Top 3 Critical FWA Program Pitfalls and How to Overcome Them

As SIU’s continue to struggle with increased cases and less resources, many miss the pitfalls that exist within their program and organization. More importantly, they struggle to pinpoint actionable steps towards a solution. If this sounds familiar, you’re in luck! We've created this webinar for leaders and individual contributors, just like you, who strive to make an impact. Join us as we share valuable insights learned the long way from building and running an SIU, to conducting Program Assessments for plans across the country.

The National Health Care Anti-Fraud Association (NHCAA) has awarded this live webinar one (1) Continuing Professional Education credit towards the AHFI® designation.  

Speakers

Jala Attia
President, Integrity Advantage

Jala Attia, AHFI, CFE, CHC is President and Founder of Integrity Advantage and has more than two decades of experience in healthcare fraud, waste and abuse (FWA) detection, investigation and program oversight. Jala served in various investigative and leadership roles at state, health plan and technology vendors where she built industry leading SIU teams and directed the development and enhancement of post-payment and pre-payment fraud waste and abuse applications for dozens of health plans.  Currently, Jala leads an FWA services focused business that provides advisory and operational services to health plan clients in the development, improvement and growth of their fraud, waste and abuse programs.  Jala chairs the Association of Certified Fraud Examiners (ACFE) Foundation Board and previously served on the National Healthcare Anti-Fraud Association (NHCAA) Board of Directors. She has developed healthcare FWA courses and currently is adjunct faculty for the Henry Lee College of Criminal Justice at the University of New Haven.  Jala regularly speaks at industry conferences on topics related to healthcare FWA. Jala earned her BA from Rutgers University and an MBA from Georgian Court University. She is an Accredited Healthcare Fraud Investigator (AHFI), a Certified Fraud Examiner (CFE) and is Certified in Healthcare Compliance (CHC).

Jessica Gay
Vice President, Integrity Advantage

Jessica Gay, CPC, CFE, AHFI is Vice President and Co-founder of Integrity Advantage. She has been in client-service leadership roles for 20 years, with the last 12 years focused on the fight against Healthcare fraud, waste and abuse. With experience as a business partner to more than 30 health payers across all lines of business, clients rely heavily on her expertise in medical coding, investigations and data analytics for strategic planning, coding accuracy audits and training.  Jessica often serves as a liaison between business and technical staff, translating user needs in order to drive efficient implementation of FWA analytics and case management. Her ability to share best practices, create customized solutions, and foster professional relationships in support of the fight against FWA has earned her a place as a trusted advisor to her clients. Prior to co-founding Integrity Advantage, she worked for a technology vendor supporting health payer clients to achieve results through the use of analytic FWA tools, training, consulting, data mining, investigation management and medical review support. Jessica is a Certified Professional Coder (CPC), Accredited Healthcare Fraud Investigator (AHFI), and Certified Fraud Examiner (CFE).