LexisNexis to Address the National Health Care Anti-Fraud Association’s 2012 Annual Training Conference
November 12, 2012 — With Improper Claims on the Rise, Experts Highlight ‘Big Data’ and Virtual Special Investigation Units to Stop Fraud, Waste and Abuse in Government Health Care Programs
LexisNexis® Risk Solutions today announced its participation in the National Health Care Anti-Fraud Association’s (NHCAA) 2012 Annual Training Conference. This year’s conference coincides with International Fraud Awareness Week, a week-long campaign encouraging communities to proactively minimize the impact of fraud by promoting anti-fraud awareness and education.
LexisNexis experts will present during the NHCAA conference’s ‘Anti-Fraud Technology Solutions’ track, offering solutions to address the problem of fraud in government health care programs.
Why: Fraud, waste and abuse are growing problems for government health care programs, which are already grappling with tight budgets. As states begin to implement the Affordable Care Act and decide whether to add potentially millions more Americans to the Medicare rolls, the number of beneficiaries and, therefore the number of potential fraudsters, is likely to increase.
Who: Clint Fuhrman, National Director, Government Health Care, LexisNexis
Kate Rahemzidah, Manager, Analytics Recovery Services, LexisNexis
What: National Health Care Anti-Fraud Association 2012 Annual Training Conference
When: November 13-16, 2012
Where: Marriott Anaheim Hotel, 700 West Convention Way, Anaheim, CA 92802
Tip of the Iceberg: Are You Missing More than You’re Seeing in Your Fraud Recovery Program?
Thursday, November 15: 7:00am-8:30am: Mr. Fuhrman answers: How can ‘big data’ help agencies examine their existing data sets to find massive amounts of hidden fraud? What is ‘big data?’ Where is it? How it can be leveraged today with advanced analytics to improve triage, investigation and recoveries?
The Case for Virtual SIU?
Thursday, November 15: 1:30pm-2:30pm: Ms. Rahemzidah presents a use case on how a successful public health care plan utilized virtual SIU services to hold down operating costs while boosting investigation results and increasing dollar recoveries.
“The NHCAA’s annual conference is an excellent opportunity for representatives from law enforcement, insurance companies, and fraud, waste and solution vendors to get together and share current schemes from around the country and methods for dealing with them,” said Thomas Figurski, Manager, Special Investigations/Internal Audit,Gateway Health Plan.
LexisNexis is exhibiting at the 2012 Annual Training Conference’s Anti-Fraud Expo in booths 217 and 221. The 2012 Annual Training Conference is NHCAA’s premier event, recognized industry-wide as the nation’s leading health care anti-fraud forum. For additional information, visit http://www.nhcaa.org/atc.
Members of the media interested in scheduling a briefing with Mr. Fuhrman and/or Ms. Rahemzidah are invited to contact Mary Alice Johnson at (571) 323-2585, ext. 2140, or by email at firstname.lastname@example.org.
About LexisNexis Risk Solutions
LexisNexis Risk Solutions (www.lexisnexis.com/risk/) is a leader in providing essential information that helps customers across all industries and government predict, assess and manage risk. Combining cutting-edge technology, unique data and advanced scoring analytics, Risk Solutions provides products and services that address evolving client needs in the risk sector while upholding the highest standards of security and privacy. LexisNexis Risk Solutions is part of Reed Elsevier, a leading publisher and information provider that serves customers in more than 100 countries with more than 30,000 employees worldwide.
Our health care solutions assist payers, providers and integrators with ensuring appropriate access to health care data and programs, enhancing disease management contact ratios, improving operational processes, and proactively combating fraud, waste and abuse across the continuum.
Mary Alice Johnson
(571) 323-2582, ext. 2140