Health Care Fraud Schemes: Outpatient Facilities

During this webinar two organizations will explore schemes occurring in the outpatient facility setting. Hear key issues and discuss current scheme data analytics and mechanics.

Part 1 – Misrepresentation of Outpatient Services

In the first half of the webinar, participants will explore how outpatient services can be misrepresented. Examine outpatient levels of care and outpatient “medical clinics” that bill alongside a rehabilitation facility. The speaker will explain data analysis techniques, scheme red flags, and how unbundling, misrepresentation, and fee-forgiving schemes operate.

Elizabeth Cyrowski
Senior Investigator

Part 2 – Spravato: Investigating Outpatient BH Clinics

Spravato (esketamine) is an intranasal spray used to treat depression. Patients are monitored for at least two hours at each treatment session. Utilization of this medication is rapidly expanding as new clinics are being opened across the country. This session will explore the complexities of investigating these facilities; touching on topics including network exceptions, prior authorization, REMS-certification, and coding.

Brian Robinson, CFE, AHFI
Director, Fraud Analytics & Investigations

Joshua Orr, JD
Director of Special Investigations Unit and Senior Associate General Counsel

Registration Information


Dues paying Member Organizations can designate up to two tuition-free registrations per webinar. Government Liaisons and Platinum and Premier Supporting Members can designate one tuition-free registration per webinar. All Individual Members, Supporting Members, and non-members (including local, state, and federal public agencies who are not Liaisons) need to submit a registration form and applicable payment.
NHCAA Member1 Government2 Non-Member3
$175 $175 $250
For both Tuition-Free and paid registrations additional webinar lines are $100.


Registration closes at 3:00 PM ET the day before the webinar.


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 Cancellations must be received in writing 24 hours in advance of the webinar in order to receive any refund.


For more information regarding administrative policies such as refunds, cancellations and complaints, please email

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 1.5 CPEs and NASBA for 1.5 CPEs
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: NASBA Field of Study: Specialized Knowledge & Applications
Webinars are delivered via Adobe Connect, one of the most secure virtual meeting platforms. You will need a computer, internet connection, and possibly a phone. If this is your first time joining a meeting using Adobe Connect, please review our Technical Requirements & Troubleshooting for Adobe Connect webpage, which includes a link to test your system. Remember to download the Adobe Application for the best experience.

View our updated FAQ webpage to see if your webinar question has already been answered. If not, email the education team at

1Member Rate applies to all NHCAA Member Organizations, Affiliate Members, Individual Members, Premier Supporting Members and Supporting Members.
2Government Rate applies to NHCAA Law Enforcement Liaisons and other attendees from local, state, and federal public agencies.
3 Non-Member participants must occupy a professional position with a private for-profit or not-for-profit health care reimbursement organization, in a local, state or federal law enforcement, prosecutorial, a regulatory agency or in a professional disciplinary organization. All registrations will be reviewed to ensure these eligibility requirements are met. If you are not in one of these positions, but wish to attend, please email us at:

The event is finished.


May 18


Eastern Time
2:00 pm - 3:30 pm
  • CPEs: 1.5