Health Medical Management including Fraud Control Course

Health Medical Management including Fraud Control Course

Gain the skills you need to advance your career. This course offers hands-on learning, expert guidance, and real-world applications designed to help you grow.
Foundation | TBA | Face to Face / Online / Elearning | Certificate
01

Course Overview

Course Summary
Course Title Health Medical Management including Fraud Control Course
Organization Tech For Development (T4D)
Venue Tech For Development (T4D) Training Center along Tala Road, Runda, Nairobi
Duration TBA days
Target Industries
Target Job Roles
Course Fees (Face-to-Face) TBA
Course Fees (Virtual)
Training Modes Virtual and face-to-face training
Payment Payment should be made to the Tech For Development (T4D) bank account on or before the start of the course
Accreditation Tech For Development Certificate of Course Completion

Introduction

Health care costs are a top concern for both businesses and individuals. Health care companies and providers today face unique industry regulations, procedures and considerations, as well as a heightened potential for fraudulent activity. Consequently, fraud fighters need an in-depth understanding of the industry environment and the types of health care fraud that can occur, including how to prevent, detect and investigate them.

This course is designed for anti-fraud and audit professionals who work in the payer, provider, vendor and employer benefit areas or advise clients who operate within the health care continuum. Get the targeted training you need to keep up with the latest fraud schemes and related laws affecting this highly complex profession.

Duration

5 Days

Who Should Attend

  • Health Medical underwriters, claims officers.
  • Accountants, auditors, attorneys and investigators who service health care industry clients
  • Detectives and private investigators
  • Government investigators charged with identifying fraud or noncompliance with government-funded health care facilities and efforts
  • Internal auditors for hospitals, medical offices and other health care organizations
  • Public-sector investigators
  • Anti-fraud professionals

Course Objectives 

  • Navigate the complex payment systems in the Kenyan health care industry
  • Identify the common health care schemes committed by providers, beneficiaries and third parties
  • Categorize health care violations under the legal enforcement framework
  • Conduct a health care fraud investigation
  • Develop fraud prevention procedures specific to the health care industry
02

Course Modules

Course Outline

  • Complex payment systems in the Kenyan health care industry
  • Common health care schemes committed by providers, beneficiaries and third parties
  • Health care violations under the legal enforcement framework
  • Conducting a health care fraud investigation
  • Developing fraud prevention procedures specific to the health care industry
03

Course Administration

Methodology

Instructor-led sessions use a blended learning approach combining presentations, guided practical exercises, web-based tutorials, and group work, delivered by seasoned industry experts. All facilitation and course materials are in English, so participants should be reasonably proficient in the language.

Accreditation

Upon successful completion of this training, participants will be issued a Tech For Development Certificate of Course Completion certified by the National Industrial Training Authority (NITA).

Training Venue

The training will be held at the Tech For Development Training Centre. The course fee covers the course tuition, training materials, two break refreshments, and lunch. All participants will additionally cater to their travel expenses, visa application, insurance, and other personal expenses.

Accommodation & Airport Transfer

Arranged upon request.For reservations contact the Training Officer:
Email: [email protected]
Phone: (+254) 790 824 179

Tailor-Made

This training can also be customized to suit the needs of your institution upon request. You can have it delivered in our T4D Training Centre or at a convenient location.

Payment

Payment should be transferred to the T4D account through a bank on or before the start of the course. Send proof of payment to [email protected].

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