Defining market players within the healthcare continuum -- Protected health information -- Health information pipelines -- Accounts receivable pipelines -- Operational flow activity -- Product, service, and consumer market activity -- Data management -- Normal infrastructure -- Normal infrastructure and anomaly tracking systems -- Components of the data mapping process -- Components of the data mining process -- Components of the data mapping and data mining process -- Data analysis models -- Clinical content data analysis -- Profilers -- Market implications.
0
"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"--Provided by publisher.
Health care fraud
Medicaid fraud.
Medical care-- Law and legislation-- United States-- Criminal provisions.