NETS Webinars

NHCAA continues to offer premier education and training through our webinar program. NHCAA’s webinars provide participants training opportunities on a wide range of topics from the latest in health care fraud trends and investigative best practices, to skill-building training sessions.

This year, we host both traditional webinar programs along with our expanded webinars, held on a quarterly basis at 2:00 pm ET.

Supplemental Coverage Concerns
October 18 | 2:00 pm ET

Supplemental Insurance – it’s supposed to make you whole, not a whole lot richer! During this webinar, the speaker will focus on multiple accident reviews and will examine real-life cases, tips, tricks and best practices.  Topics of discussion will include:

  • Are they really accident prone or are they just looking for a paycheck?
  • What do the records really say? How you can use medical necessity or other plan provisions to deny abusive claims.
  • Importance of exploring possible collusion connections.
  • Why claims activity in the supplemental world is important to health carriers, Medicare, and Medicaid. 
  • The Importance of reaching out to fraud partners: Department of Insurance, Law Enforcement, etc.

Jennifer Sample
Investigator II, Special Investigations Unit, SureBridge

Contact training@nhcaa.org to register.

Medical Record Review Strategies
November 15 | 2:00 pm ET

Review components of a medical record, discuss how to phrase your record request, and examine common red flags in a variety of specialty areas. Case study examples will be utilized to illustrate proper medical record documentation as well as red flags in a variety of specialty areas.

Elizabeth Govero, RN, CPC, CEMC, AHFI
Supervisor, Clinical Review, Centene Corporation

Regan O’Maley, PT, DPT
Clinical Reviewer, Centene Corporation

Tammi Ciaravino, LPN, CPC
SIU Clinical Supervisor, Centene Corporation

AAPC Approved Logo

This program has the prior approval of AAPC for 1.5 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.

Register Online

Top Health Care Fraud Schemes in 2018 (Expanded)
December 13

2:00 pm ET

The last NETS webinar in 2018 examines the top three specialty areas and corresponding schemes investigated by NHCAA membership. The webinar showcases how insurers investigated schemes in pharmacy, laboratory testing, and durable medical equipment. Speakers will discuss their identification techniques, investigative strategies, red flags, and methods to proactively address concerns.

Pharmacy Schemes
TBA

Laboratory Schemes
Explore the shift from UDT to large scale functional medicine and cardiovascular risk panel testing.

Brian Robinson, CFE, AHFI
Managing Investigator, Harvard Pilgrim Health Care

Durable Medical Equipment Schemes
Focus on a couple of top DME concerns, including pharmacy/DME crossover.

Laura Wilford
Manager, Humana

Guelsys Lopez-Vieira, Pharm.D, CPh
Associate Director, SIU, Humana

The traditional webinar program is a ninety-minute session lead by an industry expert. Participants have the opportunity to:

  • Ask questions via the chat function
  • Follow a PowerPoint presentation with the NHCAA facilitator and speaker
  • Each webinar programs offers CPE credits and when appropriate AAPC or other continuing education credits

Anesthesiology Coding Concerns & Fraud Schemes
August 16

2:00 pm ET

Supplemental Coverage Concerns
October 18
2:00 pm ET

Medical Record Review Strategies
November 15

2:00 pm ET

These expanded learning opportunities extend the learning of a traditional webinar. After each expanded webinar, participants have access to:

  • additional easy-to-use resources, and supplemental materials
  • the opportunity for further discussion via Connect with colleagues throughout the country
  • access to review the webinar again via an archive of the program for an additional sixty-days

Analyzing Data to Identify Phantom Providers 
September 20 

2:00 pm ET

Top Health Care Fraud Schemes in 2018 
December 13

2:00 pm ET

Who Should Attend?

Webinar programs are most appropriate for beginning and mid-career analysts, investigators, consultants, and law enforcement agents working in the health care anti-fraud industry.

Program Level

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.

Credits

All webinars are approved by: NHCAA for 1.5 CPEs and NASBA for 1.5 CPEs

NASBA Field of Study: Specialized Knowledge & Applications

*National Association of State Boards of Accountancy (NASBA)
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.

Computer Requirements

Webinars are delivered via Freestone, an online learning platform; all you need is an Internet connection.

Test your system to ensure that your webinar experience will be seamless. The system check allows you to test your interface, read recommended settings, and browse frequently asked questions.

Additional Questions

View our FAQ webpage to see if your NETS Webinar question has already been answered. If not, email the education team at training@nhcaa.org.

REGISTRATION RATES

Download Registration Form
Webinar Type Tuition-Free* NHCAA Member1 Government2 Non-Member3
Traditional Register online or complete registration form. $175.00 $175.00 $250.00
Expanded Register online or complete registration form  $200.00 $200.00 $300.00

Each additional line is $100.00/Traditional, $150/Expanded


Registration Policies

Cancellation/Substitution

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. All substitution requests received after the cut-off date will be charged a $100.00 administrative fee.

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 training@nhcaa.org or mail the NHCAA Institute - NETS at 1220 L Street, NW Suite 600, Washington, DC 20005.

Complaints

For more information regarding administrative policies such as refunds, cancellations and complaints, please email training@nhcaa.org.


*Tuition-Free Registrations: Dues paying Member Organization can designate up to two tuition-free registrations per program. Dues paying Affiliate Members can designate one tuition-free registration per program. All Individual Members, Law Enforcement Liaisons, Premier Supporting and Supporting Members and non-members, including state and local, state and federal public agencies, wishing to participate will need to submit a registration form and applicable payment. All participants may purchase additional lines.

1Member Rate applies to all NHCAA Member Organizations, Affiliate Members, Individual 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.

3 Non-Member participants must occupy a professional position with a private for-profit or not-for-profit health care reimbursement organization, in a local, state or federal law enforcement, prosecutorial, a 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: training@nhcaa.org.