02924nam 22006614a 450 991096868830332120200520144314.097866111003089781281100306128110030797804702270840470227087(CKB)1000000000401418(EBL)319331(OCoLC)476116065(SSID)ssj0000169633(PQKBManifestationID)11171093(PQKBTitleCode)TC0000169633(PQKBWorkID)10223440(PQKB)11254442(MiAaPQ)EBC319331(Au-PeEL)EBL319331(CaPaEBR)ebr10295926(CaONFJC)MIL110030(OCoLC)437192544(Perlego)2761710(EXLCZ)99100000000040141820070712d2008 uy 0engurcn|||||||||txtccrHealthcare fraud auditing and detection guide /Rebecca S. Busch1st ed.Hoboken, N.J. John Wiley & Sonsc20081 online resource (306 p.)Includes index.9780470127100 0470127104 Defining market players within the healthcare continuum -- Protected health information -- Health information pipelines -- Accounts receivable pipelines -- Operational flow activity -- Product, service, and consumer market activity -- Data management -- Normal infrastructure -- Normal infrastructure and anomaly tracking systems -- Components of the data mapping process -- Components of the data mining process -- Components of the data mapping and data mining process -- Data analysis models -- Clinical content data analysis -- Profilers -- Market implications.According to private and public estimates, approximately 24 million is lost per hour to healthcare waste, fraud, and abuse. A must-have reference for auditors, fraud investigators, and healthcare managers, Healthcare Fraud: Auditing and Detection Guide provides tips and techniques to help you spot-and prevent-the ""red flags"" of fraudulent activity within your organization. Eminently readable, it is your "go-to" resource, equipping you with the necessary skills to look for and deal with potential fraudulent situations.Health care fraudMedicare fraudMedicaid fraudMedical careLaw and legislationUnited StatesCriminal provisionsMedicare fraud.Medicaid fraud.Medical careLaw and legislationCriminal provisions.345.73/0263Busch Rebecca S1616449MiAaPQMiAaPQMiAaPQBOOK9910968688303321Healthcare fraud3947142UNINA