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It is what it advertised to be. Professional quality training and CPE tracking and certificates; systems knows AZ CPA CPE requirements and categories. I've needed help on several occasions and the assistance was quick and effective; however, there were some problems with data entry. The assistance sometimes asks for input, but when I try to type it is dissallowed for some reason. On several occasions I had to close the popup to get it out of my way.
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Healthcare fraud is not a victimless crime. It affects everyone and causes tens of billions of dollars in losses each year. It can raise health insurance premiums, expose you to unnecessary medical procedures, and increase taxes. Healthcare fraud can be committed by medical providers, patients, and others who intentionally deceive the healthcare system to receive unlawful benefits or payments.
How does healthcare fraud work?
Corporate fraud by healthcare providers accounts for the lion’s share of the fraud. Providers were complicit in 62% of cases, and beneficiaries were complicit in 14% of cases. Many fraud schemes mimic legitimate transactions with complicit doctors and other medical professionals. Additionally, the sheer volume of healthcare claims makes fraud detection a challenge.
Whether it is an abuse of Medicaid payments, illegal prescriptions, or unbundling, medical fraud continues to grow. This is dangerous, as not only does it affect the country financially, it can be dangerous. While the challenges of detecting healthcare fraud are numerous, understanding common healthcare fraud schemes is the first step.
This CPE Fraud webinar by Denise Cicchella will look at traditional and upcoming trends in healthcare fraud as learned from the DOJ and Health Watch.
This CPE Auditing Course covers the following major topics:
When a health care fraud is perpetrated, the health care provider passes the costs along to its customers. Because of the pervasiveness of healthcare fraud, statistics now show that 10 cents of every dollar spent on healthcare goes toward paying for fraudulent healthcare claims.
Founder & CEO, Auspicium
Denise Cicchella is a recognized expert in construction audit, protecting owners from the overpayment of construction costs due to error, negligence or fraud.
Dense is a Certified Internal Auditor, Certified Fraud Examiner, Certified Construction Auditor, Project Management Professional and Fellow of the Life Management Institute. She holds an MBA in International Business from Fairleigh Dickinson University and a BBA in Accounting from Loyola University. She is the Founding President of the New York/New Jersey Chapter of the National Association of Construction Auditors. She has audited and led audit teams for small construction project as well as multi billion dollar projects.
She is an experienced trainer and can often be seen teaching domestically and internationally.
Duration
Course Level
Instructional Method
Pre-requisites
Advance Preparation
MY-CPE LLC, 1600 Highway 6 south, suite 250, sugar land, TX, 77478
MY-CPE LLC (Sponsor Id#: 143597) is registered with the National Association of State Boards of Accountancy (NASBA) as a sponsor of continuing professional education on the National Registry of CPE Sponsors. State boards of accountancy have final authority on the acceptance of individual courses for CPE credit. Complaints regarding registered sponsors may be submitted to the National Registry of CPE Sponsors through its website: www.NASBARegistry.org.
85 Ratings
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43
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30
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8
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WRN
Nov 15th, 2023
This was everything that I wanted from the course. The practical examples was very interesting and useful.
JS
Mar 27th, 2024
Lots of great examples within the healthcare industry.
KK
Dec 26th, 2023
Good examples from every possible place or person
SZ
May 24th, 2023
Gained great indepth knowledge
RF
Feb 26th, 2023
Good presentation
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