Boot Camp for Health Care Fraud Investigators
Designed for career switchers, inter-departmental transfers, or new college graduates with less than three years of experience in health care fraud, this program will help your newest team members acquire an understanding of the core competencies necessary to combat health care fraud. Expert faculty lays the foundation for investigative strategy, recognizing fraud schemes, and deploying investigative skills.
The program begins by defining the scope of the health care fraud challenge and examining each step of the investigative process from detection and choosing an investigative strategy, to effective report writing and presenting your case to other internal and external stakeholders. Participants, working in groups, will synthesize concepts by taking part in exercises woven throughout the program and an extensive hands-on case study.
Participants will return to their teams with new knowledge and be able to:
- Explain common health care fraud schemes.
- Implement basic investigative strategies to enhance fraud detection and investigation.
- Identify the steps in an investigative plan.
- Identify common data analytic strategies to investigate a case.
- Evaluate cases for merit.
- Detect potential red flags in medical and billing records.
- Identify appropriate resources to assist in fraud detection and investigation.
The pre-recorded sessions will be available on demand between May 11 – 19 to registered attendees. Participants will follow an agenda with some days being dedicated to the on-demand sessions and others to live discussion and reinforcement of concepts. The case study will be held live on the last day of the program. 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.
Dues paying Member Organizations and National Government Liaisons can designate up to two tuition-free registrations per virtual program. Platinum Supporting Members can designate one tuition-free registration per virtual program. State-based Government Liaison can designate up to five tuition-free registrations, limit two per virtual program.
Registration closes at 4:00 pm ET on May 4, 2021.
Written notice of cancellations and substitutions must be sent via email to firstname.lastname@example.org.
Cancellations must be received before the registration deadline to obtain a refund (minus the administrative fee).
For cancellations received after the registration deadline, no refund will be provided but a credit for a future training is available.
Substitutions received after the registration deadline will be assessed with at $50.00 administrative fee.
For more information regarding administrative policies such as refunds, cancellations and complaints, please email email@example.com.
Details & FAQ
This program is most appropriate for career switchers, inter-departmental transfers, or new college graduates with less than three years of experience in health care fraud investigations.
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.
There are no pre-requisites for attending this program.
This program is approved by NHCAA and NASBA for 20 CPEs.
Participants earn 20Continuing 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.
NASBA Field of Study: Specialized Knowledge & Applications
Events are delivered via Adobe Connect, one of the most secure virtual meeting platforms. You will need a computer, internet connection, and possibly a phone.
If this is your first time joining a meeting using Adobe Connect, please review our Technical Requirements & Troubleshooting for Adobe Connect webpage, which includes a link to test your system. Remember to download the Adobe Application for the best experience.
- CPEs: 20