Schemes for Health Care Fraud Investigators and Analysts

This annual virtual program dissects schemes from across the health care industry. Participants will hear how their peers uncovered schemes through data mining, incorporated analytics into their investigation, utilized coding, medical knowledge, and red flags to discover fraud scheme mechanics, and evaluated strategies to investigate fraud.

The on-demand format allows you to watch at your own pace, moving seamlessly between learning and work, and is ideal for implementing and exploring new schemes and concepts on your own timeline. Participants will:

  • Explore analytical methodologies to uncover leads and fraud schemes.
  • Examine how the scheme operates and key red flags.
  • Identify key investigative strategies for specific schemes.
  • Discover the coding and billing data to be investigated and analyzed.

You will also be part of an event community, adding a key networking component to our virtual environment. This community provides a space for participants to ask faculty questions and discuss concepts and schemes explored during the various sessions.

These sessions were not designed to be shared or streamed with others. Each participant should be registered to attend.

Registration Information


Dues paying Member Organizations and National Government Liaisons can designate up to two tuition-free registrations per virtual program. Platinum Supporting Members can designate one tuition-free registration per virtual program. State-based Government Liaison can designate up to five tuition-free registrations, limit two per virtual program.

NHCAA Member1Government2Non-Member3


Registration closes at 4:00 pm ET on June 14, 2021.


  • Written notice of cancellations and substitutions must be sent via email to

  • Cancellations must be received before the registration deadline to obtain a refund (minus the administrative fee).

  • For cancellations received after the registration deadline, no refund will be provided but a credit for a future training is available.

  • Substitutions received after the registration deadline will be assessed with at $50.00 administrative fee.


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

Details & FAQ

This program is most appropriate for mid to senior-level analysts, investigators, consultants, and law enforcement agents working in the health care anti-fraud industry. However, anyone with at least two years working in the health care anti-fraud industry would benefit from the material presented at this program.

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.

Two years working in the health-care anti-fraud industry or attendance at the Boot Camp Program.

This program is approved by NHCAA and NASBA for 20 CPEs. Participants earn 20 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

Events 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.

The event is finished.


Jun 21 - 25


Multiday Event
All of the day
  • CPEs: 20