Health Care Fraud Schemes: DME
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.
Part 1 Speakers
Eric Rubenstien, MS, CFE
Director, Litigation, FWA
Advize Health, LLC
Joe Croce, AHFI, CFE
Director, Health Care Fraud & Abuse
Advize Health, LLC
Part 2 Speakers
Jacquelyn Edwards
Manager
UnitedHealth Investigations
Charmayne Stalhood, AHFI
Investigations Consultant – SIU
UnitedHealth Investigations
Registration Information
REGISTRATION RATES
| NHCAA Member1 | Government2 | Non-Member3 |
| $175 | $175 | $250 |
REGISTRATION POLICIES
Registration closes at 3:00 PM ET the day before the webinar.Cancellation/Substitution
All cancellations (regardless of date) will be assessed with at $100 administrative fee. All written notice of cancellations and substitutions should be sent via email to training@nhcaa.org. Cancellations must be received in writing 24 hours in advance of the webinar in order to receive any refund.Complaints
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 1.5 Continuing 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
View our updated FAQ webpage to see if your webinar question has already been answered. If not, email the education team at programs@nhcaa.org.
