| Document Type
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BL
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| Record Number
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656936
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| Doc. No
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dltt
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| Main Entry
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Busch, Rebecca S.
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| Title & Author
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Healthcare fraud : : auditing and detection guide /\ Rebecca S. Busch.
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| Page. NO
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xvii, 286 pages :: illustrations ;; 24 cm
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| ISBN
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9780470127100 (cloth : alk. paper)
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: 0470127104 (cloth : alk. paper)
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| Bibliographies/Indexes
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Includes index.
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| Contents
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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.
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| Abstract
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"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.
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| Subject
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Medicare fraud.
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Medicaid fraud.
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Medical care-- Law and legislation-- United States-- Criminal provisions.
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Fraud-- prevention control.
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Computer Security.
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Confidentiality.
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Fraud-- economics.
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Medical Records-- standards.
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| Parallel Title
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Health care fraud
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