Description: Fraudulent health care schemes come in many forms with perpetrators ranging from providers and practitioners to members and beneficiaries. During this presentation, participants will gain knowledge of several healthcare fraud schemes prevalent in Texas and the outlook for 2022.
Stephen “Scott” Ward has spent more than 25 years investigating & conducting audits related to fraud, waste & abuse extensive experience in healthcare fraud, waste, and abuse related to Medicare and Medicaid programs. He also has experience with a major health insurance company conducting Medicare Part A audits. He earned a BA in Political Science from American Public University, is a CFE, and is an Accredited Healthcare Fraud Investigator (AFHI). Mr. Ward has earned awards from both the Office of Inspector General and the Director of the FBI.
Chris Mabile has extensive experience in project management and healthcare fraud, waste, and abuse investigations for Medicare and Medicaid. He earned a BA from the University of Texas at Austin and a JD from the University of Illinois Chicago – JMLS. He is also a CFE and an Accredited Healthcare Fraud Investigator (AHFI).
Learning Objectives - after attending this session, participants will be able to: *describe several healthcare fraud schemes
*identify fraud schemes prevalent in Texas
*explain area of vulnerability anticipated for 2022Recommended CPE credit & Field of Study: 1 CPE hour & field of Specialized Knowledge
Refund, Cancellation & No-Show Policy: Refunds of fees paid for internet-based sessions may be provided only if registrant contacts Austin ACFE within 24 hours of the start time of the session & documents an emergency or similar event that prevented participation. For in-person events, registration cancellations and refund request must be made by contacting Austin ACFE within 5 calendar days from the start time of the session. Cancellations received less than 5 days prior to events will not be refunded except for exigent circumstances. Contact must be made via email to: email@example.com
In the event a registrant does not show up to an event, the registration cost will be forfeited. If payment at the door was the selected method, the registrant will be billed for the full cost of the event. The Austin ACFE reserves the right to bar from future events registrants who routinely register and fail to pay and/or attend the event.
For events provided by the Austin chapter at no cost to registrants, there will be no refunds.
Complaint Resolution Policy: Any concerns or complaints about registration for an event must be made within 14 calendar days of the event (with the event date counting as day 1) in writing to: firstname.lastname@example.org
NASBA Registry: The Austin Area chapter of the Association of Certified Fraud Examiners is registered with the National Association of State Boards of Accountancy (NASBA) as a sponsor of continuing professional education on the National Registry of CPE Sponsors. State boards of accountancy have final authority on the acceptance of individual courses for CPE credit. Complaints regarding registered sponsors may be submitted to the National Registry of CPE Sponsors through its website: www.nasbaregistry.org
Non-profit Status: The Austin Area Chapter of The Association of Certified Fraud Examiners is a non-profit organization formed in the State of Texas and registered as a 501 (C) (6) organization with the IRS.