Healthcare Fraud: Investigation Guidebook
Charles E. Piper This book details not only how to detect healthcare fraud, but also to investigate and prove the wrongdoing to increase the likelihood of successful prosecution in court. It starts by covering the history of healthcare insurance and the various types of fraud schemes. It presents Charles Piper’s 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 investigation and then make recommendations for improvement.