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AuditNet® Audit-library::Auditnet healthcare-auditing

healthcare fraud

1. Detecting Healthcare Vendor Fraud Using Data Analysis (DA-2) April 17 

What you will learn:

• Who are the most common dishonest healthcare providers —It’s not always clear!

• New fraud risks under Obamacare

• Case studies: Surprising ways that vendors rip off hospitals, clinics and other providers

• How insiders collude with vendors to embezzle funds, divert inventory and steal confidential medical data

• Red flags of healthcare billing schemes, sham vendor frauds, drug diversion schemes and other hugely costly scams

• Proven data analytics procedures for detecting indicators of healthcare fraud

Date: Wednesday, April 17, 2013

Time: 11:00 AM- 1:00 PM (Eastern, GMT -0500)

CPE: 2 Credits are available for registrants attending the seminar which are awarded based on a 50-minute hour.

Program Level / Prerequisites and Advance Preparation: Basic / None

Basic Delivery Method: Group Internet Based

Recommended Category: Specialized Knowledge and Applications

Cost: $99 Individual ... $300 Group Pricing

Please register for Detecting Healthcare Vendor Fraud Using Data Analysis on Apr 17, 2013 11:00 AM EDT at:

HCFA Hospital Audit Program

Health Benefits Administration

Health Claims Audit Program 

Hospital Audit Program from the State of Iowa, Auditor of State

Pharmacy Regulation ICQ

Pharmacy Review (pdf)

Managed Care Audit Program

Third Party Administrator Health Care Audit Program (pdf)

RESOURCES

American Association of Medical Audit Specialists

Compliance Program Guidance for Third-Party Medical Billing Companies

Preparing for an Internal Billing Audit

SekChek for Internal Auditors and Privacy Officers can complement HIPAA Compliance audits by confirming adequate security of the host system/s running Medical Patient applications. This automated computer security analysis tool/service details the key control measures in place to secure the operating system environment. In turn, these independent SekChek assessments can confirm whether the production environments can be relied upon to protect the Privacy of medical / patient databases and HIPAA-conforming audit trails against inadvertent, unauthorized or malicious access or changes. Originally developed in 1997, SekChek is designed, and continually enhanced, to analyze security settings of all major (non-mainframe) operating systems and platforms, including all versions of Windows, Unix, Netware and AS/400. Sample reports can be downloaded from SekChek Information Protection Services at www.sekchek.com