Skills and Schemes for the Health Care Fraud Investigator

This year our annual Skills and Schemes program will be held August 7 – 9 in Denver, Colorado. Attendees will hear from their peers and gain insights and learn best practices in fighting fraud. From identifying improved medical record review techniques and effective detection methods, to identifying commonly abused codes and scheme red flags, attendees will participate in sessions that improve daily work.

View the Agenda.

The Latest Schemes

This year’s agenda is filled with sessions on the latest schemes throughout the country. From laboratory testing and home health to pain management and DME, attendees will hear about cases being investigated across the nation.

Data Analysis Track

New for 2018, this four-session track is limited to 25 attendees. Faculty for these hands-on data sessions will demonstrate data mining techniques using deidentified data. There is an additional fee for this track and participants should be comfortable using excel. Bring your own laptop, we’ll supply the data and the power. Registration to participate in this track is now open.

Three Educational Session Types

Scheme Development & Skill Building
Examine variety of topics that focus on the intricacies of how a scheme operates and fosters an understanding of the fraud scheme. Speakers will explain the data analysis, clinical and billing/coding aspects, highlight challenges, and review investigative skills critical to their success.

Case Studies
Presented by agents, investigators, and prosecutors, these case studies will explore all phases of the investigation and will highlight investigative strategies and skills.

Data Analytics
Through case studies or scheme development, faculty will explore analytical methodologies that can uncover leads and fraud schemes, help to launch new investigations, support investigators on existing cases, and share best practices to maximize their investigative impact.

Case Discussion Roundtable Meetings

Unique to NHCAA educational programs, eligible attendees can participate in Case Discussion Roundtable Meetings. Designed as small group discussions, private insurer members come together with our public and law enforcement partners to share case information and discuss schemes, trends, and fraud patterns. Attendees must be an employee of a NHCAA Member Organization, Law Enforcement Liaison or Affiliate Member to attend.



Participants earn 24 Continuing Professional Education (CPE) hours applicable to the training requirements for the Accredited Health Care Fraud Investigator (AHFI®) designation.

AAPC Approved Logo

This program has the prior approval of AAPC for 9.0 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:

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.

As a level II, or intermediate program, some investigative / health care / coding expertise is assumed. Training content is focused on the detection and investigative processes, using case examples to highlight strategy and techniques.

Pre-requisites: There are no pre-requisite requirements to attend this program.

Member1 Government2 Non-Member3
$1,125 $1,350 $1,600

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 24, 2018
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
  • 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  

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:

Grand Hyatt Denver
1750 Welton Street
Denver, CO 80202


Grand Hyatt Denver

NHCAA has a very limited amount of rooms available at the host hotel. If you require a room please email As there are limited rooms available at the Grand Hyatt Denver you may also want to consider the nearby hotels using the map below.

Grand Hyatt Denver
Check-in: 3:00 p.m. | Check-out: 12:00 p.m.

  • Overnight Parking: $46
  • Daily Parking: Up to 4 hours--$23 4-8 hours--$28
  • Oversized vehicle parking: $56
  • Complimentary WIFI in guest rooms.
  • Complimentary access to Fitness center.

Travel Information


Denver International Airport (DEN)

Denver Airport Rail- Travelers can now use A Line, the new rail service from Denver International Airport to LoDo's (lower downtown) Union Station and back, courtesy of Regional Transportation District (RTD). The Denver airport rail has six stops along the way and takes approximately 37 minutes at a cost of $9 each way.

  • Distance to hotel: 25 miles
  • Estimated taxi fare one-way: $55

*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.