Annual Training Conference

The NHCAA Institute for Health Care Fraud Prevention's Annual Training Conference (ATC) is NHCAA's premiere annual event, recognized industry-wide as the nation's leading health care anti-fraud forum. This year's Annual Training Conference is scheduled for November 17 - 20 at the Rosen Shingle Creek in Orlando, Florida. Attend the ATC and:

• Participate in Pre-Conference workshops, keynote sessions, and over 50 individual sessions designed to provide the latest tools and techniques for fighting fraud and information on emerging trends for successful fraud prevention
• Form business contacts, exchange ideas and renew old acquaintances during the multiple networking opportunities at breakfasts, lunches, Welcome and Wine and Cheese receptions, and our popular Closing Reception.
• Explore numerous business and technology solutions in the Anti-Fraud Expo
• New this year, follow the AHFI Path of suggested sessions designed to enhance investigative knowledge.

This year our more than 50 individual workshops are organized under the following broad training areas: to view a preliminary schedule of Events, please click here.

• Clinical Issues for the Health Care Fraud Investigator
  Workshops with a focus on furthering better clinical understanding within investigative work.

• Fraud Detection & Investigation in Specialty Areas
  Follow investigations that uncover new trends and schemes within the industry.

• Investigator’s Toolbox
  Education supplying both novice and experienced investigators practical tools and techniques to use in today’s investigations.

• Legal, Regulatory & Management Issues
  For the SIU manager, workshops on today’s legal and regulatory trends, public sector fraud case studies, and sessions on management of the SIU.

• Life, Disability, Long-Term Care & Workers’ Compensation
  Hear case studies of fraud investigation in the life, disability, workers’ compensation, and long-term care insurance arenas.

• Anti-Fraud Technology and Services
  Explore business and technology solutions from NHCAA’s Premier Supporting Members designed to assist investigators with today’s health care fraud challenges.

2 FULL-DAY PROGRAMS
Tuesday, November 17
8:30 a.m. - 4:30 p.m.
Registration includes a networking luncheon.

Coding 0-9: It’s a Numbers Game
Level II, 8 CPEs

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 specific schemes to investigate, and an overview of new 2010 CPT codes.

Faculty
Kathleen A. Amato, RN, BSN, CPC, CPC-H, AHFI
Manager, Special Investigation, Capital Blue Cross

Shannon M. Hall, CPC, AHFI
Senior Investigator, Premera Blue Cross Shannon Hall

Jonnie Massey, CPC, CPC-I, CPC-P, AHFI
Supervisor, External Audit & Investigations, The Regence Group

Sheri Poe Bernard, CPC, CPC-H, CPC-P
Vice President, Clinical Coding Content, American Academy of Professional Coders

Who Should Attend
Mid-level investigators and law enforcement personnel seeking more familiarity with medical records, COPT coding and common coding schemes.

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Detecting and Preventing Medical Identity Theft
Level II, 8 CPEs

Explore how to anticipate the likelihood of medical identity theft, how to identify it within your system and common areas of vulnerability. Learn the legal tools available to combat this type of fraud as well as payers potential liability caused by an inadvertent loss of records. Faculty will share case examples and lessons learned from both public and private sector programs, and how to detect and prevent this fast growing but hard to uncover challenge for insurers.

Faculty
Rebecca S. Busch, RN, MBA, CCM, CBM, CHS-3, CFE, FHFMA
CEO & President, Medical Business Associates, Inc.

Rick Germroth
Lead Investigator, Kaiser Permanente

Dan Leeper
Supervisory Special Agent
U.S. Dept. of Justice, Federal Bureau of Investigation

Christie Moon
National Director of Fraud Control, Kaiser Permanente 

Who Should Attend
Mid-level investigators and law enforcement personnel involved in the examination of issues surrounding privacy and medical identity theft.

 

3 HALF-DAY PROGRAMS
Tuesday, November 17
1:00 p.m. -  4:30 p.m.

Investigating in a Pre-pay Environment
Level II, 4 CPEs

Investigate new strategies for uncovering fraud in a pre-pay environment, exploring new ways to proactively identify fraud, and gleaning lessons learned from plans who have already made this change.

Faculty
Shannon M. Hall, CPC, AHFI
Senior Investigator, Premera Blue Cross

Barbara A. Stencil, AHFI
Manager of Special Investigations, Humana

Jeffrey M. Wickwire
Data Analyst Manager, Humana

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

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Overutilization or Scheme? Emerging Fraud Challenges
Level II, 4 CPEs

Medical experts and senior investigators discuss emerging and established technologies, evaluating the appropriate use and how to recognize patterns of misuse. Using intraoperative neurologic monitoring as an example, faculty will demonstrate the medical indications for a procedure, and demonstrate health care schemes based on medical necessity.

Faculty
Darrell Langlois, AHFI, CPA, CIA
Director of Investigations, Blue Cross Blue Shield of Louisiana

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

Who Should Attend
Mid-level investigators and law enforcement personnel involved in the examination of issues surrounding appropriate utilization of medical services.

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AHFI Examination Prep Course - New This Year!
Level II, 4 CPEs

Prepare to sit for the Accredited Health Care 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 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
Kathleen A. Amato, RN, BSN, CPC, CPC-H, AHFI
Manager, Special Investigation, Capital Blue Cross

Brian Lane, AHFI, CFE
Manager, Fraud Services, CGI

Louis Saccoccio
Executive Director, National Health Care Anti-Fraud Association

Who should attend
Mid-level and senior investigators seeking to advance their career by obtaining the The Gold Standard of Professionalism in Health Care Fraud Investigation, the AHFI®.

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Conference Registration is open to all NHCAA member categories, and non-members who must be in a managerial, supervisory or professional position for a private for-profit or not-for-profit health care reimbursement organization, or in 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 send an e-mail to: training@nhcaa.org. 

Registration Rates for the 2009 ATC are as follows:

*ATC registration fees include: Workshops, General Sessions, Anti-Fraud Expo, Welcome Reception, Wine & Cheese Reception, Breakfasts, Luncheons and 1 ticket to the Closing Reception.
¹NHCAA Member rate applies to all NHCAA Member Organizations, Individual Members, Affiliate Members, Premier Supporting Members and Supporting Members.
²Government Employee 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 registrants will be reviewed to ensure these eligibility requirements are met. If you are not in one of these positions, but wish to attend, please e-mail us at training@nhcaa.org.

PAYMENT

To qualify for the NHCAA Early Bird Registration rate, registration forms and accompanying payment must be received no later than close of business Monday, September 14, 2009. Registrations received after this date will be subject to the Standard registration rates. Registrations will not be processed without payment or purchase order. To enter the Anti-Fraud Expo Hall at any time, or to attend any of the networking receptions, a full conference registration badge, or a spouse guest badge must be worn.

CANCELLATION POLICY

To cancel and obtain a full refund minus a $75 administrative fee, you must provide WRITTEN NOTICE OF CANCELLATION to The NHCAA Institute, ATC Registration, 1201 New York Ave, NW, Suite 1120, Washington, DC 20005, or via e-mail at ATCreg@nhcaa.org by Friday, October 9. If you cancel in writing after Friday, October 9, but before Friday, October 23, you will receive a 50% refund minus a $75 administrative fee. No refunds will be provided for cancellations received after October 23. Refunds will not be issued to registrants who do not attend the conference.

SUBSTITUTIONS

To request a substitution, you must provide WRITTEN NOTICE OF SUBSTITUTION to The NHCAA Institute, ATC Registration, 1201 New York Ave, NW, Suite 1120, Washington, DC 20005, or via e-mail to ATCreg@nhcaa.org by Friday, October 23. A $50.00 fee will be assessed on any substitution before Friday, October 23. After Friday, October 23, a $75.00 fee will be assessed on any substitutions. Onsite substitutions can be made for a $75.00 fee.

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Four Ways to Register
We are pleased to offer online registration for your convenience, or you may take advantage of our other 3 simple ways to register:

1. Online: Register online via secure transactions. Please have a Visa, MasterCard 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. E-mail: E-mail your completed registration form along with purchase order to ATCreg@nhcaa.org
4. Mail:    Fill out & print completed registration form. Mail form along with payment information to 1201 New York Avenue, NW, Ste 1120, Washington, DC 20005. Make check payable to "The NHCAA Institute"

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