Our purposes are many: To heighten the fraud Investigators’ knowledge of ongoing fraudulent activity; To provide to our members a forum for the informal exchange of information and knowledge; To improve methods and procedures for eliminating crime involving fraud; and To establish good fellowship. We work hard to attain these goals through our quarterly membership […]

Course Description: This course builds a foundation in investigative research, focusing on the what, when, where, who, and how of effective investigations. Participants learn to distinguish public from licensed-investigator records, apply client-centric strategies, and manage data privacy when selecting investigative partners. Learning Objectives: Understand foundational investigative research principles clearly Distinguish public vs licensed-only records effectively […]

Course Description: This course equips claims professionals with effective interviewing skills to gather evidence, assess credibility, and uncover key details. Participants learn how to prepare, build rapport, ask strategic questions, and recognize deception to support thorough, accurate claims handling. Learning Objectives: Understand interview value and formats Prepare effectively and build professional rapport Use questioning techniques […]

Presenter: Jienelle Herndon, Office of Program Operations and Local Engagement, Centers for Medicare & Medicaid Services

Course Description: This course provides an in-depth overview of medical canvassing for claims professionals, covering legal and ethical requirements, common triggers, and best practices. Participants learn to identify red flags, document findings, and apply results to fraud detection, compliance, and informed claim decisions. Learning Objectives: Understand medical canvassing purpose and requirements Identify triggers and red […]