Call for Presentations
NHCAA is seeking health care anti-fraud professionals to share best practices, case studies, emerging schemes, investigative skills, clinical knowledge, proven data mining techniques, and investigative solutions at the 2021 programs listed below.
Each of these programs will be held virtually:
- Enhancing Your Skills: Managing & Navigating complex Investigations – Submissions Due by Friday, February 25
The Annual Training Conference Call for Presentations will open in 2021.
Enhancing Your Skills: Managing & Navigating Complex Investigations
Submission Deadline: February 25
Program Dates: August 10 – 12
This program is designed to enhance the skills of middle managers and investigators on the rise. Content focuses on the skills necessary for complex investigations. Speakers will utilize case examples to highlight their best practices. The goals of this program are to provide participants the opportunity to:
- Unravel schemes through a focus on case management and development.
- Review how to make decisions using analytics.
- Examine the role of internal collaboration and discuss ways to develop and motivate your investigative team.
- Develop skills experienced anti-fraud professionals need, such as interviewing and negotiation, to conduct effective investigations.
- Explore effective collaboration with law enforcement or government partners.
The Education & Training Committee is particularly interested in presentations that fit into one of the categories below. Schemes and management techniques pertaining to commercial health insurance, supplemental insurance, and government programs, especially Medicare, Medicaid, and Medicaid Managed Care, are welcome.
In your submission description, please detail the case management skills needed to investigate your complex scheme. Sessions should emphasize ways to enhance and refine skills, ideally with examples of improved investigative outcomes, lessons learned, and habits investigators can adopt immediately. For skill-based sessions not reliant upon a scheme, unless the skill is unique, no foundation building sessions (i.e., Level I) will be accepted for presentation.
- Kickback arrangements
- Unique owner arrangements
- Birth tourism / medical tourism
- Direct marketing schemes
- Foreign claims
- Intraoperative neuromonitoring
- Investigative skills
- Managing pre-pay review
- Price Gouging
- Virtual offices