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Healthcare fraud : auditing and detection guide /

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-a...

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Detalles Bibliográficos
Clasificación:Libro Electrónico
Autor principal: Busch, Rebecca S.
Formato: Electrónico eBook
Idioma:Inglés
Publicado: Hoboken, N.J. : John Wiley & Sons, ©2008.
Temas:
Acceso en línea:Texto completo
Tabla de Contenidos:
  • 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.