Do you have a health care anti-fraud skill or scheme to share? Can NHCAA members learn from your experiences or your expertise?
Submit a presentation idea to lead an educational session during 2026! This call for presentations is for NHCAA’s Skills, Schemes, and on-demand sessions.We’re looking for:
- Anti-fraud professionals at all career stages – we can learn from your years of experience or your fresh perspective.
- Experienced and non-experienced speakers – wow us with your well-tuned presentation skills or work with NHCAA staff to sharpen your presentation style.
- Diversity of perspectives – we want to hear from analysts, investigators, managers, clinical staff, and others from different lines of business, geographic areas, and plan sizes.
- Presentations that that offer lessons learned, tips to identify schemes, case studies, technological innovations, cross-sector collaboration, or insights that expand your peers’ skills.
Enhancing Your Skills
Enhancing Your Skills: Managing & Navigating Complex Investigations
Virtual Program | March 3 – 5, 2026
Credits: 10 CPE
Submission Deadline: September 19, 2025
This program is designed to enhance the skills of middle managers and investigators on the rise. Speakers present on a skill or utilize a case example to highlight case management best practices for complex cases.
Some presentations the E&T Committee would like to see include:
- Building Effective Partnerships
- Complex Schemes Case Studies – Discuss how to recognize the scheme, understand scheme logistics, investigative strategies, challenges, and techniques, how to work with internal and/or external partners. Provider types frequently requested include:
- Behavioral Health
- DME
- Facilities
- Medical Doctors
- Labs
- Pharmacy
- Cultural Competency in Investigations (navigating patient and provider populations with diverse backgrounds)
- Interviewing Techniques
- Preparing to be Deposed
- Prompt Engineering for AI
- Evidence Management
- Strategic Thinking for Investigations
- Uncovering Patterns and Anomalies for Investigators
- Use of AI in Investigative Workflows
Schemes for Investigators
Schemes for Health Care Fraud Investigators & Analysts
Hybrid Virtual Live / On-Demand Program | June 2 – 12, 2026
14 CPEs
Submission Deadline: November 14, 2025
Earn recognition, grow your professional network, and contribute to the fight against fraud.
Join NHCAA’s flagship Schemes for Health Care Fraud Investigators & Analysts program, designed to dive deep into the world of health care fraud schemes. This annual virtual event combines on-demand presentations, live sessions, and networking opportunities to deliver an unparalleled learning experience.
Whether you’re exploring electronic prescribing fraud or unraveling complex business arrangements, your knowledge can shape the future of health care fraud prevention. Presentations the E&T Committee would like to see include:
- Artificial Intelligence in Fraud Investigations
- Data Analysis Techniques
- Red Flag Detection in Small Data Environments
- Electronic Prescribing Fraud
- Health Information Technology Fraud
- Kickbacks, Unusual Owner Arrangements, and Collusion
- Medical or Coding Information
- Emerging Fraud & Traditional Fraud Areas:
- Behavioral Health
- DME
- Identity Theft
- Labs
- Medical Tourism
- Outpatient facilities
- Pharmacy
- Skin Substitutes
- Telehealth, etc.
On-Demand
On-Demand – NHCAA Learn
Variable CPEs
These sessions will be available on NHCAA Learn for NHCAA Members to take at their convenience. Sessions can range in length from less than 20-minutes to 90-minutes. Trainings the E&T Committee would like to see developed include:
- Foundational topics for those new to the industry:
- Coding and Clinical topics
- Government Programs
- Investigative Skills
- Investigative Strategy
- Reporting & Documentation Best Practices
- Scheme Breakdowns
- Scheme Walkthroughs or Case Studies such as:
- Behavioral health
- Benefit Design Manipulation
- DME
- Home health
- Labs
- Pharmacy, etc.
- Analytics & Tutorials:
- Analytic Strategies
- Dashboards & Data Visualization for Investigations
- Incorporating Open Sources in Analytics
- Red Flag Detection in Small Data Environments
- Tutorials, such as:
- Access
- Excel
- PowerBI
- Python
- Tableau
Planning Your Submission
Planning Your Submission
- Program – Decide the trainings that best fit your session idea(s). Submissions on all topics are welcome.
- Submission Considerations – All submissions should include “how-to” content, best practices, and/or a diversity of perspectives. Product/company specific sales pitches will not be accepted by the committee.
- Levels: Is your session for a novice, someone with experience, or an expert in the industry? Write learning objectives and descriptions that fit your audience. Only presentations for novices should include introductory or generic information on health care fraud.
- Time: Could this be a 15-20 minute micro session, a standard 50-60 minute presentation, or a longer 90-minute topic? Consider the number of speakers, how quickly each one presents, their prior speaking experience, and the breadth and depth of material.
- Learning Objectives: You will need to provide three (3) learning objectives. These statements specify what participants will learn during your session.
- Description: Clearly describe what materials the session will cover, explain any emerging facets or, if a common topic, why it should be revisited, any interactive or unusual aspects of the presentation, why participants will care about this topic, and, if necessary, expand on participant takeaways.
- Case Study – If submitting a case study, please explain why the case is significant. Key discussion points could be: how the case started, if multiple agencies or carriers worked the case, details of the scheme being perpetrated, any unique attributes, lessons learned, and the status of the case. All case study presentations will need to include at least three (3) takeaways for the audience.
- Speaker Biographies: Submit a brief bio that includes relevant industry experience, education, or specialized training. Please submit even if you are a frequent NHCAA speaker.
- Deadlines – Submit your presentation idea(s) by the stated deadlines. Once your information is gathered, it should take 10 -15 minutes to complete the submission. Webinar and On Demand ideas will be reviewed on a rolling basis.
