AHFI® Prep Course
Monday, October 29
8:30 am – 4:30 pm | 7 CPEs
Prepare to sit for the Accredited Health Care Investigator (AHFI) exam by participating in this 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 systems overviews as well as basic investigative skills.
Chief Executive Officer, National Health Care Anti-Fraud Association
James McCall, AHFI
Vice President, Client Engagement, Healthcare Fraud Shield
Daniel Bowerman, DC, AHFI, FACO, CPC
Robert Mays, AHFI, CFE
Director Special Investigations Unit, Anthem, Inc.
Participants will walk away with insights on common coding schemes from A-Z and a better understanding of what to look for in their own claims. The session will include a diverse discussion in a variety of areas including Diagnosis Codes, DME, Lab Testing, Pass Through Billing, Telemedicine, Pharmacy, and more. Faculty will discuss real case examples and provide participants with the steps necessary to successfully identify and investigate providers.
Barbara Scott, BSN, RN, CPC, CFE, AHFI
Senior Consultant, Blue Cross Blue Shield Association
Jonnie Massey, CPC, CPC-P, CPC-I, CPMA, AHFI
Director, Special Investigations Unit, Blue Shield of California
Kathleen A. Shaker, RN, BSN, CPC, CPC-H, AHFI
Investigative Consultant, Healthcare Fraud Shield
Karen Weintraub, MA, CPC-P, CPMA, AHFI
Executive Vice President, SIU, Healthcare Fraud Shield
When applied comprehensively in an SIU, a variety of analytical methodologies can uncover leads and fraud schemes, help to launch new investigations, and support investigators on existing cases. These presentations will introduce several analytical approaches, discuss how they can be used in combination, and share best practices to maximize FWA analytics.
Senior Director, UnitedHealthGroup
Advanced Analytics Team Lead, Cigna SIU
Senior Informatics Specialist, Cigna SIU
Informatics Senior Specialist, Cigna SIU
Sean Petree AHFI
Fraud Manager, Cigna SIU