2015 Annual Training Conference & Anti-Fraud Expo

Sessions Speakers Exhibitors Show Specials Floor Plan Buzz

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)

The presenters will discuss examples of how a Medicaid Program Integrity unit has provided highly-valuable case leads and analytical support to law enforcement investigators pursuing health care fraud. This will include a discussion of when law enforcement agencies are better equipped than a Program Integrity unit to pursue some investigations because of subpoena power, jurisdiction over a wider array of health care program expenditures and the ability to seek treble damages in health care fraud cases. It will also cover the extensive data and analytics support Program Integrity units can provide to those investigations across the lifecycle of a health care fraud case - from detection through case substantiation to sample selection.