If I Did It NAMPI 2018
September 4, 2019
“If I Did It” During this session at NAMPI 2018, participants had the unique opportunity to hear from doctors and medical professionals about the vulnerability to fraud in Medicaid from their perspective. Panelists will discuss areas of improper billing, fraud risk in FFS and managed healthcare systems, incentives & pressure to generate improper payments, beneficiary driven fraud, relationship risk, and kickbacks/network schemes. Pondera discussed advanced analytic tools that help to identify the aforementioned schemes and techniques states and plans can employ to reduce risk and identify FWA early.