Schemes for Health Care Fraud Investigators & Analysts
This annual virtual program dissects schemes from across the health care industry. Participants will hear how their peers uncovered schemes through data mining, incorporated analytics into their investigation, utilized coding, medical knowledge, and other red flags to discover fraud schemes, and strategies to investigate fraud.
The mostly on-demand format allows you to watch at your own pace, moving seamlessly between learning and work, and is ideal for implementing and exploring new schemes and concepts on your own timeline. Participants will:
- Explore analytical methodologies to uncover leads and fraud schemes.
- Examine how the scheme operates and key red flags.
- Identify key investigative strategies for specific schemes.
- Discover the coding and billing data to be investigated and analyzed.
A few sessions, and a networking event, will be held live. You will be able to ask questions utilizing a discussion area for each presentation. The discussion provides a space for participants to ask speakers questions and discuss concepts and schemes explored during the various sessions.
Registration Information
REGISTRATION RATES
- Member Organizations, Affiliate Members, and National Government Liaisons designate up to two tuition-free registrations for this program.
- Platinum Supporting Members and State-based Government Liaisons (including Medicaid Fraud Control Units) can designate one tuition-free registration for this program.
| NHCAA Member | Government Liaisons | Non-Member |
| $675 | $675 | $775 |
REGISTRATION POLICIES
Registration closes at 4:00 pm ET on May 27, 2025.Cancellation/Substitution
Written notice of cancellations and substitutions must be sent via email to training@nhcaa.org.- Cancellations must be received before the registration deadline to obtain a refund (minus the administrative fee).
- For cancellations received after the registration deadline, no refund will be provided but a credit for a future training is available.
- Substitutions received after the registration deadline will be assessed with at $50.00 administrative fee.
Concerns
For more information regarding administrative policies such as refunds, cancellations and complaints, please email training@nhcaa.org.Details & FAQ
The pre-recorded sessions will be available on demand for one week between June 4 – 18 to registered attendees. You can watch at your own pace, engaging with as few or as many sessions during each sitting. To earn credit for attending, 80% of sessions must be watched and each session quiz, which ensures content mastery, must be completed. These sessions were not designed to be shared or streamed with others. Each participant should be registered to attend.
This program is most appropriate for mid to senior-level analysts, investigators, consultants, and law enforcement agents working in the health care anti-fraud industry. However, anyone with at least two years working in the health care anti-fraud industry would benefit from the material presented at this program.
As a level II, or intermediate program, some investigative / health care / coding expertise is assumed. Training content is focused on the detection and investigative processes, using case examples to highlight strategy and techniques.
Ideal attendees will have two years working in the health-care anti-fraud industry or have attended the Boot Camp Program.
This program is approved by NHCAA and NASBA for 20 CPEs.
Participants earn 20 Continuing Professional Education (CPE) hours applicable to the training requirements for the Accredited Health Care Fraud Investigator (AHFI®) designation.
*This program has the prior approval of AAPC for up to 6.0 continuing education hours. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor.
The NHCAA Institute is registered with the National Association of State Boards of Accountancy (NASBA) as a sponsor of continuing professional education on the National Registry of CPE Sponsors. State boards of accountancy have final authority on the acceptance of individual courses for CPE credit. Complaints regarding registered sponsors may be submitted to the National Registry of CPE Sponsors through its website: www.nasbaregistry.org.
NASBA Field of Study: Specialized Knowledge & Applications
This program will be accessible through NHCAA Learn, which requires internet access.
The on-demand portions of the program will be watched directly on NHCAA Learn.
Live sessions will be accessed through links on NHCAA Learn. The live sessions will be delivered via Adobe Connect, one of the most secure virtual meeting platforms. You will need a computer with a speaker and an internet connection. Audio will be provided through the Adobe Connect platform, no phone number will be provided.
If this is your first time joining a meeting using Adobe Connect, please review our Technical Requirements & Troubleshooting for Adobe Connect webpage, which includes a link to test your system. Remember to download the Adobe Application for the best experience.
- CPEs: 20
