Description
The IHIRM offers a Program in Health Insurance Claims Audit, designed to provide participants with in-depth knowledge and practical skills in auditing health insurance claims. The course focuses on ensuring accuracy, compliance, and identifying discrepancies in claims processing.
6 Month Program in Health Insurance Claims Audit
The Institute of Healthcare, Insurance & Risk Management (IHIRM) presents a Program in Health Insurance Claims Audit, tailored to equip professionals with the expertise needed to effectively audit health insurance claims and ensure regulatory compliance.
This program covers the entire claims audit process, from verifying the accuracy of claims to identifying potential fraud or discrepancies. Participants will learn how to review claim submissions, analyze medical and billing documentation, ensure adherence to insurance policies, and ensure that claims are processed within legal and financial guidelines.