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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