NHCAA Annual Training Conference and Expo

Orlando, FL | Nov. 14 - 17, 2017


Get ready for the National Health Care Anti-Fraud Association (NHCAA) Annual Training Conference and Expo. Join HMS® at 3:45 p.m., Wednesday, Nov. 15, as we present “Big Fish, Deep Waters: Proven Solutions for Maximum SIU Results.”

SIU investigators who have been in the business for any length of time know many SIUs depend on referrals. Unfortunately, this practice results in the team’s recovery opportunities mainly getting the small fish, the lesser cases with little effect in the overall ocean of fraud. What if you had the tools to challenge the status quo and cast the net to catch the bigger fish – those high quality cases that really make a difference?

In this presentation, using a combination of analytics, algorithms, and a new scheme model, Annette McKay, Manager, Regulatory Compliance, Cook Children’s Health Plan, and Ed Hewitt, CFE, AHFI, Payment Integrity Solution Consultant, HMS, will describe how successful analytics are not only possible, but how they can become the new model for best practices in SIU.

SIU programs are gaining significant presence in companies today. When key stakeholders participate in taking direct
action and sharing in the overall plan for payment integrity, it contributes to the growth of the program and strengthens the company’s reputation. During the presentation, Annette and Ed will provide case study examples of its success, along with the steps SIUs can take to create proactive solutions in building a robust program integrity plan.

In this presentation, attendees will: learn how to internally build the SIU brand, leverage key investigative opportunities, and capture success with new best practices.

Be sure to drop by and see us at HMS Booth 409!