2015 Annual Training Conference & Anti-Fraud Expo

Sessions Speakers Exhibitors Show Specials Floor Plan Buzz

Effectively Integrating External Data into your Investigation (Room Balboa ABC)

19 Nov 15

11:30 AM - 12:30 PM

Tracks: Anti-Fraud Technology Solution

Speaker(s): Karen Weintraub, MA, AHFI, CPC-P, CPMA, Executive Vice President, Healthcare Fraud Shield; Tony Rademeyer, MBA, EVP, Sales, Healthcare Fraud Shield; Kathleen Shaker, BSN, RN, AHFI, CPC, CPC-H, Consultant, Healthcare Fraud Shield

Attendees will learn how to identify data resources and key industry websites to obtain information that will enhance their investigations. Many of these resources are available to the public and laden with valuable information that can be incorporated into investigators day to day proactive and reactive analysis. For example, the CMS website contains a myriad of rich data sources such as a list of surgical procedures and the estimated time it takes to perform each of those procedures. This dataset can be downloaded and incorporated into an SIU's FWA efforts. In addition to the data sources found on the CMS website, there are numerous other data sources that can be fused with provider and claims data to identify potential FWA.

Home Sessions Speakers Exhibitors Show Specials Floor Plan