Data Analysis in Health Care Fraud Investigations
This presentation will take the attendee through the process of interpreting an investigative request, planning the approach, and staying on-course in the face of pitfalls, setbacks, and floods of data. The faculty will focus on tips, tricks and techniques, situational examples, and the decision-making processes. They will explore setting appropriate expectations and documenting analytics in support of a case investigation. The faculty will also review how to incorporate various types of research, leverage internal and external datasets, and tie those different analytic results together to further the investigation. The faculty will focus on Open-Source Intelligence (OSINT), Social Media, and manual research techniques and address the creation of visualizations to ensure the results of the analytics are transformed into link charts, reports, maps, and graphs that easily convey the findings to the specific audience.
Speaker:
Donna Jallits, AHFI
Business Analytics Advisor, Evernorth Health Services
Shawn Lipsey
Business Analytics Advisor, Evernorth Health Services
Registration Information
REGISTRATION RATES
| October 1 – 31, 2025 | After October 31, 2025 | |
| NHCAA Member Organizations1 | Complimentary | Complimentary |
| NHCAA Government Liaisons2 | Complimentary | $50 |
| Individual Members3 | $50 | $50 |
REGISTRATION POLICIES
Complimentary registration closes on the last day of the month. Paid registration is open for three (3) additional months after the complimentary time-period ends. The registration period for both complimentary and paid registrations will end at 11:59 pm Pacific Time.
Cancellation/Substitution
All cancellations (regardless of date) will be assessed with a $10 administrative fee.
All written notice of cancellations and substitutions should be sent via email to training@nhcaa.org. Cancellations received within 5 days of the date of purchase will result in a refund minus an administrative fee if the training has not occurred. No refunds will be issued if any portion of the webinar has been viewed. Registrations are non-transferrable for webinars.
Concerns
For more information regarding administrative policies such as refunds, cancellations and complaints, please email training@nhcaa.org.
Details & Frequently Asked Questions
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.
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-requisite requirements to attend webinar programs.
Participants earn 1 Continuing Professional Education (CPE) hours applicable to the training requirements for the Accredited Health Care Fraud Investigator (AHFI®) designation.Webinars are delivered via NHCAA Learn. You will need a good internet connection and an up-to-date version of Chrome, Firefox, Edge, or Safari. Internet Explorer is not recommended and will not render content correctly.
Video content will open in a pop-up window. You may need to disable a pop-up blocker.
Our FAQ website will be available soon. Registration and login questions can go to training@nhcaa.org. Questions about content or NHCAA Learn functionality can be directed to learn@nhcaa.org.
1Member Rate applies to all NHCAA Member Organizations, Affiliate Members, and Platinum Supporting, Premier Supporting and Supporting Members.
2Government Liaison Rate applies to employees of NHCAA Government Liaisons only.
3 Individual Member Rate applies to individuals that have applied for and been approved for individual membership and whose membership dues are current.
- CPEs: 1
