2015 Annual Training Conference & Anti-Fraud Expo

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Sessions (5)

Foreign Dental Claims & Schemes (Room Coronado D)

18 Nov 15
9:15 AM - 10:15 AM

Tracks: Detecting and Investigating Dental Fraud

Speaker(s): Joaquin Basauri ; Julie Heit
Dental fraud is not unique to the U.S., and cross-border fraud schemes are becoming increasingly more prevalent. Investigators will share first han... More...

Dental Coding Schemes (Room Coronado B)

18 Nov 15
11:00 AM - 12:00 PM

Tracks: AHFI Path, Detecting and Investigating Dental Fraud

Speaker(s): Kimberly Brown, RDH, AHFI ; Suzette Long, RDH, AHFI ; Trish M. Shifflett, RDH, AHFI
A panel of dental hygienist fraud investigators examines a variety CDT and CPT dental coding schemes and provide tips for data mining to reduce exp... More...

Demystifying Oral and Maxillofacial Surgery: Extractions, Impactions, Anesthesia, Sleep Apnea Appliances, and Billing (Room Coronado B)

18 Nov 15
3:25 PM - 4:25 PM

Tracks: Detecting and Investigating Dental Fraud

Speaker(s): David Rubin, DDS
Many dental providers - from general dentists to oral and maxillofacial surgeons - are upcoding simple extractions to surgical extractions. Provide... More...

Dental Fraud Schemes in the Commercial & Public Sector (Room Balboa ABC)

19 Nov 15
8:15 AM - 9:30 AM

Tracks: Detecting and Investigating Dental Fraud

Speaker(s): Richard Celko, DMD, MBA, AHFI ; Stewart Balikov, DDS, AHFI
Dental fraud, waste and abuse schemes in both the commercial and public sectors appear with many similarities, however investigators need to be awa... More...

Dental Directors' Quick Hits Panel (Room Balboa ABC)

19 Nov 15
2:00 PM - 3:15 PM

Tracks: Detecting and Investigating Dental Fraud

Speaker(s): George Koumaras, DDS, AHFI ; James A. Balukjian, DDS, AHFI, CDC, MBA ; Katina Spadoni, DDS, CDC, AHFI ; Stewart Balikov, DDS, AHFI
Dental Directors supporting NHCAA Member Organization SIUs will discuss dental claim they are currently seeing in their networks, and offer suggest... More...