Health Medical Management including Fraud Control

Health Medical Management including Fraud Control

BACKGROUND

Health care costs are a top concern for both businesses and individuals. Health care companies and providers today face unique industry regulations, procedures and considerations, as well as a heightened potential for fraudulent activity. Consequently, fraud fighters need an in-depth understanding of the industry environment and the types of health care fraud that can occur, including how to prevent, detect and investigate them.

This 3-day, instructor-led course is designed for anti-fraud and audit professionals who work in the payer, provider, vendor and employer benefit areas or advise clients who operate within the health care continuum. Get the targeted training you need to keep up with the latest fraud schemes and related laws affecting this highly complex profession.

YOU WILL LEARN HOW TO: 

  • Navigate the complex payment systems in the Kenyan health care industry
  • Identify the common health care schemes committed by providers, beneficiaries and third parties
  • Categorize health care violations under the legal enforcement framework
  • Conduct a health care fraud investigation
  • Develop fraud prevention procedures specific to the health care industry

WHO SHOULD ATTEND?

  • Health Medical underwriters, claims officers.
  • Accountants, auditors, attorneys and investigators who service health care industry clients
  • Detectives and private investigators
  • Government investigators charged with identifying fraud or noncompliance with government-funded health care facilities and efforts
  • Internal auditors for hospitals, medical offices and other health care organizations
  • Public-sector investigators
  • Anti-fraud professionals

Cost: 35,000.00


 

How to apply

All candidates must follow the application steps where they provide their details and select units. An invoice will be sent to the email address of the applicant with payment instructions.


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