ABSTRACT
Contents Objectives ................................................................................................................................181 Introduction .............................................................................................................................182 Healthcare Claims Analysis ......................................................................................................182 Investigation .............................................................................................................................184 Process and Technique ..............................................................................................................184 Partnership and Communication .............................................................................................187 Bill Review ...............................................................................................................................187 Red Flags: Fraud .......................................................................................................................191 Resources .................................................................................................................................193 Credentials: Education, Experience, and Certifi cation ..............................................................194 Additional Reading ..................................................................................................................195 References ................................................................................................................................196 Test Questions ..........................................................................................................................197
