INTERMEDIATE COURSE IN MEDICAL CLAIMS & COST CONTAINMENT

Overview
What are the bright red flags for referring uncertain claims either for more scrutiny or even criminal investigation?

Medical and health insurance company should strive to improve their understanding on medical claims management and cost containment. They should constantly review their medical claim database for any unethical practices committed by the claimant or medical providers.

Key learning Outcomes

At the end of the course, participants will be able to :

•provide a better understanding on medical claims management and cost containment.
•gain insight depth on the impact of uncontrolled medical insurance claims to the insurance industry.
•comprehend types of medical claims fraud commonly committed by medical & health insurance claimant and medical providers.
•appreciate and understand claims case studies.
•share and to discuss medical and health insurance claims issues faced by the medical and health insurance fraternity.