2015 Annual Training Conference & Anti-Fraud Expo
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Applied Behavior Analysis (ABA) Services
(
Room
Coronado D
)
18 Nov 15
11:00 AM
-
12:00 PM
Tracks:
Behavioral Health Fraud Schemes
Speaker(s):
Margaret Payne, Manager, Program Integrity, Humana
The session begins with an overview of the ABA benefit and the services included in the benefit. Through samples of case investigations faculty will demonstrate a number of fraudulent billing schemes including misrepresentation of both services and providers, excessive units billed and fabricated records. Attendees will walk away with examples of multiple schemes and how to data mine to uncover suspect behavior.
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