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Healthcare Fraud

  • Accountant
  • CRMA
  • CPA/CFF
  • CFE
  • CGFM
  • CIA
  • CPA (US)
  • CVA
  • IAP
  • QIAL
  • MAFF
  • CTP
  • CBA/MCBA
  • CFIRS
  • CWS

Published: May, 2022

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Before starting this self study program, please go through the instructional document.

  • Course Description
  • Course Qualification
  • Presenter
  • FAQ

Course Description

Overview

  • Reporting and regulating
    5 mins
  • Unbundling: Would you buy a car piece by piece?
    11 mins
  • Billing without seeing
    26 mins
  • Health care nurse steals pain meds from her elderly patients
    36 mins
  • Treatment or meds under wrong name
    56 mins
  • Buy bottled water at the pharmacy
    88 mins

Course Description

Health care 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. Health care fraud can be committed by medical providers, patients, and others who intentionally deceive the health care 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. 

In this Online CPE fraud prevention webinar Denise Cicchella will look at traditional and upcoming trends in healthcare fraud as learned from DOJ and Health watch.

This Online CPE/CPD Auditing Course covers the following major topics:

  • Traditional trends in healthcare fraud.
  • Latest trends in healthcare fraud.
  • Prevention of fraud in healthcare today

When a health care fraud is perpetrated, the health care provider passes the costs along to its customers. Because of the pervasiveness of health care fraud, statistics now show that 10 cents of every dollar spent on health care goes toward paying for fraudulent health care claims.

To access more webinars on Fraud, fraud detection, and fraud prevention CLICK HERE.

Learning Objectives

  • To analyze the types of fraud that should be on the audit’s radar.
  • To discuss how to evaluate fraud risk for their organization based on trends discussed.
  • To discuss controls that should be implemented right away.
  • To inspect how as a citizen healthcare fraud affects you personally.

Recommended For

  • The Online continuing education webinar is recommended for CPAs, CMAs, CIAs, QIALs, IAPs, CFFs, CFFs, MAFFs, CITPs, CRMA, Fraud Analyst, Fraud Examiner, Fraud Investigator, Fraud Professionals, Risk Managers, Young CPA, and other professionals interested in learning more about Healthcare Frauds and ways to prevent them.

Who Should Attend?

  • Accounting and audit managers/practitioners
  • Auditors
  • Certified Fraud Examiner
  • Certified Management Accountant (CMA)
  • Certified Public Accountant (CPA)
  • Certified Valuation Analysts
  • CPA (Industry)
  • CPA - Mid Size Firm
  • CPA - Small Firm
  • Fraud Analyst
  • Fraud Professionals
  • Young CPA

Course Qualification

Webinar Qualifies For

  • 2 General Credit for Accountant/Bookkeeper/Tax Professionals
  • 2 CPE Credit for Certification in Risk Management Assurance (CRMA)
  • 2 CPD Credit of Fraud prevention, detection and response for Certified Financial Forensics (CFF)
  • 2 CPE Credit of Health Care Fraud for Certified Fraud Examiner (CFE)
  • 2 CPE Credit for Certified Government Financial Manager (CGFM)
  • 2 CPE Credit of Fraud risks for Certified Internal Auditors (CIA)
  • 2 CPE Credit of Auditing for Certified Public Accountants (CPA-US)
  • 2 CPE Credit for Internal Audit Practitioner (IAP)
  • 2 CPE Credit for Qualification in Internal Audit Leadership (QIAL)
  • 2 CPE Credit of Fraud for Certified Valuation Analyst (CVA)
  • 2 CPE Credit for Master Analyst In Financial Forensics (MAFF)
  • 2 CE Credit for Certified Fiduciary & Investment Risk Specialist (CFIRS)
  • 2 CE Credit for Certified Wealth Strategist (CWS)
  • 2 CRE Credit of Detect and mitigate fraud for Certified Treasury Professional (CTP)
  • 2 CPE Credit of Fraud for Certified Business Appraiser/Master Certified Business Appraiser (CBA/MCBA)

Additional details

  • Course Level :
    Basic
  • Credits :
    2
  • Instructional Method :
    QAS Self Study
  • Pre-requisites :
    None
  • Advance Preparation :
    None

NASBA APPROVED

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.

Presenter

About Presenter

Denise Cicchella

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.

About Company

Auspicium

www.auspicium.com

Auspicium was founded as a management consulting firm specializing in audit, real estate management, facilities management and Construction Audit and construction audit cost recovery. We specialize in consulting, fraud examination, risk assessment, and training. Our founder is a recognized leader in the field and has spoken for private companies as well as for The Instiute of Internal Auditors and the Association of Certified Fraud Examiners.

Faq

FAQs content

  • To receive Continuing Education credit for the event, you must register for the webcast prior to the start of each program.
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  • Our courses meet the global Continuing Professional Development (CPD-IES7) Standard for Chartered Accountants with International Education Standard 7 (IES 7) set by The International Federation of Accountants (IFAC), the International Accounting Education Standards Board (IAESB) and the Association of Chartered Certified Accountants (ACCA). Based on our accreditation by existing IFAC members and affiliates, we believe learners can count their professionally relevant, verifiable learning activities on myCPE, including taking on demand courses and attending live webinars, toward fulfillment of their verifiable CPD-IES7 requirements. However, if there is any question, we recommend that the individual learner confirm with his/her professional licensing organization before taking myCPE courses for CPD-IES7 credit.
  • You can manage your continuing education certificates and credits through your certificate dashboard which is available when you are logged in to your account (LOGIN)
  • As an accredited provider of Continuing Professional Education in the United States, myCPE online learning platform, courses, and webinars meet the requirements set forth by the Institute of Management Accountants (IMA), an IFAC Member Organization, as well as the National State Boards of Accountancy (NASBA) and the Institute of Internal Auditors (IIA), both IFAC Affiliates. As well as it has been approved by NASBA, Internal Revenue Service (IRS), Certified Financial Planner Board (CFP Board), California Tax Education Council (CTEC), Society of Human Resource Professional (SHRM), Human Resource Certification Institute (HRCI) and many more.Therefore, we believe learners can count their professionally relevant, verifiable learning activities on myCPE, including taking on demand courses and attending live webinars, toward fulfillment of their verifiable continuing education requirement as CPD-IES7 requirements. However, if there is any question, we recommend that the individual learner confirm with his/her professional licensing organization before taking myCPE courses for CPD-IES7 credit.
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Ratings and Review

4.3

18 Ratings

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