Call for Presentations-atc16



The NHCAA Institute for Health Care Fraud Prevention is now accepting abstracts for the 2016 Annual Training Conference, November 15 - 18 in Atlanta, Georgia.

Important changes in 2016:

  • We will be soliciting abstracts for 60 minute presentations only.
  • NHCAA reserves the right to pair submissions based on similar topics to maximize the attendee's ability to gain new skills and insights.
  • All submissions should specify the target audience for the proposal.
    • The type of position (i.e., health insurer investigator, analyst, manager or law enforcement).
    • The level of understanding (e.g., novice, intermediate or expert).

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Focus areas for the 2016 Annual Training Conference include:

  • Clinical Issues for the Healthcare Fraud Investigator
    Sessions should focus on increasing the attendee's understanding of clinical elements of an investigation (e.g., medical necessity, using claim history to validate services, identifying high member utilization). Specific clinical fraud schemes are also encouraged (e.g., gastric bypass, oncology, pain management, chiropractic).
  • Fraud Schemes
    Submissions should focus on existing fraud schemes including but not limited to disability, lab testing, dental, home health, genetic testing, and chiropractors. Other schemes including enrollment, inside threats, and cybersecurity are welcome.
  • Investigative Skills
    Sessions focus on how to build the investigative skills of the staff in the SIU units within the insurer community as well as law enforcement. Submissions should address how to build skill sets for staff and teams such as data analytics, collaboration, interviewing, preparing and presenting a case, and assessing referrals.
  • Fraud in the Medicaid Program, Medicaid Managed Care, and Medicare Advantage
    Abstract submissions should foster and understanding of fraud schemes and challenges unique to Medicaid (e.g., coordination between MCOs and MFCUs, referral process). In addition, abstracts can examine the schemes related to Medicaid Managed Care, Medicare Advantage, and Exchanges (e.g., enrollment, interviewing skills for unique populations, contracting).
  • Pharmacy and Part D Fraud
    Sessions should focus on fraud schemes specific to the delivery of the pharmacy benefit. Submissions can include but are not limited to schemes involving compounding, chain of custody, opioids, utilization, off label marketing or use, and medically appropriate use.
  • Management and Compliance Issues
    Designed for the rising stars and managers in a health insurer SIU or law enforcement, abstracts should focus on skills, issues and best practices. Sessions are designed to improve the skills set of mid and higher level staff (e.g., managing reporting requirements, management skill building, interpreting analytics, audit preparation, structuring recoveries, managing expectations).
  • Other
    NHCAA will accept other submissions that might not naturally fit into one of the topics listed.

Who Should Submit

We are interested in hearing from professionals in health care fraud detection, investigation, prosecution and prevention activities. The NHCAA Institute is proud of its tradition of offering the very best in health care anti-fraud education and training and welcomes your proposal. If you are a consultant or solutions provider to the industry, we encourage you to use this opportunity to highlight your solutions, case studies, and initiatives by including an NHCAA member organization presenter in your submission.

Please consider sharing your knowledge and expertise with the health care fraud investigative field. Working collectively to share and learn is the key to winning the fight against health care fraud.

How to Submit

Please click here to submit a presentation for the 2016 Annual Training Conference.


In order for your presentation to be considered by the ATC Planning Committee, abstracts must be submitted by March 25th.

Sponsorship and Exhibiting Opportunities

If you are interested in sponsorship or exhibit opportunities at our Annual Training Conference or a National Education and Training Series (NETS) program, please contact Michael Williams at at 202.349.7985.

For more information and to be added to the Call for Presentations email announcements, email