Course Schedule
Registration, Kickoff and Introduction
Session One
Introduction
- Introduction
- Understanding differences between Fraud, Waste, Abuse, and Errors
- Developing an Audit Plan vs. an Investigative Plan
- Triaging allegations to decide pursuit
- Understanding Benefit Packages' impact on investigative strategies
- Detection
- Overview of data analytics, key reports, and metrics
- Thinking creatively to identify FWA through billing rules, reimbursement
- Methodologies and coding
Coffee/Tea Break
Session Two
Prevention Strategies
- Investigation
- Collection and tracking of evidence, including chain of custody
- Internet searches and evidence preservation
- Case file maintenance and efficient organization
- Various interviewing techniques for subjects, patients, witnesses, and staff
- Report writing focusing on objectivity, key points identification, and structure
Lunch Break
Session Three
Current Healthcare FWA Schemes and Trends
- Discussion on prevalent schemes and trends
- Identification of tools to support findings.
| Course Program | |
|---|---|
| Time | Topic |
| 08:30 to 09:00 | Registration & Introduction |
| 09:00 to 11:00 | Session One |
| 11:00 to 11:10 | Coffee/Tea Break |
| 11:10 to 12:40 | Session Two |
| 12:40 to 13:30 | Lunch Break |
| 13:30 to 15:00 | Session Three |