Call for Presentations
Do you have a health care anti-fraud skill or scheme to share? Can NHCAA members learn from your experiences or your expertise?
Submit a presentation idea to lead an educational session during 2025! This call for presentations is for NHCAA’s Skills, Schemes, webinars, and on-demand sessions. The 2025 Annual Training Conference Call for Presentations will open during the 1st quarter of 2025. See tabs below for details and submission deadlines.
We’re looking for:
- Anti-fraud professionals at all career stages – we can learn from your years of experience or your fresh perspective.
- Experienced and non-experienced speakers – wow us with your well-tuned presentation skills or work with NHCAA staff to sharpen your presentation style.
- Diversity of perspectives – we want to hear from analysts, investigators, managers, clinical staff, and others from different lines of business, geographic areas, and plan sizes.
Use the “submit here” links to share your idea for NHCAA’s 2025 Programs. Note, the 2025 ATC CFP will open in the 1st quarter of 2025.
Enhancing Your Skills
Enhancing Your Skills: Managing & Navigating Complex Investigations
Virtual Program | March 4 – 6
Credits: 10 CPE
Submission Deadline: December 20
This program is designed to enhance the skills of middle managers and investigators on the rise. Speakers present on a skill or utilize a case example to highlight case management best practices for complex cases.
Some presentations the E&T Committee would like to see include:
-
Complex Schemes Case Studies – Discuss how to recognize the scheme, understand scheme logistics, investigative strategies, challenges, and techniques, how to work with internal and/or external partners. Provider types frequently requested include:
- Behavioral Health
- DME
- Medical Doctor
- Lab
- Pharmacy
-
Uncovering Patterns and Anomalies for Investigators (data analysis)
-
Interviewing Techniques
-
Building Effective Partnerships
-
Strategic Thinking for Investigations
-
Preparing to be Deposed
- Prompt Engineering for AI
Schemes
Schemes for Health Care Fraud Investigators & Analysts
Hybrid Virtual Live / On-Demand Program | June 4 – 18
Credits: 20 CPE
Submission Deadline: January 24
This annual virtual training offers investigators and analysts insights on detecting a variety of schemes through case studies, coding, analytics, and other red flags.
Some presentations the E&T Committee would like to see include:
-
Business Arrangements
-
Kickbacks, Unusual Owner Arrangements, and Collusion
-
Data Analysis Techniques
-
Electronic Prescribing Fraud
-
Health Information Technology Fraud
-
Medical or Coding Information
-
Traditional Fraud Areas:
-
Behavioral Health, DME, Labs, Outpatient facilities, Pharmacy, Telehealth, etc.
Webinars
Webinars – NHCAA Learn
On-Demand
1 CPE
Our monthly webinars address timely issues in the health care anti-fraud community through scheme breakdowns, clinical information, analytics, and investigative skills.
2024 Webinar Topics May Include:
-
Coding Clinic
-
Data Analytics
-
Laboratory
-
Medical Doctor Schemes
-
Pharmacy
-
Clinical knowledge for investigations
On-Demand
On-Demand – NHCAA Learn
Variable CPEs
These sessions will be available on NHCAA Learn for NHCAA Members to take at their convenience. Sessions can range in length from less than 20-minutes to 90-minutes. Some trainings the E&T Committee would like to see developed in 2024 include:
-
Utilizing Open Sources for Analytics
-
Investigative Skills
-
Coding and Clinical topics
-
Case Management
- Government Programs
-
Scheme Walkthroughs for schemes such as: home health, labs, DME, pharmacy, behavioral health, etc.
-
Analytics, Dashboard, and Graphing Tutorials
-
Specialty Areas such as Dental
- Workers’ Compensation
- Telemedicine
Planning Your Submission
Planning Your Submission
- Program – Decide the trainings that best fit your session idea(s). Submissions on all topics are welcome.
- Submission Considerations – All submissions should include “how-to” content, best practices, and/or a diversity of perspectives. Product/company specific sales pitches will not be accepted by the committee.
- Levels: Is your session for a novice, someone with experience, or an expert in the industry? Write learning objectives and descriptions that fit your audience. Only presentations for novices should include introductory or generic information on health care fraud.
- Time: Could this be a 15-20 minute micro session, a standard 50-60 minute presentation, or a longer 90-minute topic? Consider the number of speakers, how quickly each one presents, their prior speaking experience, and the breadth and depth of material.
- Learning Objectives: You will need to provide three (3) learning objectives. These statements specify what participants will learn during your session.
- Description: Clearly describe what materials the session will cover, explain any emerging facets or, if a common topic, why it should be revisited, any interactive or unusual aspects of the presentation, why participants will care about this topic, and, if necessary, expand on participant takeaways.
- Case Study – If submitting a case study, please explain why the case is significant. Key discussion points could be: how the case started, if multiple agencies or carriers worked the case, details of the scheme being perpetrated, any unique attributes, lessons learned, and the status of the case. All case study presentations will need to include at least three (3) takeaways for the audience.
- Speaker Biographies: Submit a brief bio that includes relevant industry experience, education, or specialized training. Please submit even if you are a frequent NHCAA speaker.
- Deadlines – Submit your presentation idea(s) by the stated deadlines. Once your information is gathered, it should take 10 -15 minutes to complete the submission. Webinar and On Demand ideas will be reviewed on a rolling basis.