2015 Annual Training Conference & Anti-Fraud Expo
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Sessions
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Day
Details
Conference Registration
(
Room
Seaport Foyer
)
17 Nov 15
7:00 AM
-
6:30 PM
Anti-Fraud Expo
(
Room
Anti-Fraud Expo Hall
)
17 Nov 15
4:00 PM
-
5:00 PM
Welcome Reception in the Anti-Fraud Expo Hall
(
Room
Anti-Fraud Expo Hall
)
17 Nov 15
5:00 PM
-
6:30 PM
Conference Registration
(
Room
Seaport Foyer
)
18 Nov 15
6:30 AM
-
6:30 PM
NHCAA Opening General Session
(
Room
Seaport D-H
)
18 Nov 15
8:00 AM
-
9:00 AM
Addressing Evolving Threats in Fraud, Waste and Abuse
(
Room
Seaport A
)
18 Nov 15
9:15 AM
-
10:15 AM
CANCELLED: Medicare Risk Adjustment Fraud
(
Room
Coronado A
)
18 Nov 15
9:15 AM
-
10:15 AM
DOJ Update
(
Room
Grand D
)
18 Nov 15
9:15 AM
-
10:15 AM
Emerging Threats: Pharmaceuticals
(
Room
Seaport C
)
18 Nov 15
9:15 AM
-
10:15 AM
Foreign Dental Claims & Schemes
(
Room
Coronado D
)
18 Nov 15
9:15 AM
-
10:15 AM
Investigating Medicaid Fraud: The Health Plan Perspective
(
Room
Coronado B
)
18 Nov 15
9:15 AM
-
10:15 AM
SIU Best Practices Panel
(
Room
Balboa A-C
)
18 Nov 15
9:15 AM
-
10:15 AM
Urine Drug Screens: CPT Coding Update
(
Room
Gaslamp A-D
)
18 Nov 15
9:15 AM
-
10:15 AM
Coffee Break in the Anti-Fraud Expo Hall
(
Room
Anti-Fraud Expo Hall
)
18 Nov 15
10:15 AM
-
11:00 AM
An Ambulance Fraud Case Study
(
Room
Coronado A
)
18 Nov 15
11:00 AM
-
12:00 PM
Applied Behavior Analysis (ABA) Services
(
Room
Coronado D
)
18 Nov 15
11:00 AM
-
12:00 PM
Dental Coding Schemes
(
Room
Coronado B
)
18 Nov 15
11:00 AM
-
12:00 PM
Freestanding Emergency Centers
(
Room
Seaport A
)
18 Nov 15
11:00 AM
-
12:00 PM
How A Multi-pronged Approach and Use of Visualization is Most Effective to Reduce False Positives and Maximize FWA Initiatives
(
Room
Gaslamp A-D
)
18 Nov 15
11:00 AM
-
12:00 PM
Marketing Schemes: Compounding Pharmacies
(
Room
Grand D
)
18 Nov 15
11:00 AM
-
12:00 PM
NCCI Edit Development: Integrating Data Analysis, Clinical Information, Payment Policy and Claims Processing
(
Room
Seaport B
)
18 Nov 15
11:00 AM
-
12:00 PM
Six Degrees of Separation: Fueling investigations with insight into hidden and complex relationships, associations, and affiliations
(
Room
Balboa A-C
)
18 Nov 15
11:00 AM
-
12:00 PM
Social Media and Investigations
(
Room
Seaport C
)
18 Nov 15
11:00 AM
-
12:00 PM
Awards Luncheon
(
Room
Seaport D-H
)
18 Nov 15
12:00 PM
-
1:30 PM
Dessert with the Exhibitors
(
Room
Anti-Fraud Expo Hall
)
18 Nov 15
1:30 PM
-
2:15 PM
Accountable Care Organizations & the Fraud Impact
(
Room
Seaport A
)
18 Nov 15
2:15 PM
-
3:15 PM
Clinical Trial Billing Compliance
(
Room
Gaslamp A-D
)
18 Nov 15
2:15 PM
-
3:15 PM
CMS Program Integrity Update
(
Room
Grand D
)
18 Nov 15
2:15 PM
-
3:15 PM
Forensic Accounting in Health Care Fraud Investigations
(
Room
Coronado D
)
18 Nov 15
2:15 PM
-
3:15 PM
Medical Identity Theft Panel
(
Room
Seaport B
)
18 Nov 15
2:15 PM
-
3:15 PM
Member & Agent Fraud Schemes in Supplemental Insurance
(
Room
Coronado A
)
18 Nov 15
2:15 PM
-
3:15 PM
Part D Vulnerabilities: A Case Study
(
Room
Seaport C
)
18 Nov 15
2:15 PM
-
3:15 PM
The Power of Collaboration in the Fight Against Fraud
(
Room
Balboa A-C
)
18 Nov 15
2:15 PM
-
3:15 PM
Counterfeit Pharmaceuticals
(
Room
Seaport B
)
18 Nov 15
3:25 PM
-
4:25 PM
Demystifying Oral and Maxillofacial Surgery: Extractions, Impactions, Anesthesia, Sleep Apnea Appliances, and Billing
(
Room
Coronado B
)
18 Nov 15
3:25 PM
-
4:25 PM
EHRs and the Fraud Potential
(
Room
Seaport A
)
18 Nov 15
3:25 PM
-
4:25 PM
Expanding Beyond Facility RAC Audits with Adaptive Predictive Analytics
(
Room
Balboa A-C
)
18 Nov 15
3:25 PM
-
4:25 PM
Freestanding Behavioral Health Clinics
(
Room
Coronado D
)
18 Nov 15
3:25 PM
-
4:25 PM
Maximizing Witness Value during Patient and Provider Interviews
(
Room
Coronado A
)
18 Nov 15
3:25 PM
-
4:25 PM
SIRIS Investigation of the Year
(
Room
Seaport C
)
18 Nov 15
3:25 PM
-
4:25 PM
Understanding Pharmacy Operations - A Key for Investigators
(
Room
Gaslamp A-D
)
18 Nov 15
3:25 PM
-
4:25 PM
Harnessing Technology to Combat Health Care Fraud
(
Room
Seaport D-H
)
18 Nov 15
4:30 PM
-
5:15 PM
Connect Reception
(
Room
Anti-Fraud Expo Hall
)
18 Nov 15
5:15 PM
-
7:15 PM
01 - Conference Registration
(
Room
Seaport Foyer
)
19 Nov 15
7:00 AM
-
4:00 PM
Alternative Payment Models – Vulnerable or not?
(
Room
Balboa ABC
)
19 Nov 15
7:00 AM
-
8:00 AM
Key tenets of a successful FWA partnership between Medicaid and Federal Law Enforcement: A case study on how to exponentially increase anti-fraud productivity
(
Room
Gaslamp CD
)
19 Nov 15
7:00 AM
-
8:00 AM
Pharmacy Claims Advanced Data Analytics
(
Room
Seaport A
)
19 Nov 15
7:00 AM
-
8:00 AM
Predictive Analytics is more than just an industry buzzword and the distinction matters to SIUs
(
Room
Old Town AB
)
19 Nov 15
7:00 AM
-
8:00 AM
The Power of Pooled Data
(
Room
Gaslamp AB
)
19 Nov 15
7:00 AM
-
8:00 AM
10 Legal Issues to Watch
(
Room
Seaport G
)
19 Nov 15
8:15 AM
-
9:30 AM
Community Mental Health Centers: A Case Study
(
Room
Seaport B
)
19 Nov 15
8:15 AM
-
9:30 AM
Conducting a Lab Audit from Chart to Bill
(
Room
Seaport C
)
19 Nov 15
8:15 AM
-
9:30 AM
Dental Fraud Schemes in the Commercial & Public Sector
(
Room
Balboa ABC
)
19 Nov 15
8:15 AM
-
9:30 AM
Endoscopic Sinus Surgery
(
Room
Seaport F
)
19 Nov 15
8:15 AM
-
9:30 AM
Home Health Care
(
Room
Seaport H
)
19 Nov 15
8:15 AM
-
9:30 AM
Oncology Services Fraud Case Study
(
Room
Seaport D-E
)
19 Nov 15
8:15 AM
-
9:30 AM
Will Fraud, Waste, Abuse Exist in an ACO World?
(
Room
Seaport A
)
19 Nov 15
8:15 AM
-
9:30 AM
Coffee Break in the Anti-Fraud Expo Hall
(
Room
Anti-Fraud Expo Hall
)
19 Nov 15
9:30 AM
-
10:15 AM
Compounding Case Study
(
Room
Seaport F
)
19 Nov 15
10:15 AM
-
11:15 AM
Disability Fraud
(
Room
Gaslamp A-C
)
19 Nov 15
10:15 AM
-
11:15 AM
Fraud Under the Affordable Care Act: Year Two
(
Room
Seaport G
)
19 Nov 15
10:15 AM
-
11:15 AM
Prosecuting Reverse False Claims
(
Room
Seaport H
)
19 Nov 15
10:15 AM
-
11:15 AM
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
Stop Fraudsters in Their Tracks and Prevent Profit Leakage
(
Room
Seaport A
)
19 Nov 15
10:15 AM
-
11:15 AM
Testosterone Therapy
(
Room
Seaport C
)
19 Nov 15
10:15 AM
-
11:15 AM
Why Excel Isn't the Solution for Payment Integrity
(
Room
Balboa ABC
)
19 Nov 15
10:15 AM
-
11:15 AM
Building a Model to Combat Workers' Compensation Fraud
(
Room
Gaslamp A-C
)
19 Nov 15
11:30 AM
-
12:30 PM
Compromised Clinics and their impact on Medicare Part A, B, and D Fraud
(
Room
Seaport F
)
19 Nov 15
11:30 AM
-
12:30 PM
Effectively Integrating External Data into your Investigation
(
Room
Balboa ABC
)
19 Nov 15
11:30 AM
-
12:30 PM
Fraud Analytic Techniques: Simple Techniques to Uncover Complex Schemes
(
Room
Seaport C
)
19 Nov 15
11:30 AM
-
12:30 PM
Getting it Straight: Chiropractic and Physical Medicine Services
(
Room
Seaport A
)
19 Nov 15
11:30 AM
-
12:30 PM
Mental Health Services and the ACA
(
Room
Seaport B
)
19 Nov 15
11:30 AM
-
12:30 PM
Preparing for Medicare Audits
(
Room
Seaport G
)
19 Nov 15
11:30 AM
-
12:30 PM
Using Prescription Drug Monitoring Program Data to Identify Fraud
(
Room
Seaport H
)
19 Nov 15
11:30 AM
-
12:30 PM
Networking Luncheon, Prize Drawing & Exhibit Finale
(
Room
Anti-Fraud Expo Hall
)
19 Nov 15
12:30 PM
-
2:00 PM
Ambulance Fraud
(
Room
Seaport F
)
19 Nov 15
2:00 PM
-
3:15 PM
Clinical Laboratory Case Study
(
Room
Seaport H
)
19 Nov 15
2:00 PM
-
3:15 PM
Dental Directors' Quick Hits Panel
(
Room
Balboa ABC
)
19 Nov 15
2:00 PM
-
3:15 PM
Functional Medicine
(
Room
Gaslamp A-C
)
19 Nov 15
2:00 PM
-
3:15 PM
Genetic and Biomarker Testing
(
Room
Seaport C
)
19 Nov 15
2:00 PM
-
3:15 PM
Government Anti-Fraud Initiatives: Perspective from the Outside
(
Room
Seaport A
)
19 Nov 15
2:00 PM
-
3:15 PM
Hospice Storm Project: Identifying Hospice Fraud in the Medicaid Program
(
Room
Seaport B
)
19 Nov 15
2:00 PM
-
3:15 PM
Prosecuting Hospital Fraud: a Case Study
(
Room
Seaport G
)
19 Nov 15
2:00 PM
-
3:15 PM
Emerging Fraud Schemes in Medicare
(
Room
Seaport G
)
19 Nov 15
3:30 PM
-
5:00 PM
Management Roundtable Discussion
(
Room
Seaport A
)
19 Nov 15
3:30 PM
-
5:00 PM
Operation Cinco Castillos: New Physical Therapy and J Code Schemes Targeting Private Insurance Carriers
(
Room
Seaport F
)
19 Nov 15
3:30 PM
-
5:00 PM
Workers' Compensation: a Grant Funding Model to Bolster Anti-fraud Efforts
(
Room
Seaport B
)
19 Nov 15
3:30 PM
-
5:00 PM
Certificate Pick up
(
Room
Seaport Foyer
)
19 Nov 15
4:00 PM
-
5:30 PM
Conference adjourns for the day
19 Nov 15
5:30 PM
-
6:00 PM
Certificate Pick up
(
Room
Seaport Foyer
)
20 Nov 15
7:30 AM
-
11:30 AM
Internet Profiling and Intelligence Gathering
(
Room
Seaport DE
)
20 Nov 15
8:00 AM
-
9:30 AM
Ethics for the Health Care Investigator
(
Room
Seaport AB
)
20 Nov 15
9:40 AM
-
11:40 AM
Electrodiagnostic Medicine
(
Room
Seaport F
)
20 Nov 15
9:45 AM
-
11:00 AM
Group Therapy
(
Room
Seaport G
)
20 Nov 15
9:45 AM
-
11:00 AM
Hospice Storm Project: Identifying Hospice Fraud in the Medicaid Program
(
Room
Seaport H
)
20 Nov 15
9:45 AM
-
11:00 AM
Oncology Services Fraud Case Study
(
Room
Seaport C
)
20 Nov 15
9:45 AM
-
11:00 AM
Conference Adjourns
20 Nov 15
11:30 AM
-
12:00 PM
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