Auspicium CEO, Denise Cicchella, speaks at AHIA Annual Conference in Austin, Texas

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Denise Cicchella addresses crowd about Healthcare Fraud in 2013 and creative billing schemes that they should be including in their reviews.

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Denise Cicchella, Auspicium CEO, was honored to be asked to speak at the 2014 Association of Healthcare Internal Auditors (AHIA) conference this year. Founded in 1981, the Association of Healthcare Internal Auditors (AHIA) is a network of experienced healthcare internal auditing professionals who come together to share tools, knowledge and insight on how to assess and evaluate risk within a complex and dynamic healthcare environment.

Denise spoke to the organization in 2013 about successful Transition Management of Hospital Construction Projects. The course was so well received, she was invited back to address the topic of Health Care Fraud for this years conference. Denise’s session was well attended with over 200 conference members present. Denise addressed fraud in the healthcare billing process and discussed such schemes as: ghost patients, unbundling of claims, identity theft (for use of stolen of fictitious medicare numbers), and others. The session was well received by participants who found the class engaging, entertaining, eye opening and thought provoking. Denise provided tips they could use in their every day work to go back and identify these schemes through audit and automated audit methods.

Health care fraud costs the country tens of billions of dollars a year. It’s a rising threat, with national health care expenditures estimated to exceed $3 trillion in 2014 and spending continuing to outpace inflation. Recent cases also show that medical professionals continue, and may be more willing, to risk patient harm in furtherance of their schemes. As consumers, healthcare fraud costs us in the realms of increased health insurance premiums, standards of care and fraudulent payments from governmental sources such as Medicare and Medicaid.

Denise and Auspicium provide custom audit service and audit training solutions to many clients including healthcare, education, pharmaceutical, and other industries. Denise is a subject matter expert in the field of construction audit, project management and fraud examination.

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Denise Cicchella
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