Achieve and Lead

The Accredited Health Care Fraud Investigator (AHFI®) is a unique professional designation granted by NHCAA to individuals who pass the AHFI® Exam. The AHFI® Exam measures the core responsibilities and tasks of today’s health care fraud investigator and has set the standard for the industry.

In order to sit for this Exam, individuals must meet the necessary qualifications related to their professional experience, NHCAA membership, specialized training, and demonstrated knowledge in the detection, investigation and/or prosecution of health care fraud.

The Exam is based on experience as an investigator in a SIU and not memorization of key facts. NHCAA encourages individuals interested in taking the Exam to also take the Prep Course. The Prep Course and study guide will help review and prepare for the Exam. The materials do not provide answers.

What is AHFI®?

The Accredited Health Care Fraud Investigator (AHFI®) is a unique professional designation granted by NHCAA who pass the AHFI® exam. Individuals who meet the necessary qualifications related to their professional experience, NHCAA membership, specialized training, and demonstrated knowledge in the detection, investigation and/or prosecution of health care fraud are able to apply to take the Exam. For more information on the AHFI® criteria, timeline, and pricing, please visit the website.

Awards Program

NHCAA’s Annual Awards Program recognizes:

  • The outstanding achievements of an investigative team the represents law enforcement and health insurance to investigate a scheme and prosecute a case, and 
  • An organization or individual who has demonstrated an unwavering dedication to raising public awareness about the problem of health care fraud in our nation’s health care system.

 

Each year NHCAA asks our public and private partners to share successful cases for consideration to receive this elite honor.

Member Benefits

NHCAA offers membership categories for health insurers, governmental entities, and other companies and organizations that support the NHCAA Mission, as well as individuals, who want to join us in the fight against health care fraud.

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