Healthcare Fraud: Auditing And Detection Guide Download Free (EPUB, PDF)
An invaluable tool equipping healthcare professionals, auditors, and investigators to detect every kind of healthcare fraud According to private and public estimates, billions of dollars are lost per hour to healthcare waste, fraud, and abuse. A must-have reference for auditors, fraud investigators, and healthcare managers, Healthcare Fraud, Second Edition provides tips and techniques to help you spot—and prevent—the "red flags" of fraudulent activity within your organization. Eminently readable, it is your "go-to" resource, equipping you with the necessary skills to look for and deal with potential fraudulent situations. Includes new chapters on primary healthcare, secondary healthcare, information/data management and privacy, damages/risk management, and transparency Offers comprehensive guidance on auditing and fraud detection for healthcare providers and company healthcare plans Examines the necessary background that internal auditors should have when auditing healthcare activities Managing the risks in healthcare fraud requires an understanding of how the healthcare system works and where the key risk areas are. With health records now all being converted to electronic form, the key risk areas and audit process are changing. Read Healthcare Fraud, Second Edition and get the valuable guidance you need to help combat this critical problem.
Hardcover: 340 pages
Publisher: Wiley; 2 edition (May 1, 2012)
Language: English
ISBN-10: 1118179803
ISBN-13: 978-1118179802
Product Dimensions: 6.5 x 1.2 x 9.3 inches
Shipping Weight: 1.2 pounds (View shipping rates and policies)
Average Customer Review: 5.0 out of 5 stars See all reviews (6 customer reviews)
Best Sellers Rank: #683,696 in Books (See Top 100 in Books) #177 in Books > Business & Money > Accounting > Auditing #184 in Books > Business & Money > Insurance > Health #276 in Books > Textbooks > Medicine & Health Sciences > Administration & Policy > Hospital Administration & Care
Rebecca Busch's Healthcare Fraud: Auditing and Detection Guide is an information and detailed explanation about a topic that is confusing and extensive. She explains healthcare fraud step-by-step, explaining the meaning of healthcare fraud, the players involved, the issues, consequences, and rules. Rebecca uses case examples to further aid in explaining the complex world of healthcare fraud. After reading this book, I realize how immense the healthcare industry is and how difficult a task it is to try and control all of the areas in which fraud can occur. Her book introduces a concise concept useful to anyone interested in working in the healthcare industry or just interested in protecting oneself against healthcare fraud.
This audit and detection guide was extremely effective in broadening my comprehension of how money and information move about the healthcare system. Understanding what is normal is so important in the field of healthcare fraud auditing because the auditor can then quickly pick out the red flags in order to resolve the issue at hand. I appreciate the information this book provides! Thank you Rebecca! Your knowledge and expertise are impressive! I am so glad someone is passionate enough about this subject to help others understand so they can, in turn, help others!
I have spent the past few years auditing healthcare transactions and have found several instances of potential fraud. But, after reading this book, I wonder what else I missed during those audits.This book now serves as my comprehensive guide to healthcare audits and has greatly improved my audit and fraud examination skills. This is a definite must-read for both those new to this field and for seasoned pros!
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