Fraud, Part II (Key Products)
Course Overview
Take an even deeper dive into the fraud’s impact on our health care system and how it occurs. AHIP’s Fraud, Part II (Key Products) online course builds on the information covered in Fraud, Part I (Introduction) by focusing on specific private and government insurance products. To help you do your job even better, you’ll learn how the federal government combats fraud, what’s happening at the state level, and your organization’s role.
Learning Objectives
What You’ll Learn
- Focus on key products where fraud is often detected, including disability income, long-term care, and dental coverage
- Explore the area of specialized health care fraud and its impact on pharmaceutical, supplemental, and Medigap insurance
- Analyze how federal and state government entities combat health care fraud
- Understand the role of the private sector in detecting health care fraud and the legal constraints placed upon its enforcement efforts
- Discover how fraud is detected within the public and private sectors
- Gain a detailed understanding of legal constraints placed on enforcement efforts
- Learn relevant terms, case scenarios, and key concepts
Who Should Take This Course
- Agents and brokers
- Claims analysts
- Compliance officers
- Corporate counsel
- Federal regulatory personnel
- Fraud examiners
- Health insurance provider staff
- Legal advisors
- Professionals working in special investigation units (SIUs)
- State regulatory personnel
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