Data Analytics for Health Care Fraud Investigations

The Tactical Toolbox: Leveraging Social Media, Open-Source Intelligence & Data Visualization 

The tactical analysts within the Cigna SIU’s Advanced Analytics Team provide support to investigators in the healthcare, IFP (Individual & Family Plans), Medicare Advantage and pharmacy divisions. Through the use of social media investigation and other Open-Source Intelligence (OSINT) sources, these analysts seek to clarify and validate connections and potential behaviors. The faculty will review the tactical approach to public records vendor reports, the most efficient way to use Google, effective mining of social media, image and video analysis, extrapolating connections within OSINT and benefits to creating supplementary visualization.  The faculty will also address leveraging data sources, both internal and external, to expedite the investigation or analysis. This portion will also include the utilization of open-source software like R and Python to aggregate data and research to clearly identify patterns and connections. The overall focus is to effectively research the individuals/entities, establish connections and alleged behaviors, and then incorporate data utilization to analyze, strengthen and visualize information gleaned from all sources.

Faculty

Donna Jallits, AHFI
Business Analytics Advisor, Evernorth Health Services

Shawn Lipsey
Business Analytics Advisor, Evernorth Health Services

New Registration Process for 2024
  • This webinar will be complimentary to employees of Member Organizations, Affiliate Members, Government Liaisons, and Supporting Members from for the month of July.
  • After the month of July, there will be a $50.00 fee to register for all Member Organizations.
  • Individual Members may purchase the webinar from for $50.00.

Registration Information

This webinar has complimentary registration for employees of NHCAA Member Organizations, Government Liaisons, and Supporting Members through 11:59 PT on July 31. After this day, the webinar will be available for purchase. For Individual Members, registration is available for $50. Non-members, including local, state, and federal public agencies who are not Liaisons, do not have access to NHCAA webinars.


REGISTRATION RATES

 July 1 – 31August 1 – October 31
NHCAA Member Organizations1Complimentary$50
NHCAA Government Liaisons2Complimentary$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.

All webinars are approved by: NHCAA for 1 CPE

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.

The event is ongoing.

Date

Jul 01 - 31

Time

Eastern Time
All of the day
  • CPEs: 1
NHCAA

Organizer

NHCAA
Phone
202.659.5955
Email
training@nhcaa.org
Website
http://www.nhcaa.org

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