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010 a| 2011048574;

020 a| 9781118179802 (cloth);

020 z| 9781118227220 (ebk);

020 z| 9781118240250 (ebk);

020 z| 9781118264959 (ebk);

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100 1 a| Busch, Rebecca S.=| ^A1207828;

245 10 a| Healthcare fraudh| [electronic resource] :b| auditing and detection guide /c| Rebecca Saltiel Busch.;

246 3 a| Health care fraud;

250 a| 2nd ed.;

260 a| Hoboken, N.J. :b| John Wiley & Sons,;

300 a| xviii, 340 p. :b| ill. ;c| 24 cm.;

504 a| Includes bibliographical references and index.;

505 0 a| Introduction to healthcare fraud -- Defining market players within the primary healthcare continuum -- Continuum audit and investigative model -- Secondary healthcare continuum -- Information healthcare continuum -- Consequence healthcare continuum -- Transparency healthcare continuum -- Rules based 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 -- Conclusions.;

506 a| Available only to authorized users.;

520 a| "This second edition provides comprehensive guidance on auditing and fraud detection for healthcare providers and company healthcare plans. New chapters have been added covering a comprehensive auditing model developed by the author on all of the key elements that must be addressed: Primary Healthcare, Secondary Healthcare, Information/Data Management and Privacy, Damages/Risk Management, and transparency. In addition to six new chapters, the current edition material will all be updated and brought up to date"--Provided by publisher.;

538 a| Mode of access: World Wide Web;

650 0 a| Medicare fraud.=| ^A420550;

650 0 a| Medicaid fraud.=| ^A368699;

650 12 a| Financial Auditx| methods.=| ^A1017960;

650 12 a| Fraudx| prevention & control.=| ^A1202721;

650 22 a| Computer Security.=| ^A926183;

650 22 a| Fraudx| economics.=| ^A1202720;

650 22 a| Health Care Sectorx| legislation & jurisprudence.=| ^A1058095;

655 0 a| Electronic books.=| ^A491897;

856 40 z| Full text available from Ebook Central - Academic Completeu| https://ebookcentral.proquest.com/lib/eastcarolina/detail.action?docID=821853;

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Healthcare fraud auditing and detection guide / Rebecca Saltiel Busch.

Author/creator	Busch, Rebecca S.
Format	Electronic
Edition	2nd ed.
Publication Info	Hoboken, N.J. : John Wiley & Sons,
Description	xviii, 340 p. : ill. ; 24 cm.
Supplemental Content	Full text available from Ebook Central - Academic Complete
Subjects	Medicare fraud. Medicaid fraud. Medical care--Law and legislation. --United States. --Criminal provisions. Financial Audit--methods. Fraud--prevention & control. Computer Security. Fraud--economics. Health Care Sector--legislation & jurisprudence.

Variant title	Health care fraud
Contents	Introduction to healthcare fraud -- Defining market players within the primary healthcare continuum -- Continuum audit and investigative model -- Secondary healthcare continuum -- Information healthcare continuum -- Consequence healthcare continuum -- Transparency healthcare continuum -- Rules based 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 -- Conclusions.
Abstract	"This second edition provides comprehensive guidance on auditing and fraud detection for healthcare providers and company healthcare plans. New chapters have been added covering a comprehensive auditing model developed by the author on all of the key elements that must be addressed: Primary Healthcare, Secondary Healthcare, Information/Data Management and Privacy, Damages/Risk Management, and transparency. In addition to six new chapters, the current edition material will all be updated and brought up to date"--Provided by publisher.
Bibliography note	Includes bibliographical references and index.
Access restriction	Available only to authorized users.
Technical details	Mode of access: World Wide Web
Genre/form	Electronic books.
LCCN	2011048574
ISBN	9781118179802 (cloth)

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