Healthcare Insurance Fraud Training Workshop Training Workshop

25th Feb to 26th Feb, 2018, Hotel Towers Rotana, Dubai, UAE.

Healthcare Insurance Fraud

Course Name: “Healthcare Insurance Fraud"
Trainer/Speaker: Rebecca S. Bucsh (from USA)
Venue: Hotel Rotana Towers, Dubai, UAE.
Number of Participants: 17
Country wise participation: Saudi Arabia (04), UAE (08), Lebanon (02), Sudan (02), Egypt (01) 
Quality/Satisfaction Rating (at the scale of 1-10): 7.94
Achievement of the course objectives: Yes, all agreed.
Some of the testimonials: 
“Very knowledgeable presenter with relevant practical experience.”, “I like most the healthy discussion and participation.” , “I like most the knowledge and experience of the trainer.”

Course Benefits

Completion of this course will provide attendees with an all-inclusive understanding of the scope of healthcare insurance fraud, ranging from the simplest situations to complex and sophisticated healthcare/insurance fraud crimes.
By the end of course, specifically, the attendees will have the know-how to:

  • Nature and types of healthcare/insurance frauds.
  • Healthcare/Insurance fraud: Implications for prevention, detection, and investigation.
  • Healthcare/Insurance fraud in International markets.
  • Knowing market players within the healthcare continuum in context with healthcare insurances.
  • How to recognize & avoid healthcare/insurance fraud.
  • Role of ethics in healthcare/insurance fraud prevention.
  • Components of the data mapping and data mining process.
  • Health Insurance Portability and Accountability Act (HIPAA) of 1996.
  • Audit guidelines in using PHI.
  • Healthcare/Insurance Fraud: Penalties & Consequences.
  • Normal infrastructure and anomaly tracking systems.
  • Data analysis models and clinical content data analysis.
  • Data-driven Health decisions in an e – Health environment.
  • Analytic tools and audit check lists.
  • Electronic Health Records and health offering vulnerabilities.
Course Outline

Who Should Attend?

All levels of auditors, investigators and prosecutors working in the healthcare/insurance fraud area

  • Executive Management of insurance or reinsurance companies and hospitals
  • Certified Fraud Examiners (CFE)
  • Certified Information Systems Auditors (CISA)
  • Insurance Claims Adjudicators
  • Special Investigator Unit Directors/Auditors
  • Medical Claims Auditors
  • Third Party Administrators
  • Professionals looking to expand their knowledge of insurance fraud detection and prevention
Download Brochure

What others say

View More

Trainer(s) of this Training

Healthcare Insurance Fraud training Images

View All Galleries