Distance Learning for Investigators
Coding for the Health Care Fraud Investigator
Health care fraud is the deliberate submittal of false claims to private health insurance plans or tax-funded public health insurance programs such as Medicare and Medicaid. The National Health Care Anti-Fraud Association estimates conservatively that at least three percent - or more than sixty billion dollars each year - is lost to health care fraud.
This Level One course is designed to introduce health care fraud investigators to the basic coding nomenclature, and provide the information needed to analyze medical record documentation to uncover and investigate questionable claims.
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Resources
Click here to view Fraud Reporting & Other resources supported by the NHCAA, including the Most Wanted Fugitives, Career Connection, Reporting Health Care Fraud & More.