A PRIVATE-PUBLIC PARTNERSHIP AGAINST HEALTH CARE FRAUD
Cardiovascular imaging services have emerged as profitable revenue streams for healthcare providers. In this presentation, participants will gain a foundational understanding of echocardiogram and duplex ultrasound services. The speaker will provide a comprehensive overview of high-risk indicators of fraud, waste, and abuse, which can be applied to both enterprise-wide data mining routines and targeted investigations.
Participants will be exposed to various investigative methods such as biller identification and review, preliminary reviews of subjects, member interviews, and medical records reviews. This presentation aims to equip participants with practical information that can be directly applied to their analytical and investigative roles.
Tom KusiorLead Investigator – Special Investigations DepartmentBlueCross BlueShield of Illinois
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