SPECIALIZE · CMAS · CAAS · CMES · CMTS · CCCM · CMNS · CMEV
Fraud Risk Management
Practical Fraud Risk Management for professionals at all levels in the global assistance, medical transport, and insurance industry. Understand what fraud looks like, how it happens, and how to prevent and detect it in your daily role.
CMAS
CAAS
CMES
CMTS
CCCM
CMNS
CMEV
D
GAMTI Diploma
Valid indefinitely · verifiable credential
Duration
3–4 hours
Format
Self-paced · Online
Languages
EN · DE · ES · AR
No prerequisites for standalone or CPD booking. CIP required if taken as part of a certification pathway.
INDIVIDUAL
€350
per learner · excl. taxes
WHAT YOU'LL LEARN
Practical outcomes.
01
Recognize the most common types of fraud, waste, and abuse in the assistance and medical transport industry
02
Understand how fraud happens — the patterns, the motivations, and the conditions that allow it to occur
03
Apply practical detection techniques in your day-to-day role — what to look for and when to escalate
04
Understand the financial and reputational cost of fraud — and your role in preventing it
05
Know what to do when you spot something suspicious — how to document, report, and respond correctly
COURSE CONTENT
What's inside.
8 modules · approximately 3–4 hours self-paced.
01
What is Fraud? Waste & Abuse
Definitions, the difference between fraud, waste, and abuse, and why the distinction matters for how cases are handled in the assistance industry
02
The Cost of Fraud in Assistance
Financial, legal, reputational, and operational impact of fraud on assistance companies, insurers, and the wider industry
03
Who Commits Fraud and Why
Risk profiles, motivations, and the conditions that enable fraud — patients, providers, employees, and third-party agents
04
Fraud Patterns in the Assistance Industry
The most common fraud patterns in medical claims, provider billing, repatriation, and escort operations — what to look for in your daily work
05
Red Flags & Detection
Practical red flag indicators across case types — high-cost claims, inconsistent documentation, unusual treatment patterns, and provider behaviour
06
Prevention in Practice
What you can do in your role to prevent fraud — verification, documentation standards, authorization controls, and escalation
07
Reporting & Escalation
How to raise a fraud concern, what information to document, who to escalate to, and how to protect yourself professionally when reporting suspected fraud
08
Ethics, Integrity & Professional Obligations
The professional and ethical obligations of everyone in the assistance industry when it comes to fraud — and what a culture of integrity looks like in practice
✓
GAMTI Diploma issued on completion — valid indefinitely
WHY THIS COURSE
Choose this course if you want to:
→
Recognize fraud when you encounter it in your daily work — claims, documentation, provider billing, or case patterns — before it becomes a costly problem
→
Understand the difference between fraud, waste, and abuse — and why that distinction changes how you respond
→
Know exactly what to look for, how to document it, and how to escalate it correctly — without overstepping your role
→
Build a professional foundation in fraud prevention that is recognized across multiple GAMTI Specialize certifications
→
Fulfill the fraud risk competency requirement for the CMAS, CAAS, CMES, CMTS, CCCM, CMNS, and CMEV certification pathways
WHO THIS IS FOR
Designed for these roles.
Assistance coordinators and case managers
Air ambulance coordinators and operations staff
Medical escorts and transport professionals
Network and provider managers
Insurance and claims handling professionals
Clinical case managers in the assistance sector
Anyone in the industry who encounters, authorizes, or processes medical claims
PRICING
Enroll individually or as a team.
INDIVIDUAL
€350
per learner · one-time · excl. taxes
✓ Full course access
✓ GAMTI Diploma · valid indefinitely
✓ EN · DE · ES · AR
✓ 3 months platform access
MOST POPULAR
TEAM (5–15 learners)
€315
per learner · 10% off
✓ Everything in Individual
✓ Team dashboard & reporting
✓ Per-learner progress tracking
✓ volume discount applied
LARGE TEAM (16–50 learners)
€298
per learner · 15% off
✓ Everything in Team
✓ Priority onboarding
✓ Dedicated account contact
51+ learners? Contact us for customized pricing →