Pre-Conference Programs

NHCAA is pleased to offer 5 additional professional development opportunities in Anaheim. There is additional tuition applied to Pre-Conference registration; please refer to the registration rate table.

2 Full-day Programs
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 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
Consultant

Louis Patalano, IV, JD
General Counsel & Vice President, Legal Services, Cape Fear Valley Health System

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: Friday, November 16 | 12:00 p.m. - 4:00 p.m. (paper exam)
Application Deadline: October 22, 2012

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

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Fraud Schemes Cradle to Grave
Level II, 8 CPEs

Examine fraud and abuse schemes that span each phase of life from birth to death. Areas covered will include neonatal care, pediatric medicine, drug and rehabilitation services, obstetrics, preventive and alternative medicine, laboratory and diagnostic testing, medical oncology, home health and hospice care.

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, CPC, CFE
Director, Special Investigations, CareSource Management Group

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

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

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

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3 Half-Day Programs
1:00 p.m.- 4:30 p.m.

Emerging Technologies & 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

James V. McCall, AHFI
Anti-Fraud Services Leader, IBM

Jennifer Trussell
Special Agent in Charge, Investigations Branch, U.S. Department of Health & Human Services, OIG-OI

John S. Yao, MD, MPH, MBA, MPA, FACP
Senior Medical Director, Blue Shield of California

Who should attend
Health care fraud investigators and law enforcement personnel seeking new approaches to preventing health care fraud schemes.

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Investigating Behavioral Health Fraud
Level II, 4 CPEs

Medical experts and senior investigators discuss neuropsychological testing, autism-related services, home health and nursing home services, evaluating the appropriate use and how to recognize patterns of misuse. Wrap the day with an interactive case study focused on the challenges of interviewing patients and providers during a behavioral health investigation.

Faculty

Karen Dodd, MSWE, LCSW, MBA
Director of Clinical Operations, SIU, OptumHealth Behavioral Solutions

Patricia Lefort
Manager, SIU, OptumHealth Behavioral Solutions

Richard May
Chief Investigator, Oregon Department of Justice

James M. Slayton, MD, MBA
National Director of Outpatient Services, OptumHealth Behavioral Solutions

Douglas Thoren
Assistant Attorney General, North Carolina Department of Justice

Who Should Attend
Mid-level investigators and law enforcement personnel involved in the detection of behavioral health fraud.

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Use of Social Networks in Investigations
Level II, 4 CPEs

Explore techniques for using social media in fraud investigations, and how to manage the legal risks of using social media in investigations. Examine the dynamic constitutional jurisprudence surrounding the use of social technology including potential application of the 4th Amendment and the Stored Communications Act to the use of social media without a warrant.

Faculty

Gloria Frank, JD, CPC
Chief Legal Counsel, AdvanceMed Corporation

Joseph L. Cowan, II
Member, Hand Arendall, LLC

Roy A. Mura, Esq.
Mura&Storm, Pllc

Who Should Attend
Mid-level investigators and law enforcement personnel interested in both techniques and legalities of the use of social networks.

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