SIU Panel Discussion: Best Practices in Healthcare Payer FWA
Sponsored by: Cotiviti (registration to this event is strictly limited by the sponsor)
Doing more with less is the mantra of most health plan special investigations units (SIU). Hear from a panel of health plan SIU leaders as they discuss some of their best practices around overcoming common challenges of heavy workloads and emerging schemes. Join our panel of industry leaders in discussing common schemes involving laboratories, behavioral health, Durable Medical Equipment and more. Learn how to get beyond the “whack-a-mole” dilemma and become more preventive in the future!
Participants will learn best practices in:
- Investigative work planning
- Combining provider- and claim-level reviews
- Conducting prepay waste and abuse pattern reviews
- Hiring and retaining the right resource mix to achieve optimal results
- Leveraging relationships with other payers and internal health plan stakeholders to drive ROI
Presenters
Session Moderator:
Erin Rutzler, VP of Fraud, Waste and Abuse
Session Panelists:
Jennifer Putt, SIU Director, Highmark Wholecare
Latisha Mire, Director, Financial Investigations, Blue Cross and Blue Shield of Louisiana
Trevor McCall, Director, Special Investigations Unit, Program Integrity, AmeriHealth Caritas
- CPEs: 1
