introduction)

Health insurance plans, managed care organizations, and other health care stakeholders are increasingly tasked with achieving more on shrinking budgets. This places a premium on strategies that combat and deter the financial effects of health care fraud. This online course digs deep into detecting, deterring, and reducing health care fraud and abuse by providers, consumers, employees and others.

Course Details

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Enrollment
$205 AHIP Members
$250 Non-Members
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Enrollment takes place at a third-party website. When you arrive, log in or create an account and browse our online catalog.


Contact AHIP With Questions
866.234.6909
Support@AHIPInsuranceEducation.org

At a Glance

  • 7-hour course length, plus 1 exam
  • Students have up to 90 days to complete course
  • Counts toward DBA, HCAFA, HCSA, HIA®, and MHP professional designations
  • Flexible, self-paced online format
  • Technical support available by phone or email

What You’ll Learn

  • Methods investigators use to uncover and deter fraud against the health care and health insurance industries
  • Different ways fraud schemes work and where they often occur
  • How to identify fraudulent practice
  • Investigative methods at the organizational level, among health care consumers, and in other arenas where fraud can occur
  • Legal, regulatory, and compliance issues impacting anti-fraud efforts
  • Relevant terms, case scenarios, and key concepts

Who Should Take This Course

  • Agents and brokers
  • Claims analysts
  • Compliance officers
  • Corporate counsel
  • Federal regulatory personnel
  • Fraud examiners
  • Health insurance provider staff
  • Legal advisors
  • Privacy officers
  • State regulatory personnel

For even greater ROI, contact our experts at TrainingSolutions@ahip.org or call the Support Team at 866.234.6909. We can create a custom blend of courses, test prep classes, and group sessions that make the most sense for you and your budget.

Interested in getting the AHIP member rate for this course? Learn about becoming an Individual Member and sign up here!

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