2015 Annual Training Conference & Anti-Fraud Expo

Rise of Opiods: How Proactive Approaches to Analytics, Investigations and Partnerships Counter Fraud (Room Seaport B)

19 Nov 15
10:15 AM - 11:15 AM

Tracks: Anti-Fraud Technology Solution

Speaker(s): Edward Hewitt, Sr., AHFI, CFE, Program Integrity Solution Consultant, HMS, Inc.; Erwin Acuna, CFE, Senior Director of Pharmacy Operations, HMS, Inc.

The number of Medicare beneficiaries receiving commonly abused opioids rose by 92% between 2006 and 2014, compared with a 68% increase for all drugs. Countering the related surge in fraud will require investigators to adopt a more proactive approach to analytics, investigations, and partnerships. New geospatial analytics, fresh methods to curb doctor shopping, and preemptive relationships with pharmacies and other partners can deliver outsized results. Told through statistics and mini-case studies, this presentation will provide investigators with practical ways to fight opioid fraud and to help those suffering from addiction.