Healthcare Fraud: Auditing and Detection Guide Review

Healthcare Fraud: Auditing and Detection Guide
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Ms. Busch has done a great service to those who care about the theft of billions by patients, providers, and payers. She demonstrates that no stakeholder group is without taint. Most helpful for both novice and expert are the conceptual models for the business systems that form the health care industry and how those systems are surprisingly easy to manipulate for ill-gotten gains. These models present a virtual menu for how to assess and disassemble the corrupt and fraud-riven status quo at the macro level. The real service of the book is to translate those ideas into concrete steps that compliance officers and investigators can use to manage and prevent fraud. It also presents steps that those in health information management can use to "tighten up" the information streams on which health care fraud depends.
Many thanks to you Ms. Busch for this helpful and instructive resource.
RDGelzer

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According 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.

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