Top Schemes of 2023

Name: Top Schemes of 2023
Start: 2023-12-07
End: 2023-12-07

NHCAA presents its 6th annual Top Schemes webinar, a targeted exploration of three issues chosen following a review of member investigations and feedback from our committees and leaders. Participants can expect to gain insights into industry trends, effective strategies for fraud detection, investigation, and prevention, as well as key considerations for future analytics and investigations. This year’s focus includes:

Impact of AI/ML: Uncover the evolving landscape shaped by Artificial Intelligence and Machine Learning, exploring their influence on health care fraud detection and prevention.
Emerging DME Catheter Scheme: Explore how this scheme has manifested and key investigative strategies.
Update on Weight Loss Drug Schemes: Gain valuable insights into the current tactics employed and how to identify in your own claims data.

Join us for a dynamic webinar that will enhance your knowledge of these top schemes of 2023.

Speaker AI/ML

Kurt Spear, CFE, CISSP
Vice President, Financial Investigations & Provider Review | Highmark Blue Cross Blue Shield

Speakers DME

Jason Bock, MBA, AHFI
Senior Investigator, Government Programs | Blue Cross Blue Shield of Michigan

John Haney, AHFI
Manager, Fraud Waste & Abuse | UnitedHealthcare Investigations

Speaker Weight Loss Drugs

Mark J. Horowitz, RPh.
Senior Manager, National Special Investigations Unit | Kaiser Permanente

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

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

Complaints

For more information regarding administrative policies such as refunds, cancellations and complaints, please email training@nhcaa.org.

Details & Frequently Asked Questions

Who Should Attend?

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.

Program Level

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.

Pre-requisites

There are no pre-requisite requirements to attend webinar programs.

Credits

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

Technology Requirements

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.

Frequently Asked Questions

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.

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: training@nhcaa.org.

The event is finished.

Date

Dec 07

Time

Eastern Time

2:00 pm - 3:30 pm

Organizer

NHCAA

Phone

202.659.5955

Email

training@nhcaa.org

Website

http://www.nhcaa.org