July NETS

July 22 - 25 | Washington, DC

Programs
Case Discussion Roundtable
Registration Rates
Register
Hotel Reservations & Information
NASBA Statement

Washington, DC

PROGRAMS

Case Discussion Roundtable - Member Orgs & LELs Only

Monday, July 22
2.5 hours | 2 CPEs
Complimentary

This complimentary credit opportunity, provides a forum for our private and public sector members to come together to share information and discuss active health care fraud investigations as well as schemes, trends, and fraud patterns.

See more information below

Analyzing the Data

Tuesday, July 23
8 CPEs
Level II (Intermediate)

Explore strategies and techniques to uncover and prove health care fraud through fusion analysis, encounter data, extrapolation and a variety of data mining techniques and algorithms. In addition, discuss ways data can be leveraged in negotiations and prosecutions.

After completing this program attendees will be able to:

  • List three techniques for data minining
  • Recognize at least two red flags in data
  • State ways to incorporate data into monetary recovery negotiations

Data Agenda

NASBA Information

Prerequisites: See level II description for content mastery recommended, no other advance preparation required.

Field of Study: Specialized Knowledge & Applications

Delivery:
Group Live

Coding Clinic

Wednesday, July 24
8 CPEs | 7 CEUs*
Level II (Intermediate)

AAPC Approved Logo *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.

Expert faculty dissects the CPT manual chapter by chapter demonstrating the most common coding challenges in each specialty area. Learn emerging schemes unique to specific codes, and how to detect the necessary documentation in the medical record to build your case. Walk away with an overview of fraud challenges inherent with E&M codes and modifiers and how to effectively utilize Correct Coding Initiatives edits and Medicare Unlikely Edits in your fraud detection and investigations.

After completing this program attendees will be able to:

  • List five CPT codes to monitor
  • Indicate red flags for CPT codes in medical records and patient statements
  • Tell colleagues how to use CCI edits and other CPT information to data mine for fraud and abuse

Coding Agenda

NASBA Information

Prerequisites: See level II description for content mastery recommended, no other advance preparation required.

Field of Study: Specialized Knowledge & Applications

Delivery:
Group Live

Preparing to Testify

Thursday, July 25
8 CPEs
Level II (Intermediate)

From the referral to testimony, follow and apply the necessary steps for when a case goes to trial. Faculty will walk participants through a case from presenting the referral to law enforcement, preparing for the deposition, as well as trial, testifying techniques, introducing evidence, and cross examination. Participants will understand the testifying process and will hone testimony skills.

After completing this program attendees will be able to:

  • Describe the steps leading up to a trial and what role a SIU investigator would play
  • Recognzie the proper way to to handle and collect evidence during the investigative period
  • State behaviors on the stand that could negativley influence a jury

Testify Agenda

NASBA Information

Prerequisites: See level II description for content mastery recommended, no other advance preparation required.

Field of Study: Specialized Knowledge & Applications

Delivery: Group Live

Case Discussion Roundtable

Luncheon Speaker & Case Discussion Roundtable Meeting

Monday, July 22
4 hours | 4 CPEs
Request an Invitation

Complimentary for NHCAA Member Organizations (who have signed the Information-Sharing Agreement) and Law Enforcement Liaisons.

Agenda

12:00 p.m.

Registration

12:15 p.m. - 1:15 p.m.

Networking Lunch

1:15 p.m. - 2:15 p.m.

Examining Electronic Medical Record Platforms

Reed Gelzer, MD, MPH
Medical Director, HIT Policy and EHR Specialist
Provider Resources, Inc.

Dr. Gelzer will lead an examination of EHR software platforms, demonstrating design flaws that encourage such actions as cloning records, removal of the the audit function and upcoding, or that prevent the ability to provide reports.

2:15 p.m. - 2:30 p.m.

Break

2:30 p.m. - 5:00 p.m.

Case Discussion Roundtables




Case Discussion Roundtable Meeting

Provides an opportunity for our private and public sector members to come together to share information and discuss active health care fraud investigations as well as schemes, trends, and fraud patterns. Attendees participate in small group discussion, sharing information on cases and trends they are experiencing, culminating with a report out to the group on issues of interest uncovered during the roundtables.

Case Discussion Roundtable Meetings are complimentary and eligible attendees include employees of NHCAA's Corporate Member Organizations who have signed an Information Sharing Agreement and NHCAA's Law Enforcement Liaisons (LELs).

These meetings are invitation only. If you would like more information, please contact Brian Viggiano, Deputy Director of Anti-Fraud Initiatives, via email at bviggiano@nhcaa.org or request an invitation.

 

REGISTRATION RATES
  Member1 Government2 Non-Member3
1 Program $395 $455 $595
2 Programs $770 $885 $1170
3 Programs $1,145 $1,325 $1,695

1NHCAA Member rate applies to all NHCAA Member Organizations, Affiliate Members, Individual Members, Platinum Members, Premier Supporting Members and Supporting Members.

2Government rate applies to NHCAA Law Enforcement Liaisons and other attendees from local, state and federal public agencies.

3Non-Member participants must occupy a professional position with a private for-profit or not-for-profit health care reimbursement organization, or in a local, state or federal law enforcement, prosecutorial, or regulatory agency or in a professional disciplinary organization. All registrations will be reviewed to ensure these eligibility requirements are met. If you are not in one of these positions, but wish to attend, please email us at: training@nhcaa.org.

REGISTER

4 Ways to Register

  1. Online: Register online via secure transactions starting mid-January. Please have a Visa, MasterCard, Discover or American Express card available
  2. Fax: Fill out & print completed registration form. Fax form along with credit card payment information or purchase order to 202.785.6764.
  3. Email: Email your completed registration form along with purchase order to training@nhcaa.org.
  4. Mail: Fill out & print completed registration form. Mail form along with payment information to NHCAA 1201 New York Avenue, NW, Ste 1120, Washington, DC 20005. Make check payable to "The NHCAA Institute". Registration forms will be available on November 5, 2012.

Substitution & Cancellation Policies for Participants

Registration Deadline for Participant Roster: Monday, July 8, 2013. NHCAA accepts registrations after this date; however, NHCAA may not be able to include your contact information in the participant roster or have a certificate of completion on-site for you.

Cancellation

To cancel and obtain a full refund, minus a $75.00 administrative fee, you must provide WRITTEN NOTICE OF CANCELLATION to The NHCAA Institute by the Registration, Substitution and Cancellation Cut-off Date (see above). If you cancel in writing after that date, but before the program begins, you will receive a 50% refund, minus a $75.00 administrative fee. No refunds will be provided for cancellations received after the program convenes. To cancel please email the Manager, Administrative Services, at training@nhcaa.org or mail the NHCAA Institute - NETS at 1201 New York Ave., NW Suite 1120, Washington, DC 20005.

Substitution

To request a substitution, you must provide WRITTEN NOTICE OF SUBSTITUTION to the NHCAA Institute by the Registration, Substitution and Cancellation Cut-off Date (see above). All substitutions received after the cut-off date will be assessed a $75.00 fee. Please email the Manager, Administrative Services at training@nhcaa.org to request a substitution or mail the NHCAA Institute - NETS at 1201 New York Ave., NW Suite 1120, Washington, DC 20005.

NHCAA Event Cancellation Policy

In the event that NHCAA postponed or cancels a NETS program, NHCAA will contact by email and by phone the program registrants, and offer a program credit toward a future event, or a refund if the registrant chooses not to attend another NHCAA event.

HOTEL RESERVATIONS & INFORMATION

The Mayflower Renaissance
1127 Connecticut Ave. NW
Washington, DC 20036
Mayflower Website

Washington, DC

Make Reservations

Phone Number

800.468.3571

Negotiated Hotel Rate Deadline

All NHCAA rate negotiated hotel rooms are sold on a first come, first serve basis. Rooms will be available until Sunday, June 30, 2013 or until sold-out.

Participants should identify themselves as being with the NHCAA Institute. If you are a federal employee and qualify for the government rate, please identify yourself as "NHCAA Institute Government" program attendee.

Room Rates

Standard Single/Double: $179.00*
Government Single/Double: Prevailing government per diem

Check-in: 3:00 p.m. | Check-out: 12:00 p.m.

Parking

Self-parking*: $45 overnight with in/out privileges, $25 daytime with no in/out privileges
Valet-parking: $45 daily, plus fee

*Due to size restrictions no vehicles larger than a small SUV are able to utilize the garage.

Airport

Ronald Reagan Washington National Airport - DCA

Metrorail

Farragut North Station, on the red line, is within walking distance of the hotel.

*IMPORTANT: Be advised that Web site URLs, taxi fares, parking costs, check-in & check-out times, and prices quoted below, with the exception of NHCAA blocked hotel rooms, may be changed at the vendors' discretion. Please confirm all costs associated with your travel prior to attending the program.

NASBA Statement

NASBA Logo

The NHCAA Institute for Health Care Fraud Prevention is registered with the National Association of State Boards of Accountancy (NASBA) as a sponsor of continuing professional education on the National Registry of CPE Sponsors. State boards of accountancy have final authority on the acceptance of individual courses for CPE credit. Complaints regarding registered sponsors may be submitted to the National Registry of CPE Sponsors through its web site: www.learningmarket.org

CPE Complaint Resolution

Complaints in regards to NHCAA courses offered for CPE Credit will be facilitated through the Manager, Education & Training Services. The Manager, Education & Training Services will make every effort to resolve complaints satisfactorily for all parties involved. Contact training@nhcaa.org.