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By Rebecca S. Busch, CFE

A must-have reference for auditors, fraud investigators, and healthcare managers, Healthcare Fraud: Auditing and Detection Guide provides tips and techniques to help you spot the “red flags” of fraudulent activity and reveals the steps to take when fraud is suspected.

Clearly structured to identify what is normal at any point in the healthcare industry on both individual and cumulative scales, this timely guidebook helps auditing professionals in the healthcare industry to sharpen their fraud detection skills. Healthcare Fraud: Auditing and Detection Guide features:

Comprehensive guidance on auditing and fraud detection for healthcare providers and company healthcare plans
A look at how data mapping and mining can be used as a key tool to maximize both the effectiveness and efficiency of fraud investigations
Building blocks for understanding the entire healthcare market and its respective players
Cases and methodologies providing actual audit and investigative tools
Useful outlines of healthcare fraud prevention, detection and investigation methods

Healthcare Fraud: Auditing and Detection Guide serves as an invaluable tool equipping healthcare professionals, auditors, and investigators to detect every kind of healthcare fraud, from false statements and claims to elaborate collusive schemes.

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