About the AHFI Program


Over the past year, NHCAA’s Institute conducted a comprehensive analysis of the AHFI® Exam to ensure that the Exam accurately measures the core responsibilities and tasks of a health care fraud investigator. As a result of this process, the AHFI® Exam and the Prep Course are being modified in 2019 to better align with the industry’s current practices. The new AHFI® Prep course will be offered in May and the Exam will be start in June.

Exciting new developments will be announced soon.

What is AHFI®?

Established in 2002, "Accredited Health Care Fraud Investigator" is a unique professional designation granted by the National Health Care Anti-Fraud Association to individuals who meet specific qualifications related to professional experience, specialized training, formal education and demonstrated knowledge in the detection, investigation and/or prosecution of health care fraud.

The AHFI® designation is available to qualified individuals who are NHCAA Individual Members or employees of NHCAA Member Organization, Affiliate Member, or Premier and Supporting Member or employees of an NHCAA Law Enforcement Liaison, or other federal, state or local law enforcement agency.

When hiring an Investigator or Fraud/Data Analyst I look for the AHFI designation. If the applicant has the designation, I know they've received superior training and know all the key points of investigating health care fraud. The AHFI provides the applicant a competitive advantage.

Bob Mays, CFE, AHFI
Staff Vice President
Anthem, Inc.