Certified Professional in Healthcare Fraud Analysis

Sunday, 22 February 2026 07:11:45

International applicants and their qualifications are accepted

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Overview

Overview

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Certified Professional in Healthcare Fraud Analysis (CPHFA) certification equips professionals with the skills to combat healthcare fraud.


This rigorous program targets healthcare auditors, compliance officers, and investigators.


Learn to identify and investigate Medicare fraud, Medicaid fraud, and other healthcare schemes.


Master advanced techniques in data analysis, auditing, and investigative interviewing. Certified Professional in Healthcare Fraud Analysis training provides crucial knowledge in regulatory compliance and legal frameworks.


Become a leader in fighting healthcare fraud and protecting valuable resources. The CPHFA designation enhances career prospects and demonstrates expertise.


Explore the CPHFA program today and advance your career in healthcare compliance.

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Certified Professional in Healthcare Fraud Analysis (CPHA) is your gateway to a lucrative and impactful career combating healthcare fraud. This comprehensive program equips you with advanced investigative techniques, data analysis skills, and regulatory knowledge to identify and prevent fraudulent activities. Become a highly sought-after expert in healthcare compliance and risk management. Discover unique insights into healthcare billing, coding, and auditing. CPHA certification offers unparalleled career prospects in compliance, investigations, and consulting, leading to higher earning potential and job security. Gain the expertise needed to thrive in this dynamic field.

Entry requirements

The program operates on an open enrollment basis, and there are no specific entry requirements. Individuals with a genuine interest in the subject matter are welcome to participate.

International applicants and their qualifications are accepted.

Step into a transformative journey at LSIB, where you'll become part of a vibrant community of students from over 157 nationalities.

At LSIB, we are a global family. When you join us, your qualifications are recognized and accepted, making you a valued member of our diverse, internationally connected community.

Course Content

• Healthcare Fraud Investigation Techniques
• HIPAA Compliance and Data Privacy in Healthcare Fraud Analysis
• Medicare and Medicaid Fraud Schemes and Detection
• Financial Statement Analysis for Healthcare Fraud Detection
• Advanced Auditing Techniques in Healthcare
• Data Analytics and Predictive Modeling for Healthcare Fraud
• Legal Aspects of Healthcare Fraud Prosecution
• Healthcare Fraud Prevention Strategies and Controls

Assessment

The evaluation process is conducted through the submission of assignments, and there are no written examinations involved.

Fee and Payment Plans

30 to 40% Cheaper than most Universities and Colleges

Duration & course fee

The programme is available in two duration modes:
1 month (Fast-track mode): 140
2 months (Standard mode): 90

40% Cheaper

Our course fee is up to 40% cheaper than most universities and colleges.

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Awarding body

 The programme is awarded by London School of International Business. This program is not intended to replace or serve as an equivalent to obtaining a formal degree or diploma. It should be noted that this course is not accredited by a recognised awarding body or regulated by an authorised institution/ body.

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  • Start this course anytime from anywhere.
  • 1. Simply select a payment plan and pay the course fee using credit/ debit card.
  • 2. Course starts
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Got questions? Get in touch

Chat with us: Click the live chat button

+44 75 2064 7455

admissions@lsib.co.uk

+44 (0) 20 3608 0144



Career path

Career Role Description
Healthcare Fraud Analyst (Certified Professional) Investigates and prevents fraudulent activities within healthcare settings. Requires strong analytical and investigative skills, coupled with knowledge of healthcare regulations and data analysis techniques. High demand in the UK due to increasing healthcare fraud.
Healthcare Compliance Specialist (Certified) Ensures healthcare organisations adhere to regulations and best practices, minimizing fraud risks. Develops and implements compliance programs. Crucial role in the UK's healthcare system.
Forensic Accountant (Healthcare Focus) Applies forensic accounting principles to identify and investigate financial irregularities in healthcare. High demand for Certified Professionals in UK healthcare.
Data Analyst (Healthcare Fraud) Utilizes data analysis techniques to identify patterns and trends indicative of fraud. A key skill for all Certified Professionals in the fight against healthcare fraud in the UK.

Key facts about Certified Professional in Healthcare Fraud Analysis

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Becoming a Certified Professional in Healthcare Fraud Analysis (CPHFA) equips you with the skills to combat healthcare fraud, waste, and abuse. This certification demonstrates a high level of proficiency in identifying and investigating fraudulent activities within the healthcare industry.


The program's learning outcomes include mastering investigative techniques, understanding healthcare regulations (like HIPAA compliance), analyzing financial data, and developing effective fraud prevention strategies. You'll gain expertise in data analytics, auditing, and regulatory compliance, crucial for a career in healthcare fraud investigation.


The duration of the CPHFA certification program varies depending on the provider, but generally involves a structured curriculum completed over several months. Many programs offer flexible online learning options, accommodating diverse schedules.


The healthcare industry's increasing vulnerability to fraud makes the CPHFA certification highly relevant. Graduates are in high demand by hospitals, insurance companies, government agencies, and consulting firms specializing in healthcare compliance and risk management. This certification significantly enhances career prospects and earning potential within healthcare.


Successful completion of the program, often involving examinations and practical assessments, leads to the prestigious CPHFA credential. This demonstrates your competency in healthcare fraud detection, prevention, and investigation, making you a valuable asset in combating this pervasive issue.


The Certified Professional in Healthcare Fraud Analysis credential provides a competitive edge in a growing field, signifying a commitment to ethical practices and proficient investigative skills. This is critical for professionals seeking advanced roles in healthcare compliance, internal audit, and fraud investigation.

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Why this course?

A Certified Professional in Healthcare Fraud Analysis (CPHA) is increasingly significant in today's UK market. Healthcare fraud represents a substantial financial burden, with estimates suggesting losses in the hundreds of millions of pounds annually. The demand for skilled professionals capable of investigating and preventing such crimes is rapidly expanding. This is driven by stricter regulatory compliance and a growing need for robust fraud detection systems within the NHS and private healthcare providers.

Fraud Type Estimated Loss (£ millions)
Medical Billing Fraud 150
Prescription Fraud 75
Insurance Fraud 50

Who should enrol in Certified Professional in Healthcare Fraud Analysis?

Ideal Audience for Certified Professional in Healthcare Fraud Analysis Description
Healthcare Professionals Nurses, doctors, and administrators fighting healthcare fraud and abuse. The UK loses millions annually to fraudulent activities – upskill to become a key player in prevention and detection.
Auditors and Compliance Officers Strengthen your auditing skills and improve your organization's compliance efforts. Gain expertise in identifying and analyzing complex healthcare fraud schemes.
Law Enforcement and Investigators Enhance your investigative techniques with specialized knowledge of healthcare fraud. Improve your ability to build robust cases and contribute to successful prosecutions.
Data Analysts and Investigators Develop your analytical capabilities to identify patterns and anomalies within large healthcare datasets. Master data mining techniques for fraud detection and prevention.