Executive Development Programme Healthcare Fraud: Risk Mitigation Tactics
-- ViewingNowThe Executive Development Programme in Healthcare Fraud: Risk Mitigation Tactics is a certificate course designed to equip learners with the necessary skills to combat healthcare fraud. This programme is crucial in the current climate as healthcare fraud costs the industry billions each year, and the demand for experts in this field continues to grow.
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⢠Introduction to Healthcare Fraud: Defining fraud, waste, and abuse; common types of healthcare fraud; impact on the healthcare industry.
⢠Fraud Detection Techniques: Data analysis, pattern recognition, artificial intelligence, and machine learning in fraud detection; internal controls and audits.
⢠Legal and Regulatory Framework: Relevant laws and regulations, compliance requirements, enforcement agencies and penalties.
⢠Risk Assessment and Management: Identifying and assessing fraud risks, implementing risk management strategies, monitoring and reporting.
⢠Incident Response Planning: Developing and implementing incident response plans, communication and coordination with stakeholders, post-incident review and improvement.
⢠Ethical Leadership and Culture: Promoting ethical culture, whistleblower protection, code of conduct, and training programs.
⢠Collaboration and Information Sharing: Public-private partnerships, information sharing platforms, and best practices.
⢠Emerging Trends and Future Outlook: Telehealth fraud, opioid crisis, and the role of technology in fraud prevention and detection.
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