Schedule at-a Glance

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TUESDAY, NOVEMBER 17

  • 7:00 am - 6:30 pm Conference Registration
  • 8:30 am - 4:30 pm Optional Full Day Pre-Conference Programs Details NHCAA is pleased to offer two full-day pre-conference programs. There is additional tuition applied to Pre-Conference registration

    AHFI® Examination Prep Course
    CPT Coding Schemes A-Z
  • 8:30 am - 12:00 pm Optional Half-Day Pre-Conference Program (Morning) Details NHCAA is pleased to offer this half-day pre-conference program in the morning. There is additional tuition applied to Pre-Conference registration.

    Emerging Schemes
  • 1:00 pm - 4:30 pm Optional Half-Day Pre-Conference Program (Afternoon) Details NHCAA is pleased to offer this half-day pre-conference program in the afternoon. There is additional tuition applied to Pre-Conference registration.

    Investigating Laboratory Services
  • 4:00 pm Anti-Fraud Expo Hall Opens
  • 5:00 pm - 6:30 pm Welcome Reception in the Anti-Fraud Expo Hall

 

WEDNESDAY, NOVEMBER 18

  • 6:30 am - 6:30 pm Conference Registration/Information
  • 8:00 am - 9:00 am Opening General Session
  • 9:15 am - 10:15 am Concurrent Sessions Details Urine Drug Screens: CPT Coding Update

    Foreign Dental Claims & Schemes

    Diabetic Neuropathy Clinics

    Investigating Medicaid Fraud: The Health Plan Perspective

    Emerging Threats: Pharmaceuticals

    DOJ Update

    Medicare Risk Adjustment Fraud

    SIU Best Practices Panel, presented by General Dynamics Health Solutions, an NHCAA Platinum Supporting Member

    Addressing Evolving Threats in Fraud, Waste and Abuse, presented by Truven Health Analytics, an NHCAA Platinum Supporting Member
  • 10:15 am - 11:00 am Coffee Break in the Anti-Fraud Expo Hall
  • 11:00 am - 12:00 pm Concurrent SessionsDetails Applied Behavior Analysis (ABA) Services

    Dental Coding Schemes

    Freestanding Emergency Centers

    An Ambulance Fraud Case Study

    Compounding Case Study

    NCCI Edits

    Social Media and Investigations

    How A Multi-pronged Approach and Use of Visualization is Most Effective to Reduce False Positives and Maximize FWA Initiatives, presented by Emdeon

    Six Degrees of Separation: Fueling investigations with insight into hidden and complex relationships, associations, and affiliations, presented by LexisNexis
  • 12:00 pm - 1:30 pm Awards Luncheon
  • 1:30 pm - 2:15 pm Dessert with the Exhibitors
  • 2:15 pm - 3:15 pm Details Clinical Trial Billing Compliance

    Medical Identity Theft Panel

    Forensic Accounting in Health Care Fraud Investigations

    Home Health: Operation Capitol Ills

    Part D Vulnerabilities: A Case Study

    CMS Program Integrity Update

    Accountable Care Organizations & the Fraud Impact

    Member & Agent Fraud Schemes in Supplemental Insurance

    Collaboration in Fighting Fraud, Presented by Verisk Health, an NHCAA Platinum Supporting Member
  • 3:25 pm - 4:25 pm Concurrent SessionsDetails Freestanding Behavioral Health Clinics

    Demystifying Oral and Maxillofacial Surgery: Extractions, Impactions, Anesthesia, Sleep Apnea Appliances, and Billing

    2015 Investigation of the Year

    Counterfeit Pharmaceuticals

    EHRs and the Fraud Potential Maximizing Witness Value during Patient and Provider Interviews

    Understanding Pharmacy Operations - A Key for Investigators Presented by Xerox, an NHCAA Platinum Supporting Member

    Expanding Beyond Facility RAC Audits with Adaptive Predictive Analytics, Presented by FICO, an NHCAA Platinum Supporting Member
  • 4:30 pm - 5:15 pm General Session
    Harnessing Technology to Combat Fraud
  • 5:15 pm - 7:15 pm Connect Reception in the Anti-Fraud Expo Hall

 

THURSDAY, NOVEMBER 19

  • 7:00 am - 5:00 pm Conference Registration/Information
  • 7:00 am - 8:00 am Breakfast Workshop SessionsDetails Predictive Analytics is more than just an industry buzzword and the distinction matters to SIUs, presented by BAE Systems, an NHCAA Premier Supporting Member

    Combining Medical and Pharmacy Data to Drive Compliance and Detect Fraud, Waste and Abuse, presented by Health Care Excel, Inc, an NHCAA Premier Supporting Member

    Effectively Integrating External Data into your Investigation, presented by Healthcare Fraud Shield, an NHCAA Premier Supporting Member

    Stop Fraudsters in Their Tracks and Prevent Profit Leakage, presented by IBM, an NHCAA Premier Supporting Member

    Key tenets of a successful FWA partnership between Medicaid and Federal Law Enforcement: A case study on how to exponentially increase anti-fraud productivity, presented by Optum, an NHCAA Premier Supporting Member

    Pharmacy Claims Advanced Data Analytics, presented by SCIO Health Analytics, an NHCAA Premier Supporting Member
  • 8:15 am - 9:30 am Concurrent SessionsDetails Endoscopic Sinus Surgery

    Community Mental Health Centers: A Case Study

    Dental Fraud Schemes in the Commercial & Public Sector

    Home Health Care

    Conducting a Lab Audit from Chart to Bill

    Oncology Services Fraud Case Study

    10 Legal Issues to Watch

    Will Fraud, Waste, Abuse Exist in an ACO World?, presented by CGI Federal Inc., an NHCAA Platinum Supporting Member
  • 9:30 am - 10:15 am Coffee Break in the Anti-Fraud Expo Hall
  • 10:15 am - 11:15 am Concurrent SessionsDetails Testesterone Therapy

    SIRIS Investigation of the Year

    Marketing Schemes: Compounding Pharmacies

    Prosecuting Reverse False Claims

    Fraud Under the Affordable Care Act: Year Two

    Disability Fraud

    Future Fraud Busters: How Integrating Clinical and Claims Platforms, and Applying New Predictive Models to Behavioral Health Will Change the Industry, presented by HMS, Inc., an NHCAA Platinum Supporting Member

    New Payment Frontier and the Data Challenges it Presents, presented by SAS, an NHCAA Platinum Supporting Member
  • 11:30 am - 12:30 pm Concurrent SessionsDetails Getting it Straight: Chiropractic and Physical Medicine Services

    Mental Health Services and the ACA

    Fraud Analytic Techniques: Simple Techniques to Uncover Complex Schemes

    Using Prescription Drug Monitoring Program Data to Identify Fraud

    Compromised Clinics and their impact on Medicare Part A, B, and D Fraud

    Building a Model to Combat Workers' Compensation Fraud

    Preparing for Medicare Audits
  • 12:30 pm - 2:00 pm Networking Luncheon, Price Drawing & Exhibit Finale in the Anti-Fraud Expo Hall
  • 2:00 pm - 3:15 pm Concurrent SessionsDetails Genetic and Biomarker Testing

    Dental Directors' Quick Hits Panel

    Ambulance Fraud

    Clinical Laboratory Case Study Law Enforcement

    Prosecuting Hospital Fraud: a Case Study

    Hospice Storm Project: Identifying Hospice Fraud in the Medicaid Program

    Functional Medicine

    Government Anti-Fraud Initiatives: Perspective from the Outside
  • 3:30 pm - 5:00 pm Concurrent SessionsDetails Operation Cinco Castillos: New Physical Therapy and J Code Schemes Targeting Private Insurance Carriers

    Emerging Fraud Schemes in Medicare

    Management Roundtable Discussion

    Workers' Compensation: a Grant Funding Model to Bolster Anti-fraud Efforts
  • 4:00 pm - 5:30 pm Certificate Pick-up

 

FRIDAY, NOVEMBER 20

  • 7:30 am - 11:30 am Certificate Pick-up
  • 8:00 am - 9:30 am Breakfast General Session
    Internet Profiling & Intelligence Gathering
  • 9:30 am - 11:30 am Ethics for the Health Care Fraud Investigator
  • 9:45 am - 11:00 am Concurrent Sessions Details Electrodiagnostic Medicine

    Group Therapy

    Oncology Services Fraud Case Study

    Hospice Storm Project: Identifying Hospice Fraud in the Medicaid Program
  • 11:30 am Conference Adjourns

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