Distance Learning for Investigators

Online Training Center

The NHCAA Online Training Center offers more than 50 specialty-focused coding & compliance training courses for participants to take at their convenience. Participants will learn procedure techniques, coding guidelines, documentation requirements, and modifier use in a variety of specialty areas. Courses do not directly address fraud, waste, or abuse, but provide critical coding and clinical information to help investigators accurately assess potentially fraudulent or abusive behavior in specialty areas.

Learn more on our Online Training Center webpage.

Coding for the Health Care Fraud Investigator

Health care fraud is the deliberate submittal of false claims to private health insurance plans or tax-funded public health insurance programs such as Medicare and Medicaid. The National Health Care Anti-Fraud Association estimates conservatively that at least three percent - or more than sixty billion dollars each year - is lost to health care fraud.

This Level One course is designed to introduce health care fraud investigators to the basic coding nomenclature, and provide the information needed to analyze medical record documentation to uncover and investigate questionable claims.

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