Schedule at-a Glance



  • 6:30 am - 6:30 pm Registration and Information Desk
  • 8:30 am - 4:30 pm Optional Full Day Pre-Conference Programs Details NHCAA is pleased to offer two full-day Pre-Conference programs. There is additional tuition applied to Pre-Conference registration

    AHFI® Prep Course
    Decoding the CPT® Medicine Section
  • 8:30 am - 11:30 am Optional Half-Day Pre-Conference Program (Morning) Details NHCAA is pleased to offer this half-day Pre-Conference program in the morning. There is additional tuition applied to Pre-Conference registration.

    The Leadership and Management Development Program
  • 1:00 pm - 4:00 pm Optional Half-Day Pre-Conference Program (Afternoon) Details NHCAA is pleased to offer this half-day Pre-Conference program in the afternoon. There is additional tuition applied to Pre-Conference registration.

    Emerging Schemes in Health Care Fraud
  • 4:30 pm  Anti-Fraud Expo Hall Opens
  • 5:00 pm - 7:00 pm  Opening Night Reception in the Anti-Fraud Expo Hall



  • 7:00 am - 5:30 pm Registration and Information Desk Open
  • 8:00 am - 9:00 am General Session
  • 9:00 am - 9:45 am Coffee Break in the Anti-Fraud Expo Hall
  • 9:45 am - 10:45 am Concurrent Sessions Details ACA Basics for Fraud Investigations and Identifying Trends and Schemes

    Techniques for Using Technology in Fraud Investigations 

    Medical Directors Perspective on Health Care Fraud

    Top Legal Issues in Health Care Fraud

    Fraud Surveillance Strategies for Long Term Care and Disability Products

    The Final HHS Rule to Modernize Medicaid Managed Care: Examining the Effects on Health Care Fraud

    Identifying and Building a Strong SIU Case

    It’s Not Just Fraud: Innovative Approaches to Visualizing and Addressing Payment Vulnerability Across the Organization
  • 11:00 am - 12:00 pm Concurrent Sessions Details Marketing Fraud: A Deep Dive into this New Fraud Scheme

    Leveraging Public Resources in an Investigation 

    Mental Health and Substance Abuse Privacy: Challenges and Opportunities

    Preparing for a CMS Audit

    Dentistry Fraud Basics from Procedures to Treatments and Red Flags

    CMS Update: Initiatives and Progress in Health Care Fraud

    Commanding the Power of an End-to-End Program Integrity Approach to Intercept and Defend Against Inappropriate Payments

    Addressing Evolving Threats in Fraud, Waste and Abuse – Innovations and Insights
  • 12:00 pm - 1:30 pm Awards Luncheon
  • 1:30 pm - 2:15 pm Dessert with Exhibitors in the Anti-Fraud Expo Hall
  • 2:15 pm - 3:15 pm Concurrent Sessions Details Genetic Testing Schemes: Trends, Investigative Steps and Shared Experiences

    Interviewing Skills and Intercepting Body Language and Voice Queues 

    Ophthalmological Fraud: Understanding Common Retinal Diseases and Fraud

    Where Are You Vulnerable? Conducting an Effective Healthcare Fraud-Focused Risk Assessment

    Strategies for Coordinating between MFCU, MPIs and MCOs for Strong and Appropriate Enforcement Actions

    How Analytics Helps BCBS of Michigan Find and Stop Fraud Faster

    Modifiers: Changing the Game
  • 3:15 pm - 3:25 pm Break
  • 3:25 pm - 4:25 pm Concurrent Sessions Details Chasing the Dragon: Addressing the Country's Opioid Addiction - Part I

    Persaud Interventional Cardiology Case Study 

    Tips for SIUs on Making Successful Law Enforcement Referrals

    Bariatric Surgery Fraud: Scrutinizing Billing Patterns and CPT Codes

    Dental Providers: The Potential for Coding Abuse

    Home Health and Hospice

    Technological Innovation and the 21st Century SIU
  • 4:30 pm - 5:15 pm Concurrent Sessions DetailsChasing the Dragon: Addressing the Country's Opioid Addiction - Part II

    Preparing for Provider Audits 

    Medicare Part D Fraud: Investigating and Prosecuting Complex Schemes

    ERISA Pre-emption: Recovering Overpayments

    Interviewing the Frail and Elderly
  • 5:15 pm - 7:15 pm Connect Reception in the Anti-Fraud Expo Hall



  • 7:00 am - 5:30 pm Information Desk Open
  • 7:45 am - 8:45 am Breakfast Sessions Details Advanced Predictive Analytics Explained

    Community-Bases Innovation to Combat Fraud: The Health Care Fraud Grand Challenge 

    Schemes and Scams - Costing Americans Billions of Dollars Annually

    Fraud Alliance: A case study on data aggregation to combat fraud

    Leveraging Analytics and Advanced Profiling to Predict and Prevent FWA
  • 9:00 am - 9:45 am General Session
  • 9:45 am - 10:30 am Coffee Break in the Anti-Fraud Expo Hall
  • 10:30 am - 11:30 am Concurrent Sessions Details Emerging Issues in Medicare

    Interoperability: Identifying, Reducing IT Vulnerabilities in Safety, Security, Fraud and Cyber Crime 

    Medical Necessity: Creating a Consistent, Reproducible Approach to Audits

    Applying Advanced Analytics to Combat & Prevent Health Care Faud

    Whistleblowing and the False Claims Act -- The Other Public-Private Partnership

    Dental Directors' Quick Hit Panel

    Collaboration in the Vendor-Client Relationship for Pharmacy Audit

    The New Menace: FWA on the Marketplace Exchange & Organized Crime
  • 11:30 am - 1:00 pm Networking Luncheon in the Anti-Fraud Expo Hall
  • 1:00 pm - 2:00 pm Concurrent Sessions Details Developing your FWA Strategy for Sober Homes

    Best Practices in Case Documentation

    Emerging Threats: Pharmaceuticals

    Preparing for Trial

    The Aftermath of the Supreme Court’s Decision on the So-Called “Implied Certification” Case

    Are South African Fraud Schemes Coming to America?

    Using Analytics in Fraud and Abuse Detection in Worker’s Compensation

    Painful Price, Potential Promise: Using Analytics to Combat Compound Rx Fraud
  • 2:15 pm - 3:15 pm Concurrent Sessions Details Medical Identity Theft and Cyber Attacks: Responding to the New World

    Pre-pay FWA detection system: An ounce of prevention is worth a pound of cure

    The Rise of Fraud in Home Health Care Services: A Case Study

    Florida Phantom Provider Initiative 

    Management Roundtable Discussion - Part I

    Cross-Border Dental Fraud
  • 3:30 pm - 4:30 pm Concurrent Sessions Details Prosecuting a Health Care Fraud Scheme Resulting in Death

    Developing a Hands-on Approach to Medical Record Review

    Defrauding Workers' Compensation: Operation Back Lash 

    Management Roundtable Discussion – Part II



  • 7:00 am - 11:00 am Information Desk Open
  • 8:00 am - 9:15 am Breakfast General Session
  • 9:30 am - 11:30 am Workshops Details Health Care Fraud Investigator Ethics Workshop

    Dental Fraud Schemes in the Commercial & Public Sector

    The Challenges of an International Health Care Market

    Statistics - Friend or Foe? The Data Analyst’s Perspective

    Tools, Techniques, and a Case Study Illustrate Medicare Part C Investigations
  • 11:30 am Adjourn
  • 12:00 pm - 4:00 pm AHFI® Examination

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