Schedule at a Glance

TUESDAY, NOVEMBER 18

  • 7:00 am - 6:30 pm Conference Registration
  • 8:30 am - 4:30 pm Optional Full Day Pre-Conference Programs Details NHCAA is pleased to offer two full-day pre-conference programs. There is additional tuition applied to Pre-Conference registration

    AHFI® Examination Prep Course
    Evaluation & Management (E/M) Coding Schemes
  • 8:30 am - 12:00 pm Optional Half-Day Pre-Conference Program (Morning) Details NHCAA is pleased to offer this half-day pre-conference program in the morning. There is additional tuition applied to Pre-Conference registration.

    Emerging Schemes
  • 1:00 pm - 4:30 pm Optional Half-Day Pre-Conference Program (Afternoon) Details NHCAA is pleased to offer this half-day pre-conference program in the afternoon. There is additional tuition applied to Pre-Conference registration.

    Provider Interviewing Techniques
  • 4:00 pm Anti-Fraud Expo Hall Opens
  • 5:00 pm - 7:00 pm Welcome Reception in the Anti-Fraud Expo Hall

 

WEDNESDAY, NOVEMBER 19

  • 6:30 am - 6:30 pm Conference Registration
  • 6:45 am - 7:45 am Concurrent Breakfast Sessions
  • 8:00 am - 9:00 am Opening General Session
  • 9:15 am - 10:15 am Concurrent Sessions Details Chiropractic FWA Trends
    Dental Director's Quick Hits Panel
    Joint Part C SIU/ Law Enforcement Investigation - South Florida Clinic
    Ambulance Fraud: a Growing Concern
    Investigating Medicaid Fraud
    Part D and J Code Schemes
    10 Legal Issues to Watch (R)
    End to End Risk Mitigation of Improper Payments, presented by Emdeon
    Addressing Evolving Threats in Fraud, Waste and Abuse, presented by Truven Health Analytics
  • 10:15 am - 11:00 am Coffee Break in the Anti-Fraud Expo Hall
  • 11:00 am - 12:00 pm Concurrent SessionsDetails Trends and Schemes in Functional Medicine: Micronutrient Analysis and Hormonal Therapies
    >Lessons Learned in Leveraging Big Data for the SIU
    Urine Drug Screens: A Case Study
    Latest Trends in Pharmacy Fraud, Waste and Abuse Audits
    Effective Use of Data in Prosecutions
    Life Insurance - Foreign Death Investigations
    Staying Ahead: New Ideas and Solutions to Fight Fraud, Waste and Abuse, presented by Verisk Health
  • 12:00 pm - 1:30 pm Awards Luncheon
  • 1:30 pm - 2:30 pm Concurrent SessionsDetails Treatment and Interventions in Autism
    Impact of ICD-10 on the SIU
    Key Issues Surrounding Fraud, Waste & Abuse in Home Healthcare Services
    Detecting & Investigating Behavioral Health Fraud
    Compounded Injectible Drugs (R)
    CMS Program Integrity Update
    Disability, LTCI and Workers Compensation Schemes
    Investigations That Work: Using New Approaches to Communicate With Prosecutors and Jurors, presented by HMS, Inc.
  • 2:30 pm - 3:10 pm Dessert with the Exhibitors
  • 3:10 pm - 4:10 pm Concurrent SessionsDetails 2014 Investigation of the Year
    Dental DME Billing (R)
    Understanding Medically Unlikely Edits
    Preparing for Audits Group Discussion
    Maximizing Witness Value during Patient and Provider Interviews
    The Evolution of Pre-pay: Looking at what has and has NOT worked. Where do we go from here?, presented by LexisNexis
    Emerging FWA Issues and Trends in Medicare Part D, presented by Xerox
  • 4:15 pm - 5:00 pm General Session
  • 5:00 pm - 7:00 pm Connect Reception in the Anti-Fraud Expo Hall

 

THURSDAY, NOVEMBER 20

  • 7:00 am - 5:00 pm Conference RegistrationDetails How Practices with Certified Compliance Programs Can Reduce SIU Workloads, presented by 7Atlis
    New Threats. New Thinking., presented by IBM
    Antiretroviral Therapy Abuse and Overutilization, presented by Palantir Technologies
    Increasing Investigative ROI through the Project Model Approach, presented by SAS
    Increase SIU Effectiveness with a Flexible Workflow Technology, presented by SCIO Health Analytics
  • 7:00 am - 8:00 am Breakfast Workshop Sessions
  • 8:15 am - 9:30 am Concurrent SessionsDetails Urine Drug Screens (R)
    Health IT and the Impact on Investigations (R)
    Bay Medical: A Brooklyn Strike Force Case Study
    Making the Case with Data: Two Case Studies
    Pharmaceutical Wholesalers and Part D Fraud
    10 Legal Issues to Watch
    Interactive Lead Generation Workshop, presented by General Dynamics Information Technology
    Inpatient Authorizations: The Risk of Overpayment, presented by CGI Federal
  • 9:30 am - 10:15 am Coffee Break in the Anti-Fraud Expo Hall
  • 10:15 am - 11:15 am Concurrent SessionsDetails Anesthesiology & Pain Management
    Fraud in the Emergency Department
    Dental Fraud Case Study
    Sober Homes (R)
    Advanced Tools to Detect and Investigate Healthcare Fraud
    Compounded Injectible Drugs
    Compliance and the SIU
    Using Adaptive Predictive Analytics to Discover Facility Payment Schedule and Contract Issues, presented by FICO
  • 11:30 am - 12:30 pm Concurrent SessionsDetails Interventional Radiology
    Dental Benefits and the ACA
    Use of Extrapolation for Recovery and Prosecution
    Behavioral Health Audits
    Investigation Techniques for Part D Cases
    The ERISA Preemption Challenge
    Emerging Trends in Workers' Compensation Fraud
    The Latest Trends in Waste and Abuse, presented by McKesson Health Solutions
  • 12:30 pm - 2:00 pm Networking Luncheon, Prize Drawing in the Expo Hall
  • 2:00 pm - 3:00 pm Concurrent SessionsDetails Examining Schemes in Podiatry
    Dental DME Billing (R)
    Caregiver Fraud: So Hidden Yet So Costly
    Sober Homes
    Fraud Schemes in other Countries
    Disability Fraud Case Study
    Dissecting Inpatient Rehabilitation Services, presented by Health Care Excel
    Uncovering Hidden Cosmetic Procedures, presented by Healthcare Fraud Shield
  • 3:00 pm - 3:30 pm Energy Break & Exhibitor Finale
  • 3:30 pm - 5:00 pm Hands-On Interactive Sessions Details Determine the Fraud Starting Point
    Emerging Fraud Schemes in Medicare
    Operation Orange Squeeze: Using the Anti-Kickback Statute to Attack Corruption in the Healthcare Industry
    Fraud Under the Affordable Care Act: Year One
  • 4:00 pm - 5:30 pm Certificate Pick-up
  • 6:00 pm - 10:00 pm Dine Out in Dallas

 

FRIDAY, NOVEMBER 21

  • 7:30 am - 11:30 am Certificate Pick-up
  • 8:00 am - 9:30 am Breakfast General Session
  • 9:30 am - 11:30 am Ethics for the Health Care Fraud Investigator
  • 9:45 am - 11:00 am Concurrent Sessions Details Urine Drug Screens
    Health IT and the Impact on Investigations
    Pharmaceutical Wholesalers and Part D Fraud
  • 11:30 am Conference Adjourns

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