Join the evolution with Cotiviti at the NHCAA Annual Training Conference

November 19-22, 2024 | New Orleans, LA
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Perpetrators of fraud, waste and abuse (FWA) continue to evolve their schemes. Shouldn’t your FWA program evolve too? Combining prepay solutions with machine learning technology for identifying fraud, waste, and abuse (FWA) proactively rather than reactively is becoming the go-to approach for more and more SIUs.

Join the evolution with Cotiviti at the 2024 NHCAA Annual Training Conference to discover how we're revolutionizing fraud detection. We’re introducing 360 Pattern Review: a powerful combination of our Claim Pattern Review prepay solution and the brand-new postpay FWA Pattern Review. Together or individually, these solutions integrate seamlessly with your existing teams and programs, providing more true positive leads and net savings without disrupting or displacing your SIU.

We've got a lot in store for you at booth #415:

  • Try your hand at our "Expert Eye" game to receive an on-the-go travel kit
  • For each participant that completes the activity, a $25 donation will be made to the Boys & Girls Clubs of America
  • Attendees who view a 10-minute demo will take home a pair of Loop ExperienceTM 2 Earplugs

Note: Open to non-vendor health plan attendees only; giveaways and raffles are limited to one per attendee. View Giveaway and Raffle Rules

Speaking Session: Gaining dental FWA insights from industry professionals 

Wednesday, November 20, 11:30–12:30 pm CT

In this session, our experts will explore how effective prospective data analytics and machine learning are crucial for identifying potential fraud, waste, and abuse (FWA) in today's dental services. Many SIUs overlook FWA in dental services due to lower “at risk” dollars compared to medical services, leading to unchecked waste and incorrect billing. We’ll cover the importance of an end-to-end service approach to not only combat FWA but also ensure compliance with regulations and guidelines.

After this session, attendees will understand:

  • How gaining insights from industry professionals can reveal effective techniques to identify, prevent, and investigate dental FWA
  • How to execute prepay investigations with meaningful financial impact
  • How combining prepay and postpay investigations creates better collaboration with Payment Integrity counterparts

Presenters

ThomasRedd_100x140

Thomas Redd, DDS, MS
Vice President, Professional Relations
Delta Dental of Arkansas

SteveCanfield_100x140

Steven Canfield, DDS
Senior Dental Director
Cotiviti, Inc.

RyanCleverly_100x140-1

Ryan Cleverly, AHFI, CSPO
Product Director, Fraud, Waste, and Abuse
Cotiviti, Inc.

MeaganBaxley_100x140

Meagan Baxley, MBA, RDH
Dental Investigator II
Cotiviti, Inc.

Stop by for a "fraud side chat"

Wednesday, November 20, 5:15–5:35 pm CT
Cotiviti is turning the notion of traditional fraud detection software on its head by introducing AI-driven 360 Pattern Review: an unmatched combination of proven prepay review and the brand new postpay FWA Pattern Review. Hear from Cotiviti FWA experts as they discuss the real solution to special investigation teams’ daily challenges of:

  • Not enough resources/bandwidth to validate suspect providers
  • False positives driven by bad or incomplete data analytics
  • Inability or limited ability to monitor trends and track and recover identified overpayments
  • Payment integrity and SIU teams and systems that don’t talk

Our latest FWA resources

Catch up with our latest blogs, case studies, and more for best practices to achieve better results.

View resources

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