Health Care Anti-Fraud Associate (HCAFA) Designation

Course Overview

Industry professionals at every level—from senior counsel to staff assigned to special investigation units—are challenged every day with detecting and stopping health care fraud. By earning your Health Care Anti-Fraud Associate (HCAFA) designation, you’ll demonstrate that you’ve achieved a big picture understanding of the various types of health care fraud, their impact on the health care industry, and how organizations like yours can combat fraud.

To earn your HCAFA designation, start by completing these required courses:

  • Fraud, Part I (Introduction)
  • Fraud, Part II (Key Products)

Then select your choice of one of these on-demand webinars:

  • Fraud: Behavior Change, A New Approach to Defeating Fraud, Waste, and Abuse.
  • Anto-Fraud,Waste, and Abuse-Theory and Principles

Details of electives are available on request.Contact us at Training@iiea.co.ke

Learning Objectives

On completion of this designation, you’ll demonstrate that you’ve achieved a big picture understanding of the various types of health care fraud, their impact on the health care industry, and how organizations like yours can combat fraud.

Module 1: Fraud, Part I (Introduction)

Explore the methods investigators use to uncover and deter fraud against the health care and health insurance industries

Compare the different ways fraud schemes work and where they often occur

Understand how to identify fraudulent practice

Focus on investigative methods at the organizational level, among health care consumers, and in other arenas where fraud can occur

Navigate the legal, regulatory, and compliance issues impacting anti-fraud efforts

Examine relevant terms, case scenarios, and key concepts

Module 2: Fraud, Part II (Key Products)

Focus on key products where fraud is often detected, including disability income, long-term care, and dental coverage

Focus on key products where fraud is often detected, including disability income, long-term care, and dental coverage

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

Price: $1,450

This Course includes:

   Text-based content

   6 Months