NHCAA continues to offer premier education and training through our webinar program. NHCAA’s webinars provide participants training opportunities on a wide range of topics from the latest in health care fraud trends and investigative best practices, to skill-building training sessions.
The NETS webinars are held on a monthly basis at 2:00 PM ET.
Faculty will focus on proactive coding strategies. Discuss how codes drive revenue enhancement and explore what can be done to proactively use coding in conjunction with medical policy and reimbursement policies to find suspect claims and close loopholes. In addition, examine some key 2020 coding changes and ways these changes may drive inappropriate billing and what red flags you could expect to see in your data.
Shauna Vistad, CFE, CPC, CFI, MBA, AHFI
CareFirst BlueCross BlueShield
*This program has the prior approval of AAPC for 1.5 continuing education hours. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor.
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Fraud Schemes in Cosmetic & Wellness Procedures
Explore several common schemes in wellness testing/procedures and cosmetic surgery. Learn how providers use creative billing to mask procedures and how some use a cookie-cutter approach testing and prescribing to patients under the umbrella of “wellness” medicine. The faculty will review red flags, scheme details, and investigative strategies for these schemes. In addition, hear the details of a case study involving a non-par ambulatory surgery center routinely masking procedures, unbundling services, and waiving co-pays or deductibles. Understand the data analysis, red flags, and investigative strategies used to uncover the schemes being perpetrated and how a related surgical group was identified based on the initial investigation.
Kenneth Cole, AHFI, CFE, CPC
Manager of Special Investigations, SIU Services
Healthcare Fraud Shield
Maria Seedorff, DC, AHFI, CPC
Senior Clinical Investigator
Healthcare Fraud Shield
Ronald Gontasz, Jr., AHFI
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Data Analytics Techniques & Strategies
Clinical Review of Intraoperative Neuromonitoring Schemes
Collaborating with PBMs on Pharmacy Investigations
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.
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 this program.
All webinars are approved by: NHCAA for 1.5 CPEs and NASBA for 1.5 CPEs
*National Association of State Boards of Accountancy (NASBA)
Webinars are delivered via Freestone, an online learning platform; all you need is an Internet connection.
Test your system to ensure that your webinar experience will be seamless. The system check allows you to test your interface, read recommended settings, and browse frequently asked questions.
For Tuition Free seats and paid members: each additional webinar line is $100.00.
Online registrations closes at 10:00 am ET on the day of the webinar.
All cancellations (regardless of date) will be assessed with at $100.00 administrative fee.
All written notice of cancellations and substitutions should be sent via email to firstname.lastname@example.org. Cancellations must be received in writing 24 hours in advance of the webinar in order to receive any refund.
For more information regarding administrative policies such as refunds, cancellations and complaints, please email email@example.com.
*Tuition-Free Registrations: Dues paying Member Organization can designate up to two tuition-free registrations per program. Dues paying Affiliate Members can designate one tuition-free registration per program. All Individual Members, Law Enforcement Liaisons, Premier Supporting and Supporting Members and non-members, including state and local, state and federal public agencies, wishing to participate will need to submit a registration form and applicable payment. All participants may purchase additional lines.
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: firstname.lastname@example.org.