Pre-Conference Programs

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

PC-fullday
Tuesday, November 17
8:30 a.m. - 4:30 p.m.
Registration includes a networking luncheon.

AHFI® Examination Prep Course
Level II, 8 CPEs

Prepare to sit for the Accredited Health Care Fraud 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 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

James McCall, AHFI
Director, Payment Integrity, Fraud Analytics, Emdeon

Robert Mays, AHFI
Director, SIU, Anthem, 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 20 at 12:00 p.m. (paper exam)
Application Deadline: Monday, October 23, 2015

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


CPT Coding Schemes A-Z
Level II, 8 CPEs

Join this high energy workshop focused on CPT coding schemes in a variety specialty areas beginning with the letter A and ending with Z. Learn emerging schemes unique to specific codes, and how to evaluate the documentation in the medical record to build a case. Participants will walk away with codes to data mine and new schemes to examine.

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
Shaker Consulting Services, LLC

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.

half-day 
Tuesday, November 17
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

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

More Faculty TBA

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.

Investigating Laboratory Servicces
Level II, 4 CPEs

Examine how to uncover laboratory fraud schemes in areas including genomics, biomarkers and drug screens. Explore correct coding, documentation and red flags that will help uncover fraudulent activity. Expert faculty share their experiences and successes.

Faculty

Kristine Bordenave, MD
Medical Director, Humana

Ksenia Coble, RN, CPC
Consultant, Humana

Melissa Scott, CHC, CPC
President, ClinLab Consultants

Who Should Attend:
Health care fraud investigators seeking to understand the nuances of laboratory service investigation.

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

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