Charles E Piper

Healthcare Fraud Investigation Guidebook

• Broschiertes Buch

Produktbeschreibung

Although many books describe how to "detect" healthcare fraud, few address what must be done after the fraud is detected. Filling this need, Charles Piper's Healthcare Fraud Investigation Guidebook details not only how to detect healthcare fraud, but also how to "investigate" and prove the wrongdoing to increase the likelihood of successful prosecution. The book includes a sample case study that walks readers through a mock case from the time the case was received through the end. It illustrates how to initiate, plan, and conduct a thorough and complete healthcare fraud investigation while incorporating Piper's unique methodology.

Produktdetails

• Verlag: Taylor & Francis
• Seitenzahl: 205
• Erscheinungstermin: 17. März 2016
• Englisch
• Abmessung: 229mm x 155mm x 15mm
• Gewicht: 318g
• ISBN-13: 9781498752602
• ISBN-10: 1498752608
• Artikelnr.: 43749613

Autorenporträt

Charles E. Piper

Inhaltsangabe

Preface
Acknowledgments
Author
Chapter 1. Background on healthcare insurance and related fraud
Chapter 2. Twenty common healthcare provider fraud schemes
Chapter 3. Other healthcare fraudsters and schemes
Chapter 4. Victims
investigators
complainants
laws
and statutes
Chapter 5. Codes
numbers
forms
and documents
Chapter 6. Investigative sources and resources
Chapter 7. Investigative tools and techniques
Chapter 8. Interviews and interrogations
Chapter 9. Investigative reports and evidence
Chapter 10. Investigative case planning
goals
and strategies
Chapter 11. Case presentations and testifying
Chapter 12. Post-adjudicate action
Chapter 13. Sample case study utilizing "The Piper Method"
Conclusion
Appendix