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.

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