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.
Health Care Fraud Schemes Related to COVID-19
In these unprecedented times, NHCAA is committed to providing the health insurance industry with the most up-to-date information on health care fraud schemes evolving from COVID-19. Federal and state legislative bodies and agencies are responding to this emergency with extraordinary speed and in turn, insurers are making necessary adjustments to coverage and payment policies. Thus far, these efforts have focused largely on waiving cost-sharing for telehealth and reducing administrative burdens on providers. Unfortunately, there are bad actors who are exploiting this crisis and preying on people’s fears with fraudulent schemes.
On April 16, the U.S. Department of Health and Human Service, Office of Inspector General (HHS-OIG) will detail their efforts to curb fraud and offer insight on the preliminary schemes from online phishing scams, door-to-door COVID-19 testing offers to a variety of tele-marketing schemes.
Christian J. Schrank
Assistant Inspector General for Investigations, Office of Inspector General, U.S. Dept. of Health & Human Services
|Register Online Here|
Data Analytics Techniques & Strategies
This presentation will focus on the spike report, a staple of fraud analytics, which identifies large increases in activity. When working well, spike reports can provide valuable leads on emerging schemes, as well as intelligence on overall trends in medical expenses. However, cultivating an effective spike report means getting the details right. This presentation will discuss how to choose metrics and time periods, but also use the spike report as a jumping off point for a broader look at the uses and misuses of data analytics in fraud detection.
Data Scientist, Blue Cross and Blue Shield of North Carolina
Collaborating with PBMs on Pharmacy Investigations
Clinical Review of Intraoperative Neuromonitoring Schemes
Medical Record Review Strategies
Dental Fraud: Oral Surgery Schemes
Using Data to Make Business Decisions
Top Schemes of 2020
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 email@example.com. 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 firstname.lastname@example.org.
*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: email@example.com.