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Uncovering hidden
FWA schemes

Watch Cotiviti’s NHCAA webinar on-demand

Watch the on-demand webinar

Fraud, waste, and abuse (FWA) schemes are growing more sophisticated—and many continue to slip past traditional claims editing. In this on-demand webinar from Cotiviti and NHCAA, our experts reveal real-world examples of high-impact FWA schemes and demonstrate how combining prepay and postpay detection methods can strengthen your payment integrity efforts. 

In this on-demand webinar, you’ll learn:

  1. Which FWA schemes are most likely to evade standard claims editing
  2. How to uncover behavioral patterns using both prepay and postpay review
  3. Best practices to prevent abuse and support proactive, data-driven SIU decisions

Presenters:

Erin Rutzler

Erin Rutzler, AHFI, CFE, CPC, CHC, Vice President, FWA
Cotiviti

Erin is responsible for the oversight and strategic direction of Cotiviti's FWA solution suite. Serving as the company's primary subject matter expert in investigations and FWA for compliance, client training, sales, and marketing activities, she regularly represents the company at industry conferences such as the National Health Care Anti-Fraud Association’s (NHCAA) Annual Training Conference (ATC).

Heather Rickards

Heather Rickards, MS, AHFI, CFE, Senior Investigator, FWA
Cotiviti

With more than 20 years of experience combatting healthcare fraud, Heather analyzes claims data to identify potential instances of FWA and conducts investigations on behalf of private insurers. She led a team performing on-site laboratory inspections and investigations for newly created non-participating laboratories, presenting their findings to an FBI field office.