Program Integrity Pulse: Lessons learned from a successful prepay FWA program
Sponsored by: Cotiviti (registration to this event is strictly limited by the sponsor)
In this session, you will gain:
- A clear understanding of Highmark Wholecare’s strategy for preventing improper claims while seamlessly referring verified fraud leads to the SIU.
- Insights into the top areas of abuse that can be effectively addressed in the prepay stage.
- Practical guidance on reviewing providers that have been flagged using artificial intelligence and deterministic algorithms before claim payment.
Presenters
Jennifer Putt
Manager of Financial Investigations and Provider Review, Highmark Wholecare
Nikki Brody
Senior Investigator, Fraud, Waste, and Abuse, Cotiviti
Please note: This event is sponsored by Cotiviti, an NHCAA Platinum Supporting Member. Registration is limited and determined by the sponsor, and NHCAA cannot circumvent or alter the sponsor’s registration policies. Registration from personal email addresses and some organizations are not permitted. Please accept our apologies if you are unable to register for this particular event, however, NHCAA does offer other educational programs. Please click here to view upcoming educational opportunities.
