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Webinar: SIU panel discussion

On-demand

Register for the on-demand webinar

Doing more with less is the status quo among many health plan special investigations units (SIU). But while limited information and resources can make investigating fraud, waste, and abuse (FWA) difficult, there are ways for SIUs to become more efficient and better optimized.

Join us for our on-demand webinar, SIU panel discussion: Best practices in healthcare payer FWA. Health plan SIU leaders will discuss best practices around overcoming common challenges, such as heavy workloads, and will walk through emerging schemes including those involving laboratories, behavioral health, durable medical equipment, and more. And participants will learn about:

  • Investigative work planning
  • Combining provider- and claim-level reviews
  • Conducting prepay waste and abuse pattern reviews
  • Leveraging relationships with key stakeholders to drive ROI


Register now to learn how to optimize your SIU and create a more preventative process.

 

Speakers:

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Jennifer Putt, CFE
SIU Director, Highmark Wholecare

Jennifer Putt’s healthcare career has spanned over 25 years, including 18 years working on the provider side in various leadership and auditing roles. Her experience revolves around managing people and auditing specific to fraud, waste, and abuse and regulation enforcement. Within the last 9 years, she ventured to the payer side and has held positions at other managed care organizations.

 

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Latisha Mire, AHFI, CFE
Director, Financial Investigations, Blue Cross and Blue Shield of Louisiana

Latisha Mire has been a member of the Financial Investigations Department (FID) for 26 years. Latisha is an Accredited Health Care Fraud Investigator (AHFI) and Certified Fraud Examiner (CFE) and is a graduate of both the Basic and Advanced Reid Technique of Interviewing and Interrogation courses.

 

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Trevor McCall, AHFI
Director, Special Investigations Unit, Program Integrity, AmeriHealth Caritas

Trevor has a decades-long career in FWA. Prior to joining AmeriHealth Caritas in 2018 as an investigator, Trevor was manager at Elevance Health (formerly Anthem) with oversight of the Arkansas, Iowa and Virginia Investigative teams; spent 20 years at Louisiana’s Medicaid Fraud Control Unit, retiring as a Supervisory Special Agent; and was Director for Louisiana’s Department of Insurance Fraud Section.

 

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Ryan Cleverly, AHFI
Product Director, Fraud, Waste, & Abuse, Cotiviti

As the Product Director of fraud, waste and abuse, Ryan is responsible for the strategic direction of Cotiviti’s FWA product offerings, including both Post pay and Prepay FWA detection. As the subject matter expert, Ryan has extensive experience in creating and managing FWA detection products.