A PRIVATE-PUBLIC PARTNERSHIP AGAINST HEALTH CARE FRAUD
Insurance companies continue to see increases in fraud surrounding durable medical equipment (DME). In this two-part presentation, participants will hear an overview of the DME business cycle, common methods of fraud, HCPCS code that are frequently abused, and successful techniques for investigating DME fraud. In the second half, speakers will examine three DME cases focusing on: kickbacks for unnecessary DME, billing for rentals, and custom orthotics. Speakers will highlight data analysis, scheme mechanics, member interviews, onsite visits, and possible case resolutions.
Eric Rubenstien, MS, CFEDirector, Litigation, FWAAdvize Health, LLC
Joe Croce, AHFI, CFEDirector, Health Care Fraud & AbuseAdvize Health, LLC
Jacquelyn EdwardsManagerUnitedHealth Investigations
Charmayne Stalhood, AHFIInvestigations Consultant – SIUUnitedHealth Investigations
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.
View our updated FAQ webpage to see if your webinar question has already been answered. If not, email the education team at firstname.lastname@example.org.
National Health Care Anti-Fraud Association Headquarters
1220 L Street, NW, Suite 815 | Washington, DC 20005 | Phone: 202.659.5955 | Fax: 202.785.6764