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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 Outcomes
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.
Course Outline
- 1.1: Explore the methods investigators use to uncover and deter fraud against the health care and health insurance industries
- 1.2: Compare the different ways fraud schemes work and where they often occur
- 1.3: Understand how to identify fraudulent practice
- 1.4: Focus on investigative methods at the organizational level, among health care consumers, and in other arenas where fraud can occur
- 1.5: Navigate the legal, regulatory, and compliance issues impacting anti-fraud efforts
- 1.6: Examine relevant terms, case scenarios, and key concepts
- 2.1: Focus on key products where fraud is often detected, including disability income, long-term care, and dental coverage
- 2.2: Focus on key products where fraud is often detected, including disability income, long-term care, and dental coverage
- 2.3: Analyze how federal and state government entities combat health care fraud
- 2.4: Understand the role of the private sector in detecting health care fraud and the legal constraints placed upon its enforcement efforts
- 2.5: Discover how fraud is detected within the public and private sectors
- 2.6: Gain a detailed understanding of legal constraints placed on enforcement efforts
- 2.7: Learn relevant terms, case scenarios, and key concepts
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