Mon Mar 023:30 PM – 5:00 PM122 A-C

AU03: Payer, Provider, and Advisor Panel on Fraud, Waste, Abuse, and Payment Integrity

Panel (3 or more speakers; 90 min)Audits and Compliance

In today’s evolving healthcare landscape, collaboration is key to combating fraud, waste, and abuse in the DMEPOS sector. This dynamic panel brings together payers, providers, and consultants to shift the narrative from “us vs. them” to a unified approach to payment integrity. Attendees will gain a comprehensive understanding of claims processing workflows, audit strategies, common fraud, waste, and abuse patterns, and recent trends. Panelists will share real-world insights and actionable strategies to foster transparency, improve compliance, and build trust across the healthcare continuum.

Attendees will:

1. Understand the end-to-end claims processing lifecycle and how it impacts payment integrity as a provider and payer.

2. Be able to describe common fraud, waste, and abuse schemes and learn about current trends in the DMEPOS space and how they are identified. 

3. Learn collaborative strategies that providers and payers can use to prevent fraud, waste, and abuse before it occurs.

4. Understand the role of advisors and compliance officers in bridging gaps between stakeholders.  

5. Leave with action steps to enhance fraud, waste, and abuse prevention/detection and payment integrity efforts.

Speakers

David Crawford
David CrawfordHealthcare Compliance Director & HIPAA Privacy Officer, Henry Schein
Noel Neil
Noel NeilChief Compliance Officer, ACU-Serve LLC

More Information

Allow Registration:No
Capacity Unlimited:Yes
Do you feel as though there is a topic missing?:No
If yes, who would you recommend as your fellow panelist?:Co-Presenters/Panelist: 1) Noel Neil, Chief Compliance Officer, ACU-Serve 2) Sabrina Vera, AVP, Special Investigations Unit, BCBS of North Carolina 3) David Crawford, Healthcare Compliance Director, Henry Schein 4) (tbd - MFCU, Clinician/provider)
Please include five learning objectives::1. Understand the claims lifecycle and payment integrity. 2. Common DMEPOS-related FWA schemes and trends. 3. How providers and payers can prevent FWA. 4. Understand the role of advisors in payment integrity. 5. How to enhance payment integrity efforts.