Healthcare Fraud Investigation Guidebook

Book excerpt: Although many books describe how to "detect" healthcare fraud, few address what must be done after the fraud is detected. Filling this need, Charles Piper's Healthcare Fraud Investigation Guidebook details not only how to detect healthcare fraud, but also how to "investigate" and prove the wrongdoing to increase the likelihood of successful prosecution. The book includes a sample case study that walks readers through a mock case from the time the case was received through the end. It illustrates how to initiate, plan, and conduct a thorough and complete healthcare fraud investigation while incorporating Piper's unique methodology.