The World Congress Leadership Summit on Health Care Fraud and Abuse convenes health plan executives operating in Medicare, Medicaid and Commercial coverage to discuss processes for identifying fraud and abuse by government appointed task forces and $850 billion spent annually in health care waste. Learn best practices to avoid criminal charges and retribution through innovative, thought provoking discussions dealing with the dynamic issues facing payers today, including upcoming CMS call letter that pose to impact RFPs, task force oversight for increased compliance and coding practices that aim to contain costs.

Featured Speakers:

Ten Reasons You CANNOT Miss This Event:

• F IND out what the FBI and OIG are looking for during an investigation and how to prepare your Fraud Unit in the event of an audit or investigation
• R ECOGNIZE how marketing and sales initiatives can be considered unethical and investigated
• A NALYZE case studies on identifying and investigating current fraud schemes from acquisition and ancillary fraud to marketing and up-coding abuse
• U NCOVER best practices for recognizing, reviewing and referring potential fraud cases
• D ETECT Fraud and Abuse Patterns – how you do it, what action you take to ensure you reduce wasteful spending

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• A PPROACHES to mitigating risk of fraudulent activities through prompt privacy breach response tools
• B USINESS case studies on fraud and abuse from Independent Blue Cross, Kaiser Permanente, Universal American and many more
• U SEABLE legal information to align contracts, policies and audits to detect overpayment and demand repayment
• S UCCESSFUL anti-fraud program components: what you must to know for your organization and referring potential fraud cases
• E XPLORE technology tools and techniques to help identify patterns of fraud, waste and abuse ensure you reduce wasteful spending