A PRIVATE-PUBLIC PARTNERSHIP AGAINST HEALTH CARE FRAUD
In this webinar, participants will hear a pharmacy fraud case study detailing material misrepresentations and false statements made in prescription prior authorizations. The speakers will review how the fraud was discovered, examine scheme mechanics, understand investigative challenges, and discuss what strategies may be employed to counteract this scheme.
Medical / Financial Risk Evaluation Professional IIHumana
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: www.nasbaregistry.org.
NASBA Field of Study: Specialized Knowledge & Applications
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National Health Care Anti-Fraud Association Headquarters
1220 L Street, NW, Suite 815 | Washington, DC 20005 | Phone: 202.659.5955 | Fax: 202.785.6764