Contents
Chapter 1: Introduction to Healthcare Fraud
Healthcare Fraud in the United States
Healthcare Fraud in International Markets
What Does Healthcare Fraud Look Like?
What Is Healthcare Fraud Examination?
The Primary Healthcare Continuum: An Overview
Healthcare Fraud Overview: Implications for Prevention, Detection, and Investigation
Chapter 2: Defining Market Players within the Primary Healthcare Continuum
Market Players Overview: Implications for Prevention, Detection, and Investigation
Chapter 3: Continuum Audit and Investigative Model
The Primary Healthcare Continuum (P-HCC)
The Secondary Healthcare Continuum (S-HCC)
The Information Healthcare Continuum (I-HCC)
The Consequence Healthcare Continuum (C-HCC)
The Transparency Healthcare Continuum (T-HCC)
The Rules Based Healthcare Continuum (R-HCC)
Audit Continuum Models Overview: Implications for Prevention, Detection, and Investigation
Chapter 4: Secondary Healthcare Continuum
The Secondary Healthcare Continuum (S-HCC)
Audit Continuum Models Overview: Implications for Prevention, Detection, and Investigation