Healthcare Fraud Investigations: Challenges and Solutions

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Healthcare fraud is among the most lucrative crimes in the world. It’s estimated that six per cent of global health spending (or $260 billion) is lost to fraud, waste and abuse (FWA) every year. And it affects everyone, driving up the cost of healthcare and lowering its quality.

Staying ahead of new fraud schemes and trends is challenging, with advances in technology at the core of the growing problem, as well as a key part of the solution. It’s critical that healthcare fraud fighters keep their skills and knowledge up to date.

On April 17th at 2pm EST, Join Jo-Ellen Abou Nader, AVP, Pharmacy Audit & FWA at Prime Therapeutics, and Anne Mack, Senior Director, Pharmacy Audit & FWA at Prime Therapeutics, as they examine the challenges faced by today’s fraud fighters and explore solutions.

The webinar will cover:

  • The effect of healthcare fraud on the industry
  • Emerging healthcare fraud schemes
  • Fraud detection methods and tools
  • The latest fraud investigation techniques
  • Examples of successful fraud fighting programs and results

Webinar Presenter
Jo-Ellen Abou Nader
Jo-Ellen Abou Nader

As AVP of Prime Therapeutics, Jo-Ellen Abou Nader is responsible for the network audit and fraud programs. She provides leadership in determining future strategy of prescription auditing and fighting fraud at Prime.
Before joining Prime, she led fraud and multiple audit teams at Express Scripts for 17 years.
Through those years she also spent time in specialty pharmacy, clinical product solutions, government affairs support, as well as a Senior Director in Sales and Account Management
Abou Nader is a Certified Internal Auditor and a Certified Fraud Examiner. In addition, she hold a Certification in Risk Management Assurance from the Institute of Internal Auditors. Jo-Ellen was also the first president of the Missouri National Association of Drug Diversion Investigators. She earned a Bachelor of Accounting and a Bachelor in Business Management from the University of Central Florida.

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