Healthcare Fraud Investigation Guidebook

Name: Healthcare Fraud Investigation Guidebook
Brand: Taylor & Francis

Taylor & Francis

Some have estimated that healthcare fraud in the United States results in losses of approximately $80 billion a year. Although there are many books available that describe how to \""detect\"" healthcare fraud, few address what must be done after the fraud is detected. Filling this need, Charles Piper\u2019s Healthcare Fraud Investigation Guidebook details not only how to detect healthcare fraud, but also how to \""investigate\"" and prove the wrongdoing to increase the likelihood of successful prosecution in court.\n\nThe book starts by covering the history of healthcare insurance and the various types of fraud schemes. It presents Charles Piper\u2019s unique approach to investigating (The Piper Method) which allows readers to conduct as many as 10 simultaneous investigations for each case. It emphasizes the importance of simultaneously searching for waste and abuse as well as systemic weaknesses and deficiencies that caused or contributed to the problem or wrongdoing under investigationt