Pre-Conference Programs

NHCAA is pleased to offer 4 additional professional development opportunities in Dallas. There is additional tuition applied to Pre-Conference registration; please refer to the registration rate table.

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Tuesday, November 18
8:30 a.m. - 4:30 p.m.
Registration includes a networking luncheon.

AHFI® Examination Prep Course
Level II, 4 CPEs

Prepare to sit for the Accredited Health Care Fraud Investigator (AHFI) exam by participating in this 3 hour 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 laws, federal and state regulations, health insurance and health care system overview, and basic investigative skills. AHFI candidates will have the opportunity to take the AHFI® exam at the conclusion of the Annual Training Conference.

Faculty

Daniel Bowerman, DC, AHFI, CPC
Chiropractic Consultant

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

Robert Mays, AHFI
Senior Associate, Rainmakers Strategic Solutions, Inc.

Louis Saccoccio
CEO, 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: Friday, November 21 at 12:00 p.m. (paper exam)
Application Deadline: Monday, October 20, 2014

To request an AHFI® application email training@nhcaa.org. To download a transcript of your NHCAA training, visit NHCAA Education Center.


Evaluation & Management (E/M) Coding Schemes
Level II, 8 CPEs

Examine the nuts and bolts of E/M coding with a hands-on session on how to score these services using CMS' E/M Guidelines. Participants will be provided with the worksheets and tools to successfully conduct these audits. The faculty will also identify common E/M schemes in a variety of specialty areas and demonstrate investigative steps. The impact of electronic medical records on E/M coding will also be discussed.

Faculty

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

Cindy Parman, CPC, CPC-H, RCC
Principal, Coding Strategies, Inc.

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

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, coding and coding schemes.

AAPC Approved Logo *This program has the prior approval of AAPC for 6.0 continuing education hours. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor.

 

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Tuesday, November 18
8:30 a.m. - 12:00 p.m.

Emerging Schemes
Level II, 4 CPEs

Identify emergent schemes in Medicare, Medicaid and private programs and tips on the rapid identification of these schemes. Join in the discussion of medical technologies, devices and procedures new to the market and inherent coverage and reimbursement challenges. Examine new medical technologies and devices that will be the focus of tomorrow's health care fraud investigations.

Faculty

Gary Cicio, DPM, DABPS, CPC
Clinical Director, Fraud Investigations, WellPoint, Inc.

Michael Cohen, PhD
Inspector, U.S. Dept. of Health & Human Services, OIG-OI

Ayms Lang, MD, CPC, AHFI
Senior Investigator, WellPoint, Inc.

Jennifer Trussell
Special Advisor, U.S. Dept. of Health & Human Services, OIG-OI

Shimon Richmond
Assistant Special Agent in Charge, Investigations Branch, U.S. Dept. of Health & Human Services, OIG-OI

Who Should Attend:
Mid-level investigators and law enforcement personnel involved in the examination and assessment of potential health care fraud.


Tuesday, November 18
1:00 p.m. - 4:30 p.m.

Provider Interviewing Techniques
Level II, 4 CPEs

Provider interviews can be difficult because they use a technical vocabulary that allows them to control the process, redirect the questions and create wiggle room. This class will arm you with the confidence and knowledge needed to control the interview while maintaining a professional atmosphere and avoiding confrontation. Through the use of video clips, attendees will view the reactions of providers to different types of questions and learn to evaluate non-verbal communication. Faculty will provide guidance and tips for all aspects of the interview process, including medical record review prior to the interview, the design of questions to encourage the provider to offer the detailed information needed, how to effectively segue into ownership and leasehold information, and how to close the interview.

Faculty

Rick Wakefield, JD, DC, PA
President, International Healthcare Consultants, Inc.

Who Should Attend:
Health care fraud investigators seeking to hone interviewing skills or new ideas on successful interviewing techniques.

Register for both the morning and afternoon Pre-Conference and receive a complimentary lunch.

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