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A 360 Degree View of Using Specialized Monitors to Resolve Fraud, Waste and Abuse Matters

The NHCAA Institute for Health Care Fraud Prevention’s Annual Training Conference (ATC) is recognized as the single-most important health care anti-fraud event, spotlighting trends and emerging schemes. Building on the success of the 2020 Virtual Annual Training Conference, NHCAA has determined that we will move forward with a Virtual Annual Training Program for 2021

The Annual Training Conference will offer valuable training on trending schemes and critical investigative skills, interactive networking with attendees and learning from faculty, and an Expo Hall filled with expertise on anti-fraud solutions and insights.

While we may not be able to be in person again this year, we can once again join together online and immerse ourselves in high-quality training.

  • Enjoy online discussions on the challenges and opportunities on working investigations.
  • Dedicate time to think, discover, and drive your organization’s success with investigations.
  • Enhance your skills to identify red flags, analyze data, and discover new tips.

Vin DiCianni, Nicholas Messuri, & Paul Cirel will be hosting a panel on Nov. 17 @ 12:45 ET:

A 360 Degree View of Using Specialized Monitors to Resolve Fraud, Waste and Abuse Matters

Too often, investigators, SIU directors and managers, government attorneys, and regulators, are challenged to consider the appropriate remedy, resolution or corrective action plan of matters involving healthcare providers subject to criminal, civil, or administrative discipline. They are often also asked to review cases for violations of regulations, statutes, practice standards, record keeping, billing and coding, behavioral or other issues. This presentation suggests ways in which enforcement on both the private and public side can include case ending solutions other than just fines, penalties, suspension, revocation or other forms of sanctions, in remedial ways. One such solution, independent monitoring is being used with ever greater frequency to resolve disciplinary or practice issues, to ensure that health care providers behavior modify in accordance with the investigation findings and conclusions. This presentation offers the different perspectives in the use of independent monitors from: the head of an SIU unit, an attorney who represents practitioners, and an independent monitor.