Schemes for Health Care Fraud Investigators & Analysts

NHCAA is converting our annual in-person Schemes Program into a virtual training program.

As the health insurance community works tirelessly to respond to the COVID 19 pandemic, we recognize that education and training are still vital to our industry. This virtual program enables attendees to earn credits and receive training while working remotely - making the most out of tough situation.

Register today to participate in NHCAA’s first virtual program, July 13 – 24.

*Click the corresponding tab to view detailed information.

Our virtual program allows you to watch at your own pace, moving seamlessly between learning and work, and is ideal for implementing and exploring new schemes and concepts on your own timeline.

You will also be part of an event community on CONNECT, adding a key networking component to our virtual environment. This community provides a space for participants to ask faculty questions and discuss concepts and schemes explored during the various sessions.

What to Expect

Pre-recorded sessions will be available on demand for two weeks between July 13 – 24 to registered attendees. You can watch at your own pace, engaging with as few or as many sessions during each sitting. To earn credit for attending, every required session must be watched and each session quiz, which ensures content mastery, must be completed. These sessions were not designed to be shared or streamed with others. Each participant should be registered to attend.

NHCAA will provide detailed information about accessing the virtual program in late June 2020. Please make sure you are receiving emails from NHCAA. If you are uncertain, please make sure to whitelist NHCAA’s email addresses.

Program Content

The schemes addressed in this year’s program includes radiation oncology, lab issues, and hospice facilities.  In each session, faculty will:

  • Explore analytical methodologies to uncover leads and fraud schemes.
  • Examine how the scheme operates and key red flags.
  • Identify key investigative strategies for specific schemes.
  • Discover the coding and billing data to be investigated and analyzed.

View Agenda

Continuing Education Credits


Participants earn 15 Continuing Professional Education (CPE) hours applicable to the training requirements for the Accredited Health Care Fraud Investigator (AHFI®) designation. Only those who are registered to attend and watch each available session and take the corresponding quizzes will be eligible to receive credit. No partial credit will be awarded.

This program is most appropriate for mid to senior-level analysts, investigators, consultants, and law enforcement agents working in the health care anti-fraud industry. However, anyone with at least two years working in the health care anti-fraud industry would benefit from the material presented at this program.

Level: As a level II, or intermediate program, some investigative / health care / coding expertise is assumed.

Pre-requisites: A minimum of two years working in the health-care anti-fraud industry or attendance at the Boot Camp Program.

Please check back soon for required technology info.

Member Organization1 Individual Member2 Government3 Non-Member4
$425 $325 $425 $525

This program is for registered attendees only. Sessions were not designed to be shared or streamed with others. Each participant should be registered to attend.


Register online via secure transactions. Please have a Visa, MasterCard, Discover or American Express card available


Fill out & print completed registration form.

Registration Policy

Registration Deadline: July 1, 2020
Registrations received after July 1 may experience a delay in accessing the virtual program.

All cancellations (regardless of date) will be assessed with at $50.00 administrative fee.

  • All written notice of cancellations and substitutions should be sent via email to
  • 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 $50.00 administrative fee.

For more information regarding administrative policies on refunds and cancellations or to register a complaint, please contact

1NHCAA Member rate applies to all NHCAA Member Organizations, Affiliate Members, Platinum Members, Premier Supporting Members and Supporting Members.
2Individual member rate applies to individuals who have applied for and have been approved for individual membership to NHCAA
3Government rate applies to NHCAA Law Enforcement Liaisons and other attendees from local, state and federal public agencies.
4Non-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: