Download PDF by Charles E. Piper: Healthcare Fraud Investigation Guidebook

Some have envisioned that healthcare fraud within the usa leads to losses of roughly $80 billion a 12 months. even if there are various books to be had that describe the way to "detect" healthcare fraud, few tackle what has to be performed after the fraud is detected. Filling this desire, Charles Piper’s Healthcare Fraud research Guidebook information not just tips to notice healthcare fraud, but in addition how one can "investigate" and end up the wrongdoing to extend the possibility of profitable prosecution in court.

The publication starts off by way of overlaying the heritage of healthcare coverage and many of the sorts of fraud schemes. It provides Charles Piper’s new angle to investigating (The Piper approach) which permits readers to behavior as many as 10 simultaneous investigations for every case. It emphasizes the significance of concurrently looking for waste and abuse in addition to systemic weaknesses and deficiencies that prompted or contributed to the matter or wrongdoing less than research after which make concepts for development. It additionally provides:

• Questions to invite whistleblowers, complainants, employers, staff, and healthcare companies who're suspects


• Tips on investigative case making plans, ambitions, and strategies


• Sample visible aids to be used whilst briefing others approximately your investigative findings


• Guidance on offering details acquired from healthcare investigations and on how one can testify in court


• Techniques for uncovering formerly undetected fraud

The ebook features a pattern case research that walks readers via a ridicule case—from the time the case is acquired in the course of the finish. The case learn demonstrates the best way to start up, plan, and behavior a radical and whole healthcare fraud research whereas incorporating Piper’s confirmed methodology.

Sharing insights won via Charles Piper’s many years of expertise as a federal specific agent and licensed fraud examiner, the Healthcare Fraud research Guidebook aims to revolutionize the best way that healthcare fraud investigations are performed. It presents the knowledge you must not just positioned a bandage at the challenge of healthcare fraud, yet to really begin curing the greed that's poisoning the healthcare industry.