2015 Annual Training Conference & Anti-Fraud Expo

Sessions Speakers Exhibitors Show Specials Floor Plan Buzz

Testosterone Therapy (Room Seaport C)

19 Nov 15

10:15 AM - 11:15 AM

Tracks: Clinical Issues for the Health Care Fraud Investigator

Speaker(s): Gordon Grundy, MD, SIU Medical Director, Aetna, Inc.; Linda Cote, AHFI, Senior Investigator, Aetna Inc.

The presenters will discuss in detail the clinical indications for testosterone therapy, and how the recent publicity regarding this treatment as an anti-aging therapy has led to widespread abuse of this treatment. Faculty will examine how the lack of controls to monitor potential life-threatening side effects makes this abuse even more dangerous and a quality of care concern for patients. Billing patterns and ways to identify suspect providers will be demonstrated. A case history will be covered which will include how this problem was discovered, the investigative steps taken, pitfalls encountered while investigating, results achieved, and tips to mitigate loss.

Home Sessions Speakers Exhibitors Show Specials Floor Plan