Top Schemes of 2022
Based on a review of member investigations and feedback from our committees and leaders, NHCAA has selected remote patient monitoring (intraoperative neuromonitoring), temporal mandibular disorders, and durable medical equipment fraud as the topics for the 5th annual Top Schemes webinar. Participants will hear strategies to detect, investigate, and prevent fraud in all three areas. Detailed descriptions are below.
DME Fraud
Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) are types of equipment which can withstand repeated use. As one of the top reported provider types for fraudulent billing, this session will focus on the shifting schemes in this space and red flags to identify these issues in your own claims systems.
Jason Bock
Fraud Investigator
Blue Cross Blue Shield of Michigan
Temporal Mandibular Disorders
The temporomandibular joint (TMJ) is the connecting hinge mechanism between the base of the skull (temporal bone) and the lower jaw (mandible). Temporomandibular joint dysfunction (TMD or TMJD) is the abnormal functioning of the temporomandibular joint. It also refers to symptoms arising in other areas secondary to the dysfunction. Review fraudulent billing for Temporomandibular Joint Disorder (TMJ or TMD) therapy service, including the billing and coding of services associated with TMD and fraud schemes.
Hana Hasson, DDS, MS
PA Dental Director
Avesis, LLC
Ruthann Pardo, BSN, RN, CFE
Sr. Financial Investigator
Medical Mutual of Ohio
Intraoperative Neuromonitoring
Intraoperative neuromonitoring (IONM) is the continuous surveillance of a patient’s nervous system (i.e., brain, spinal cord and nerves), which can be at risk during surgery. While this monitoring can offer extra protections for patient safety, it is very costly and can be abused in terms of overuse and inadequate disclosure to patients. Review the parties involved with IONM and the reasons that drive this towards fraud, waste and abuse.
Ashely Stein, CPA, CFE
Senior Investigator
Point32Health
Registration Information
REGISTRATION RATES
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 POLICIES
Registration closes at 3:00 pm ET the day before the webinar.
Cancellation/Substitution
Written notice of cancellations and substitutions must be sent via email to training@nhcaa.org.
- 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.
Concerns
For more information regarding administrative policies such as refunds, cancellations and complaints, please email training@nhcaa.org.
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: www.nasbaregistry.org.
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 programs@nhcaa.org.
