2016 NETS Webinars

All programs are taught at a Level II:

Level II - Some investigative / health care / coding expertise is assumed, and training content is focused on the investigative process, using case examples to highlight investigative strategy and techniques.

NASBA Field of Study: Specialized Knowledge & Applications

Frequently Asked 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.

2016 PROGRAMS

Laboratory Testing Issues
February 23, 2016 | 2:00 p.m. ET
CPEs: 2

Examine how to uncover laboratory fraud schemes in areas including genomics, biomarkers and drug screens. Faculty will share their experiences and successes while exploring correct coding, documentation and red flags that will help uncover fraudulent activity.

Melissa Scott, CHC, CPC


Behavioral Health Schemes
March 22, 2016 | 2:00 p.m. ET
CPEs: 2

Faculty will review behavioral health schemes including ways to identify schemes through data and medical record review and investigative techniques unique to behavioral health fraud. Learn how simple schemes operate and discuss more complex fraud concerns, such as with autism treatment.

Jill Carraher, LMSW, AHFI
Vanessa Emlich
Jodi Ryba


Investigative Pitfalls
April 19, 2016 | 2:00 p.m. ET
CPEs: 2

Learn what fixable deficiencies in your case may allow the subject of an investigation to successfully fight recoveries or prosecution and what you can do to prevent these errors.

James McCall, AHFI


Coding_button

*This annual program covers current coding concerns in the health care anti-fraud industry. Faculty will address problematic codes and modifiers critical to fraud investigations through specialty area examples, as well as discuss the newest codes on their radar for misuse or abuse.

Faculty

Shauna Vistad, MBA, CFE, CPC, CFI
Manager Provider Audit & Special Investigations Unit
Blue Cross Blue Shield of North Dakota


UsingData

September 27, 2016
2:00 pm

High claims volumes, limited resources, and inadequate claims edits create opportunities for health payers to overlook potential fraud, waste, and abuse during prepayment claims reviews. This webinar will help plans leverage previously identified inappropriate billing patterns during post-payment claims reviews to build and maintain an effective pre-payment claims review program.

Participants will learn what information to gather from post-payment reviews and various ways to analyze that data to strengthen a pre-payment review program. The speaker will also review codes and outliers that can help generate new leads based on current billing trends and address claims system vulnerabilities.

Faculty

Erin Picton, AHFI
Manager of Investigations, Program Integrity Services
General Dynamics Health Solutions

*This program has the prior approval of AAPC for 1.5 continuing education hours. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor.


Nego-tech_button

October 25, 2016
2:00 pm

Faculty share tips and techniques gleaned from years of successful negotiations. Learn how to use and present information gathered during the investigative process to effectively approach the subject of investigation. Discuss general strategies as well as last-minute provider defenses you may need to counter.