NHCAA is pleased to offer four additional professional development opportunities in Orlando. There is additional tuition applied to Pre-Conference registration; please refer to the registration rate table.

AHFI^® Examination Prep Course
Level II, 8 CPEs

Prepare to sit for the Accredited Health Care Investigator (AHFI) exam by participating in this full-day preparatory program, designed to highlight key content areas on the AHFI^® examination. Expert faculty will lead sessions on coding and medical terminology, health care fraud federal and state regulations, health insurance and health care system overview and the basic investigative skills. AHFIs candidates will have the opportunity to take the AHFI^® exam at the conclusion of the Annual Training Conference.

Faculty

Daniel Bowerman, DC, AHFI, FACO, CPC
Chiropractic Consultant

Brian Lane, AHFI, CFE
Manager, Corporate Investigations, Mutual of Omaha

Robert Mays, AHFI, CFE
Program Integrity Solution Executive, Optum

Louis Saccoccio
Chief Executive Officer, National Health Care Anti-Fraud Association

Who should attend
Mid-level and senior investigators seeking to advance their career by obtaining The Gold Standard of Professionalism in Health Care Fraud Investigation, the AHFI^®.

Sit for the AHFI^® Exam at the Annual Training Conference
Exam Date: Thursday, November 21 | 12:00 p.m. - 4:00 p.m. (paper exam)
Application Deadline: October 21, 2013

To request an AHFI application email training@nhcaa.org. To download a transcript of your NHCAA training, visit: http://edcenter.nhcaa.org/.

Back to top

Picking through the HCPCs: Current Schemes*
Level II, 8 CPEs

Coding experts drill down into the HCPCS manual, uncovering myriad coding schemes and details on how to mine the data to uncover exposure, and documentation to look for in the medical record. Schemes to be discussed will be related to improper ambulance billings, non-covered supplies, dispensing of diabetic supplies and testing equipment, medically unnecessary CPAP equipment, improperly reported equipment rentals- hospital beds, wheelchairs, etc, unbundling oxygen services, J-Codes red flags and much more! Walk away with coding schemes that can be mined when returning to the office.

Faculty

Kathleen A. Shaker, RN, BSN, CPC, CPC-H, AHFI
FEP Investigative Consultant, Blue Cross Blue Shield Association

Jonnie Massey, CPC, CPC-P, CPC-I, CPMA, AHFI
Senior Investigator, Blue Shield of California

Katherine M. Leff, RN, ALHC, CLU, AHFI
Director, Special Investigations, CareSource Management Group

Karen Weintraub, MA, CPC-P, AHFI
Executive Vice President, SIU, Healthcare Fraud Shield

Who should attend
Mid-level investigators and law enforcement personnel seeking increased familiarity with medical records, HCPCS coding and coding schemes.  

*This program has the prior approval of AAPC for 7.0 continuing education hours. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor.

Back to top

Investigating Foreign Claims & Schemes
Level II, 4 CPEs

Seasoned investigators share detection and investigation best practices when examining foreign claims. Discover sources for information on foreign providers, gain a better understanding on the insurance processes in other countries and glean tips on where to search to substantiate an allegation of fraud. Finally, examine criminal enterprises perpetrating health care fraud on U.S. soil, or billing insurers and the government from outside the U.S.

Faculty

Joaquin Basauri
Senior Investigator, Kaiser Permanente

Andrea Colley-Lopez, MSM, AHFI
Global Program Integrity Manager, International SOS

Andrew McKee
Inspector, Investigations Unit, U.S. Dept. of Health & Human Services, OIG-OI

Who should attend
Health care fraud investigators and law enforcement personnel seeking new approaches to identifying foreign claims fraud.

Back to top

EMRs & Cyber Crime
Level II, 4 CPEs

As the nation moves toward electronic health records (EHRs) and the digitization of medical information, there are some very real cybercrime concerns, and new fraud opportunities to watch. In this preconference, faculty will examine the features of EMR platforms, how to determine the quality of the platform, and how to recognize red flags within these records. Faculty will explore patient portals, the new HIEs and ways to address the increased challenge of patient and provider identification data stolen through cyber theft.

Back to ATC