Advance Medical Insurance Fraud Detection, Prevention and Data Analysis Techniques Training Workshop Training Workshop

04th Nov to 05th Nov, 2018, Hotel Towers Rotana Dubai | UAE

Advance Medical Insurance Fraud Detection, Prevention and Data Analysis Techniques

Course Name: “Advance Medical Insurance Fraud Detection, Prevention & Data Analysis Techniques"
Trainer/Speaker: Rebecca S. Bucsh (from USA)
Venue: Hotel Rotana Towers, Dubai, UAE.
Number of Participants: 27
Country wise participation: Saudi Arabia (02), UAE (18), Lebanon (01), Sudan (01), Ghana (02),      Afghanistan (01), Somalia (01), Kenya (01)  
Quality/Satisfaction Rating (at the scale of 1-10): 7.40
Achievement of the course objectives: Yes, all agreed.
Some of the testimonials:
“Thanks a lot for organizing such fruitful training program. Appreciate.”
“Thank you ACS. Instructor was good.”
“I like most the gathering of multiple cultures and back grounds.”

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
  • Compliance 
  • Professionals looking to expand their knowledge of insurance fraud detection and prevention
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