Boot Camp for the Health Care Fraud Investigator
NHCAA’s Boot Camp is a three-day training program that anchors the path to becoming an AHFI® and shows participants the skills necessary to become a leader within any health care anti-fraud organization.
Designed for career switchers, inter-departmental transfers, or new college graduates with less than three years of experience in health care fraud, this program will help your newest team members acquire an understanding of the core competencies necessary to combat health care anti-fraud. Expert faculty lays the foundation for investigative strategy, recognizing fraud schemes, and deploying investigative skills.
Don’t miss this unique opportunity to invest in building your team’s skills.
Participants will return to their teams with new knowledge and be able to:
- Explain common health care fraud schemes.
- Implement basic investigative strategies to enhance fraud detection and investigation.
- Identify the steps in an investigative plan.
- Identify common data analytic strategies to investigate a case.
- Evaluate cases for merit.
- Detect potential red flags in medical and billing records.
- Identify appropriate resources to assist in fraud detection and investigation.
New in 2019, participants will be required to complete two on demand training programs as part of the Boot Camp curriculum. The Health Insurance 101 and Health Care Fraud Law Basics courses supplement the live programming and foster a broader understanding of the health insurance industry and the legal framework within which health care anti-fraud operations exist. CEUs will be awarded upon completion of these courses.
Sessions are led by health insurance investigators, analysts, and SIU Directors actively working cases in the health care field.
Hands on Interactive Learning
Begin by defining the scope of the health care fraud challenge and examining each step of the investigative process from detection and choosing an investigative strategy, to effective report writing and presenting your case to other internal and external stakeholders. Participants, working in groups, will synthesize concepts by taking part in exercises woven throughout the program and an extensive hands-on case study.
Case Discussion Roundtable Meetings
Case Discussion Roundtable Meetings are small group discussions where private insurer members experience the value of collaboration. Public and law enforcement partners share case information and discuss schemes, trends, and fraud patterns.
Eligible Boot Camp Attendees are required to participate. Participants must be an employee of a NHCAA Member Organization, Law Enforcement Liaison, or Affiliate Member to attend.
This program has the prior approval of AAPC for 6.0 continuing education hours. Hours can be split between Core A, CPCO and CPMA. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor.
The NHCAA Institute is registered with the National Association of State Boards of Accountancy (NASBA) as a sponsor of continuing professional education on the National Registry of CPE Sponsors. State boards of accountancy have final authority on the acceptance of individual courses for CPE credit. Complaints regarding registered sponsors may be submitted to the National Registry of CPE Sponsors through its website: www.nasbaregistry.org.
This program is appropriate for analysts, investigators, and law enforcement agents new to the health care anti-fraud industry.
As a level I, or basic, program, little or no investigative / health care / analytics expertise is expected, terms and acronyms are defined, concepts are explained in greater detail, and the education focus is on investigative skills.
Pre-requisites: There are no pre-requisite requirements to attend this program.
Ways to Register
Register online via secure transactions. Please have a Visa, MasterCard, Discover or American Express card available.
Fill out & print completed registration form.
Registration Deadline: April 30
NHCAA accepts registrations after this date; however, NHCAA may not be able to include your contact information in the participant roster or have a certificate of completion on-site for you.
All cancellations (regardless of date) will be assessed with at $100.00 administrative fee.
- All written notice of cancellations and substitutions should be sent via email to email@example.com.
- Before cut-off date - To cancel and obtain a full refund (minus an administrative fee) or to request a substitution, you must provide written notice to The NHCAA Institute - NETS.
- After cut-off date - If you cancel in writing after the cut-off date, no refund will be provided but credit for future training is available. All substitution requests received after the cut-off date will be charged a $100.00 administrative fee.
For more information regarding administrative policies on refunds and cancellations or to register a complaint, please contact firstname.lastname@example.org.
1NHCAA Member rate applies to all NHCAA Member Organizations, Affiliate Members, Individual Members, Platinum Members, Premier Supporting Members and Supporting Members.
2Government rate applies to NHCAA Law Enforcement Liaisons and other attendees from local, state and federal public agencies.
3Non-Member participants must occupy a professional position with a private for-profit or not-for-profit health care reimbursement organization, or in a local, state or federal law enforcement, prosecutorial, or regulatory agency or in a professional disciplinary organization. All registrations will be reviewed to ensure these eligibility requirements are met. If you are not in one of these positions, but wish to attend, please email us at: email@example.com.
The Scottsdale Resort at McCormick Ranch
Hotel Cut-off: Tuesday, April 1, 2019 at 5:00pm ET
All rooms are sold first come, first served. Rooms may sell out prior to the cut-off date, so book at your earliest convenience.
Participants should identify themselves as being with the NHCAA National Education & Training Series (NETS). If you are a federal employee and qualify for the government rate, please also identify yourself as qualifying for the government block.
Standard Single: $215*
Government Single: $133* or prevailing government per diem.
*Cost does not include a 13.92% in state and local taxes and a $2 per day housekeeping fee.
Reservations must be secured by one night's deposit or a major credit card. One night's charge will be applied to the individual's card for the first night's room/tax if the individual does not arrive on the designated arrival date or does not cancel their reservation 72 hours prior to their scheduled arrival date, or leaves earlier than the confirmed check out date.
Check-in: 4:00 pm
Check-out: 12:00 pm
Sky Harbor International Airport (PHX)
- Distance to hotel: 17 miles
- Estimated taxi fare one-way: $40
Phoenix Mesa Gateway Airport (AZA)
- Distance to hotel: 35 miles
- Estimated taxi fare one-way: $40
*IMPORTANT: Website URLs, taxi fares, parking costs, check-in & check-out times, and other quoted prices and information may be changed at the vendors' discretion. Please confirm all costs associated with your travel prior to attending the program.