Becoming an AHFI

Upcoming AHFI® Examination Dates

September 6 - 20, 2016
Exam Window, Test Centers Across the United States
Application Deadline: August 12, 2016

November 18, 2016 - - register for the AHFI® Prep program before taking the exam.
Paper Exam, Atlanta, Georgia
Application Deadline: October 21, 2016

AHFI Quick Checklist

  1. Employee of a Member Organization, Affiliate Member, Premier and Supporting Member, Individual Member or employees of an NHCAA Law Enforcement Liaison, or other federal, state or local law enforcement agency;
  2. Minimum of three years' relevant professional experience in health care fraud detection, investigation or prosecution
  3. Minimum of 75 hours, in the four years preceding application, of health care anti-fraud training (either as participants or instructor) subject to approval by NHCAA, with supporting documentation.
  4. Minimum of Secondary School Diploma or GED
  5. Passing score of an AHFI® Examination.

To request the AHFI® Application for Accreditation kit, please review the list above and email us at training@nhcaa.org with your complete contact information. Additional information and detailed criteria are listed below.

General Criteria for all Applicants

1. Must be an employee of a Member Organization, Affiliate Member, Premier and Supporting Member, Individual Member or employees of an NHCAA Law Enforcement Liaison, or other federal, state or local law enforcement agency;

2. Meet the qualifications, detailed below, for Experience, Training and Education.

3. Provide letters of reference from, and contact information for, three individuals who, in NHCAA's judgment, are qualified to attest firsthand to the applicant's specific professional skills and competency in health care fraud detection, investigation, or prosecution. Of the three individuals, one must be employed in a direct supervisory capacity over the applicant by the applicant's organization, and at least one must be employed outside the applicant's organization;

4. Professional Conduct: The purpose of the National Health Care Anti-Fraud Association's accreditation program is to designate qualifying individuals as highly trained and experienced professional investigators in the field of health care fraud. Accordingly, NHCAA expects that individuals who apply for and are granted the designation "Accredited Health Care Fraud Investigator" will carry out their responsibilities in a professional and ethical manner, and it reserves the right to deny or revoke accreditation of individuals who-in the sole judgment of the Accreditation Review Board-have demonstrably failed to do so.

Qualification Criteria

In addition to meeting the above general criteria, applicants must meet the following minimum standards for Professional Experience, Training and Education, as well as successfully pass an examination.

I. Professional Experience
Minimum of three years' relevant professional experience in health care fraud detection, investigation or prosecution. View a description of acceptable professional experience on the AHFI FAQ page.

II. Training
Minimum of 75 hours, in the four years preceding application, of health care anti-fraud training (either as participants or instructor) subject to approval by NHCAA, with supporting documentation. For candidates with less than 5 years of professional experience, attendances at NHCAA Health Care Fraud Investigator's Boot Camp, held each Spring, is strongly recommended. View more information on acceptable training, and how to calculate training hours on the AHFI FAQ page. To view your NHCAA Training transcript, visit the Credit Tracking.

III. Education
Minimum of Secondary School Diploma or GED

IV. Examination
Passing score of an AHFI® Examination. Exams are offered in both the Spring and Fall of each year, as well as at the Annual Training Conference in November.

The Examination for Accredited Health Care Fraud Investigator (AHFI®) is designed as a fair test of knowledge and skills, both general and specific, that a person who specializes professionally in the detection and investigation and/or prosecution of health care fraud would reasonably be expected to have acquired in the course of meeting other AHFI® Accreditation requirements in the areas of professional experience, continuing professional education, formal education, and professional conduct.

Administered by Professional Testing Corporation (PTC), New York, NY, the Examination is offered electronically twice each year (spring and fall) at thousands of testing centers across the country, as well as a paper exam at the Annual Training Conference in November. Complete information on the Examination is included in the Handbook for Candidates contained in the Application for Accreditation Kit.