Top Schemes of 2024
Based on a review of member investigations and feedback from our committees and leaders, NHCAA has selected three topics for presentation at the 7th annual Top Schemes webinar. Participants will hear strategies to detect, investigate, and prevent fraud in the areas listed below.
DME Schemes
Explore DME schemes, including the ongoing catheter scheme. Review the associated codes, how the schemes work and investigative strategies. In addition, discuss how the bones of the catheter scheme have been replicated in other areas, such as ostomy, to help spot trends early.
John Haney, AHFI
Manager, Special Investigations Unit
UnitedHealthcare – Medicare & Retirement Insurance Solutions
Jason Bock, MBA, AHFI
Senior Investigator, Government Programs
Blue Cross Blue Shield of Michigan
Skin Substitute Scheme
Review how skin substitutes are appropriately used, the relevant codes, and how claims are being manipulated to get these services covered. Examine how place of service codes can be used to increase payment and how to strategically think about skin substitute claims to spot potential fraud, waste, and abuse.
John Johnson, DPM, FACFAS
Medical Director, Utilization Management
Blue Cross Blue Shield of Michigan
Steffani Gray, AHFI
Senior Analyst
Blue Cross Blue Shield of Michigan
Enrollment Scenarios
Discuss schemes recently linked to unauthorized agent and broker marketplace activity. Review the nuances of the schemes, examine fraud indicators, and discuss strategies for combating.
Sabrina Vera, AHFI
SIU Senior Director
Florida Blue
New Registration Process for 2024
- This webinar will be complimentary to employees of Member Organizations, Affiliate Members, Government Liaisons, and Supporting Members for one month from start of program.
- After January 31 , there will be a $50.00 fee to register for all Member Organizations.
- Individual Members may purchase the webinar from for $50.00.
Registration Information
This webinar has complimentary registration for employees of NHCAA Member Organizations, Government Liaisons, and Supporting Members through 11:59 PT on January 31. After this day, the webinar will be available for purchase. For Individual Members, registration is available for $50. Non-members, including local, state, and federal public agencies who are not Liaisons, do not have access to NHCAA webinars.
REGISTRATION RATES
| December 10 – January 31 | February 1 – June 30 | |
| NHCAA Member Organizations1 | Complimentary | $50 |
| NHCAA Government Liaisons2 | Complimentary | $50 |
| Individual Members3 | $50 | $50 |
REGISTRATION POLICIES
Complimentary registration closes on the last day of the month. Paid registration is open for three (3) additional months after the complimentary time-period ends. The registration period for both complimentary and paid registrations will end at 11:59 pm Pacific Time.
Cancellation/Substitution
All cancellations (regardless of date) will be assessed with a $10 administrative fee.
All written notice of cancellations and substitutions should be sent via email to training@nhcaa.org. Cancellations received within 5 days of the date of purchase will result in a refund minus an administrative fee if the training has not occurred. No refunds will be issued if any portion of the webinar has been viewed. Registrations are non-transferrable for webinars.
Concerns
For more information regarding administrative policies such as refunds, cancellations and complaints, please email training@nhcaa.org.
Details & Frequently Asked Questions
Webinar programs are most appropriate for beginning and mid-career analysts, investigators, consultants, and law enforcement agents working in the health care anti-fraud industry.
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.
There are no pre-requisite requirements to attend webinar programs.
All webinars are approved by: NHCAA for 1 CPE
Participants earn 1 Continuing Professional Education (CPE) hours applicable to the training requirements for the Accredited Health Care Fraud Investigator (AHFI®) designation.
Webinars are delivered via NHCAA Learn. You will need a good internet connection and an up-to-date version of Chrome, Firefox, Edge, or Safari. Internet Explorer is not recommended and will not render content correctly.
Video content will open in a pop-up window. You may need to disable a pop-up blocker.
Our FAQ website will be available soon. Registration and login questions can go to training@nhcaa.org. Questions about content or NHCAA Learn functionality can be directed to learn@nhcaa.org.
1Member Rate applies to all NHCAA Member Organizations, Affiliate Members, and Platinum Supporting, Premier Supporting and Supporting Members.
2Government Liaison Rate applies to employees of NHCAA Government Liaisons only.
3 Individual Member Rate applies to individuals that have applied for and been approved for individual membership and whose membership dues are current.
- CPEs: 1
