Perform beyond expectations with Cotiviti at the NHCAA Annual Training Conference

November 18-21 | Nashville, TN
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Sign up for a demo to reserve your ClutchMag card holder

Fraud, waste, and (FWA) schemes are becoming increasingly sophisticated. To help lessen the burden on your special investigations unit (SIU), detection software and services must be easy to integrate into your existing programs. By incorporating machine learning into prepay and postpay solutions driven by human expertise, payers can perform beyond epectations to prevent and manage FWA while protecting internal resources.

Join Cotiviti at the 2025 NHCAA Annual Training Conference and see how we're challenging the status quo of fraud detection software with 360 Pattern ReviewTM, the next generation of FWA prevention and recovery. Discover how our pre and postpay SaaS solutions work alongside established programs to generate true positive leads and net savings without displacing or disrupting SIUs.

Here's what's in store for you at booth #816:

  • Play our Perfect Match game and receive a two-way Bluetooth tracker
  • For each participant that completes the game, we'll make a $25 donation to Americares
  • Attendees who view a 10-minute demo will receive a ClutchMag magnetic card holder

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: Home health schemes: Why you should take it personally

Wednesday, November 19, 10:30-11:30 am CT

In this session, our experts will explore FWA in home health and personal care services for Medicaid, Medicare, and dual eligible beneficiaries. Whether it involves upcoding, licensing deviations, impossible hours or days, or other suspect practices, staying one step ahead of these constantly evolving schemes is an ongoing challenge for SIU teams. Cotiviti investigators will dissect the nuances of various home health services and recommend action plans your SIU programs can implement to change provider behaviors and stop FWA, all while lowering administrative burden to focus on providing equitable care for these vital member populations.

After this session, attendees will understand:

  • Care levels and licensing requirements for appropriate billing
  • Best practices for detecting and preventing common home health FWA schemes
  • Resources for SIUs to improve findings and recoveries

Presenters

MeganBrennan_200x200

Megan Brennan, CPC, CPCO, CPMA, CFE
Manager, Fraud, Waste, and Abuse,
Cotiviti, Inc.

HeatherRickards_200x200

Heather Rickards, MS, AHFI, CFE
Senior Investigator, Fraud, Waste, and Abuse,
Cotiviti, Inc.

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