After attending this course, participants will return with new knowledge and be able to:

• Explain common health care fraud schemes.
• Implement basic investigative strategies to enhance fraud detection and investigation.
• Identify the steps in an investigative plan.
• Identify common data analytic strategies to investigate a case.
• Evaluate cases for merit.
• Detect potential red flags in medical and billing records.
• Identify appropriate resources to assist in fraud detection and investigation.

This program is appropriate for analysts, corporate executives, healthcare professionals, investigators, internal auditors for hospitals, medical offices and other health care organizations

• Little or no investigative / health care / analytics expertise is  expected, terms and acronyms are defined, concepts are    explained in detail, and the education focus is on investigative skills.
• Pre-requisites: There are no pre-requisite requirements to attend this program.