Healthcare Fraud Investigations: What to Do After the Phone Rings

| 9/6/2019

No one wants to believe that fraud occurs in their organization and certainly not within institutions that serve the health needs of the public. But according to the 2018 ACFE "Report to the Nations," healthcare ranks fourth by industry for occupational fraud cases reported (most prevalent in the areas of corruption and billing). The reality is not if, but when, your team will have to deal with a fraud case. And the question you need to answer is: "Are we prepared to manage the situation?”

During this session, we’ll examine the current state of fraud cases within the healthcare arena, what schemes and issues leaders need to be on the lookout for in the years ahead, and the initial steps organizations need to take when fraud is suspected.

As a result of participating in the session, you should be able to:

  1. Articulate key risks in the areas of document collection and the chain of custody
  2. Identify leading practices for fraud management/ investigations and determine gaps in your current plans that may need to be addressed
  3. Communicate the importance of fraud investigation exercises and testing to senior leadership and the board