Online Learning

The NHCAA Institute has developed five interactive computer-based training tools. These new e-learning products are both cost-effective and consistent with our outstanding quality and impact of our live training! Upon completion of each course, participants will receive Continuing Professional Education credit.

NHCAA Online Learning Products
Online NETS
Medicare Advantage and Part D Compliance Training
Coding for the Health Care Fraud Investigator
Preventing Fraud Waste & Abuse - General Training
The Painful Price of Health Care Fraud
Chiropractic Fraud: Schemes and Scoundrels

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Computer-Based Training	Medicare Advantage & Part D Compliance Training – Recognizing and Reporting Fraud Waste and Abuse Medicare Contractors - Meet First Tier & Downstream Entity FWA Compliance Training Needs with NHCAA. The Centers for Medicare & Medicaid Services (CMS) requires that all employees who work for or contract with Medicare Part C Medicare Advantage Programs (MA) or Part D Medicare Prescription Drug Programs (PDP) meet annual compliance and education training requirements with respect to Fraud Waste & Abuse (FWA). NHCAA with the input of the Blue Cross Blue Shield Association has developed a computer-based training program titled Medicare Advantage and Part D Compliance Training – Recognizing and Reporting Fraud Waste and Abuse. It is intended to be offered to first tier, downstream and related entities including physicians, vendors, subcontractors and hospitals. The program will provide an understanding of general FWA, increase awareness of FWA occurrences, FWA compliance oversight procedures and resources. This program is now available online. To arrange a demonstration or for more information please contact Erin Carlson at ecarlson@nhcaa.org. Click here to view demo and purchase product
Computer-Based Training	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. Click here to view demo and purchase product
Computer-Based Training	Preventing Fraud, Waste & Abuse - General Training As part of the Medicare Part D – Prescription Drug Benefit, CMS released final guidance in April 2006 for compliance guidance to all Medicare Part D Sponsors titled “CMS Prescription Drug Benefit Manual, Chapter 9 –Part D Program to Control Fraud, Waste and Abuse”. Section 50.2.3 of the Manual dictates that all Sponsors and their “downstream entities”, which include pharmacists and pharmacy workforce members engaged in delivering any Medicare services, receive general and specialized training to prevent fraud, waste and abuse. 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. Click here to view demo and purchase product
Computer-Based Training	The Painful Price of Health Care Fraud "The Painful Price of Health Care Fraud" is an interactive, 60-minute CD that provides a substantive basic education in the nature, scope and impact of health care fraud-in a format that captures and holds the viewer's attention and leaves a lasting impression of the anti-fraud message. Click here for more information.
Computer-Based Training	Chiropractic Fraud: Schemes and Scoundrels The "Chiropractic Fraud: Schemes and Scoundrels," (6 CPEs) is an interactive training tool that provides an in-depth look at chiropractic practices, fraud vulnerabilities, schemes, codes, detection methodologies, investigation techniques, and prevention measures. Designed to support and greatly enhance the knowledge of health care fraud investigators and law enforcement personnel charged with investigating chiropractic fraud cases, this DVD can also serve as a useful fraud awareness training tool for this specific provider specialty area for non-investigative personnel. Click here for more information.

How to Purchase
Visit NHCAA Marketplace to purchase these great e-learning products.

*NOTE: In order to purchase a copy of NHCAA products, you must meet NHCAA membership eligibility requirements -i.e. employees or claims-paying organizations or public sector law enforcement agencies.