LEADER 02809nam 22006134a 450 001 9910820720303321 005 20200520144314.0 010 $a1-281-10030-7 010 $a9786611100308 010 $a0-470-22708-7 035 $a(CKB)1000000000401418 035 $a(EBL)319331 035 $a(OCoLC)476116065 035 $a(SSID)ssj0000169633 035 $a(PQKBManifestationID)11171093 035 $a(PQKBTitleCode)TC0000169633 035 $a(PQKBWorkID)10223440 035 $a(PQKB)11254442 035 $a(MiAaPQ)EBC319331 035 $a(Au-PeEL)EBL319331 035 $a(CaPaEBR)ebr10295926 035 $a(CaONFJC)MIL110030 035 $a(OCoLC)437192544 035 $a(EXLCZ)991000000000401418 100 $a20070712d2008 uy 0 101 0 $aeng 135 $aurcn||||||||| 181 $ctxt 182 $cc 183 $acr 200 10$aHealthcare fraud $eauditing and detection guide /$fRebecca S. Busch 205 $a1st ed. 210 $aHoboken, N.J. $cJohn Wiley & Sons$dc2008 215 $a1 online resource (306 p.) 300 $aIncludes index. 311 $a0-470-12710-4 327 $aDefining 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. 330 $aAccording 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. 517 3 $aHealth care fraud 606 $aMedicare fraud 606 $aMedicaid fraud 606 $aMedical care$xLaw and legislation$zUnited States$xCriminal provisions 615 0$aMedicare fraud. 615 0$aMedicaid fraud. 615 0$aMedical care$xLaw and legislation$xCriminal provisions. 676 $a345.73/0263 700 $aBusch$b Rebecca S$01616449 801 0$bMiAaPQ 801 1$bMiAaPQ 801 2$bMiAaPQ 906 $aBOOK 912 $a9910820720303321 996 $aHealthcare fraud$93947142 997 $aUNINA