Price: $24.22
(as of Dec 24,2024 05:47:20 UTC – Details)
ASIN : B007P6UTX0
Publisher : Wiley; 2nd edition (March 23, 2012)
Publication date : March 23, 2012
Language : English
File size : 5286 KB
Text-to-Speech : Enabled
Screen Reader : Supported
Enhanced typesetting : Enabled
X-Ray : Not Enabled
Word Wise : Enabled
Print length : 484 pages
Healthcare fraud is a serious issue that can have far-reaching consequences for patients, providers, and insurers. In order to combat this problem, it is essential for healthcare organizations to have effective auditing and detection measures in place.
In this guide, we will explore the various types of healthcare fraud, including billing fraud, kickbacks, and unnecessary services. We will also discuss the red flags that may indicate potential fraud, as well as the steps that organizations can take to detect and prevent fraudulent activity.
Auditing plays a crucial role in detecting healthcare fraud, as it involves reviewing financial records, claims data, and other documents to identify discrepancies or irregularities. By conducting regular audits, organizations can proactively identify potential instances of fraud and take appropriate action.
Detection methods such as data analytics and fraud detection software can also be valuable tools in the fight against healthcare fraud. These technologies can help organizations identify patterns and anomalies in claims data, which can be indicative of fraudulent activity.
Ultimately, preventing healthcare fraud requires a multi-faceted approach that includes robust auditing and detection measures. By implementing these strategies, organizations can protect themselves and their patients from the harmful effects of fraud.
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