May NETS

May 13-15 | Louisville, Kentucky

MayCourtesy of Louisville Convention & Visitors
Bureau and Churchill Downs. Photo by Reed Palmer.
PROGRAMS

Coding Clinic

May 13 
8 CPEs | 7 CEUs
1 day | Level II
Registration, Substitution and Cancellation Cut-Off: Tuesday, April 30

Participants will understand when codes are properly used and the documentation necessary to support billing. Learn how codes are misused and where to look in the medical record for supporting documentation. Fraud challenges inherent with E&M codes and modifiers will also be addressed. Coding red flags from numerous medical specialties will be examined including: diagnostic studies, cardiology, preventive medicine, sleep apnea, nerve conduction, dialysis, and more.

View Agenda

This program has the prior approval of AAPC for 7.0 continuing education hours. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor.

Interpreting Unique Medical Records

May 14
8 CPEs | 6 CEUs
1 day | Level II
Registration, Substitution and Cancellation Cut-Off: Tuesday, April 30

Medical records are complex documents that can shed light on fraud and abuse issues. Faculty will briefly review the general components of a medical record before delving into records specific to specialty areas including ophthalmology, EMG/NCS, and Chiropractic among others. Understand what a standard record should contain including appropriate documentation, additional documents to review based on the diagnosis (hospital stay, pharmacy, x-rays, etc.), common schemes or misrepresentations, and red flags in the record. Discuss appropriate interview questions to ask patients based on what was seen in the medical records.

View Agenda

This program has the prior approval of AAPC for 6.0 continuing education hours. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor.

Fraud Schemes in Behavioral, Dental & Vision Services

May 15
8 CPEs
Level II
Registration, Substitution and Cancellation Cut-Off: Tuesday, April 30

Review common and emerging fraud schemes in these three specialty areas. Faculty will discuss red flags, coding and documentation issues, interview techniques, and preventive measures in the following areas:

  • Vision: coverage of general eye exams, therapeutic contacts, retina scans, post-cataract treatment
  • Behavioral: autism issues, general therapy schemes, phone/skype services, in-patient services
  • Dental: yearly check-ups, mobile units, surgery, invasive procedures

View Agenda

AHFI® Prep Course

May 15
8 CPEs
Level II
Registration, Substitution and Cancellation Cut-Off: Tuesday, April 30

Prepare to sit for the Accredited Health Care Fraud Investigator (AHFI®) Exam by participating in this full day preparatory program designed to highlight key content areas on the AHFI® Examination. Expert faculty will lead sessions on coding and medical terminology, health care fraud federal and state regulations, health insurance and health care system overview and the basic investigative skills. AHFI® candidates will have the opportunity to take the AHFI® Examination at the conclusion of the Prep Program.

View Agenda

Test for your AHFI®

You must apply for the AHFI designation prior to sitting for the exam. Application deadline for the Spring Exam is Friday, April 25. To request an application, email training@nhcaa.org.

For more information on the AHFI® go to www.nhcaa.org/AHFI.

Case Discussion Roundtable

The afternoon of Wednesday, May 14, 2014, eligible* attendees will have the opportunity to attend a NHCAA Case Discussion Roundtable Meeting.

These meetings provide an opportunity for private insurer members to come together with our public and law enforcement partners to share information and discuss active health care fraud investigations as well as schemes, trends, and fraud patterns.

Attendees participate in group discussions; sharing information on their active cases and trends they are experiencing.

The Case Discussion Roundtable Meetings are by invitation only. If you are eligible* and would like to receive an invitation, please contact Brian Viggiano, Deputy Director of Anti-Fraud Initiatives.

If you will be unable to attend the May Case Discussion Roundtable Meeting, there are 3 other opportunities to attend in conjunction with the remaining scheduled 2014 National Education & Training Series (NETS) programs and the 2014 Annual Training Conference.

*Employees of NHCAA's Member Organizations that have signed an Information-Sharing Agreement and NHCAA's Law Enforcement Liaisons (LELs) are eligible to attend.

REGISTRATION RATES
  Member1 Government2 Non-Member3
1 Program $395 $455 $595
2 Programs $770 $885 $1170
3 Programs $1,450 $1,325 $1,695

1NHCAA Member rate applies to all NHCAA Member Organizations, Affiliate Members, Individual Members, Platinum 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.
3Non-Member participants must occupy a professional position with a private for-profit or not-for-profit health care reimbursement organization, or in a local, state or federal law enforcement, prosecutorial, or 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: training@nhcaa.org.

 

REGISTER

4 Ways to Register

  1. Online: Register online via secure transactions. Please have a Visa, MasterCard, Discover or American Express card available
  2. Fax: Fill out & print completed registration form. Fax form along with credit card payment information or purchase order to 202.785.6764.
  3. Email: Email your completed registration form along with purchase order to training@nhcaa.org.
  4. Mail: Fill out & print completed registration form. Mail form along with payment information to NHCAA 1201 New York Avenue, NW, Ste 1120, Washington, DC 20005. Make check payable to "The NHCAA Institute".

Substitution & Cancellation Policy

Registration, Substitution, Cancellation, and Deadline for Participant Roster: Tuesday, April 30. NHCAA accepts registrations after this date; however, NHCAA may not be able to include your contact information in the participant roster or have a certificate of completion on-site for you.

Cancellation

To cancel and obtain a full refund, minus a $75.00 administrative fee, you must provide WRITTEN NOTICE OF CANCELLATION to The NHCAA Institute by the Registration, Substitution and Cancellation Cut-off Date (see above). If you cancel in writing after that date, no refund will be provided. To cancel please email the Manager, Education & Training Services, at training@nhcaa.org or mail the NHCAA Institute - NETS at 1201 New York Ave., NW Suite 1120, Washington, DC 20005.

Substitution

To request a substitution, you must provide WRITTEN NOTICE OF SUBSTITUTION to the NHCAA Institute by the Registration, Substitution and Cancellation Cut-off Date (see above). All substitutions received after the cut-off date will be assessed a $75.00 fee. Please email the Manager, Education & Training Services at training@nhcaa.org to request a substitution or mail the NHCAA Institute - NETS at 1201 New York Ave., NW Suite 1120, Washington, DC 20005.

HOTEL RESERVATIONS & INFORMATION

Hyatt Regency Louisville
311 S. Fourth Street
Louisville, Kentucky 40202
Hotel website

Skyline-May

Room Rates

Standard Single/Double: $145.00
Government Single/Double: $115.00

Make Reservations

Phone Number: 888.421.1442

Book Online:
Standard Rate
Government Rate

Hotel Reservation Cut-Off: Monday, April 21

A reservation canceled with less than 72 hours notice will incur a charge equal to the first night's room and tax. An early departure fee of one nights' room and tax will be incurred if a guest departs earlier than the date confirmed at check-in.

To receive the NHCAA contracted room rate you must identify yourself as a "NHCAA Institute" program attendee. If you are a federal employee and qualify for the government rate (government contractors that do not have an official government ID do not qualify for this rate) should identify themselves as a "NHCAA Institute Government" program attendee.

Hotel Information

Check-in: 3:00 p.m.
Check-out: 12:00 p.m.

Internet: $15.95 per day Complimentary to NHCAA guests

Self-Parking: $13 overnight or $10 for the day
Valet-Parking: $20 overnight or $12 for the day

Airports

Louisville International Airport (SDF)

*IMPORTANT: Website URLs, taxi fares, parking costs, check-in & check-out times, and other quoted prices and information may be changed at the vendors' discretion. Please confirm all costs associated with your travel prior to attending the program.