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
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.
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 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.
Register online via secure transactions. Please have a Visa, MasterCard, Discover or American Express card available.
Fill out & print completed registration form.
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 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.
Phone: 303.295.1234. To make reservations online, please click here.
Hotel Cut-off: Monday, July 16th at 5pm MT
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.
Room Rates & Cancellation Policy
Standard Single: $245*
Government Single: $178* or prevailing government per diem.
*Cost does not include a 14.75% in state and local taxes or the $2/day housekeeping charge.
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: 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.
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.