2nd Annual Conference - "Working Together…Changing Attitudes"
September 26-27,
2001
Manulife Financial Conference Centre
200 Bloor Street, East, Toronto
Conference Information
| Wednesday, September 26, 2001 | |
| 7:00 - 8:30 a.m. | NETWORKING BREAKFAST VISIT EXHIBITS |
| 8:30 - 9:00 a.m. | WELCOME AND OPENING REMARKS - High Level Government Official |
| 9:00 - 10:00 a.m. | "A check up on health care in Canada...what does it all
mean?" To set the scene for the two-day conference, you'll hear an overview of electronic commerce, claims standards and privacy legislation issues affecting the Canadian health care environment. Speaker: Joel Alleyne, Executive Director, CHCAA |
| 10:00 - 10:30 a.m. | HEALTH BREAK VISIT EXHIBITS |
| 10:30 - 11:30 a.m. | "Linking hands and making connections…fighting health care fraud through
public-private partnerships" An overview of the essential ingredients of partnering to successfully combat health care fraud - the U.S. experience Speaker: William Mahon, Executive Director, NHCAA, Washington D.C |
| 11:30 - 1:00 p.m. | NETWORKING LUNCH VISIT EXHIBITS |
| 1:00 - 2:30 p.m. | FIVE CONCURENT SESSIONS |
| [A] | "Fighting doctor fraud" Follow step by step, the identification, investigation and prosecution of a health care provider, in a classic case of doctor fraud. Speakers: Dr. Steve Ingle, Medical Consultant, Ministry of Health and Long-term Care and Keith Messham, Manager, Health Fraud Investigation Unit, Anti-Rackets Section, Ontario Provincial Police |
| [B] | Dental fraud - "Taking all that you can get" This session will examine the unique relationship between patient and dental care provider in dental fraud. You will also hear from an expert on how to fight dental fraud through technology, plan design and professional regulation. Speaker: Dr. Rick Beyers, Dentist and insurance industry consultant |
| [C] | Drug/Pharmacy fraud This session will focus on the audit activities conducted by the Ontario Drug Benefit program and the Ontario College of Pharmacists. We'll look at a case study involving fraudulent activities observed in a pharmacy audit. Speakers: Brent Fraser, Pharmacist and Manager, Pharmaceutical Strategy, Drug Programs Branch, Ontario Ministry of Health and Long-Term Care Kim Ruthig, Pharmacist and Senior Investigator, Ontario College of Pharmacists |
| [D] | "Taking health care on the road" This joint session will examine indicators and solutions for fraudulent out-of-country health care claims as well as the need for improved networking and communication between private and public partners. Speaker: Wendy Maronese, Coordinator, Out of Country Claims, Ontario Ministry of Health and Long-term Care |
| [E] | "Provincial health programs - are we getting through?" An opportunity for representatives from provincial and territorial health programs to meet and discuss anti-fraud activities and issues. Attendance at this session will be limited to employees and investigators from health ministries and police organizations. Speaker: Don Perron, Director of Fraud Programs, Ontario Ministry of Health and Long-Term Care Dr. Gary Ollson , Manager, Monitoring and Control Section, Ontario Ministry of Health and Long-Term Care Detective Staff Sergeant, |
| 2:30 - 3:00 p.m. | HEALTH BREAK VISIT EXHIBITS |
| 3:00 - 4:00 p.m. | "Avoid the crash and burn of fraudulent claims - how to implement a successful
anti-fraud program" The Toronto Transit Commission (TTC) successfully resisted a number of dubious disability and injury claims, relating to the 1995 subway accident that was the worst in its 50 year history. Join us for a compelling session on how the TTC uncovered these fraudulent claims. Learn first hand the simple strategies and techniques to reduce costs and claim payouts as well as uncover fraudulent claims. Speaker: Brian Leck, General Counsel, Toronto Transit Commission (TTC) |
| 4:00 - 4:15 p.m. | CLOSING REMARKS |
| 4:30 - 6:00 p.m. | WELCOME RECEPTION AND ENTERTAINMENT BY RONN JAMES & PARTNER |
| Back to top | |
| Thursday, September 27, 2001 | |
| 7:00 - 8:00 a.m. | NETWORKING BREAKFAST VISIT EXHIBITS |
| 8:00 - 8:30 a.m. | WELCOME AND OPENING REMARKS - Commissioner Gwen Boniface - Ontario Provincial Police |
| 8:30 - 10:00 a.m. | "Risk management - due diligence - responsibility to our clients" A variety of risk management issues will be discussed that can be applied to the health care profession. Concepts to be discussed include ethical business practices, client bases, fiscal and management decision-making. Speaker: Chief Alan Malinchak, Investigative Training Unit, FBI, Washington, D.C |
| 10:00 - 10:30 a.m. | HEALTH BREAK VISIT EXHIBITS |
| 10:30 - 11:30 a.m. | "Health fraud on the Internet" Participate in an exciting session on what to watch for, how to protect yourself, as well as a review of initiatives underway on enforcement measures. Speaker: Detective Sergeant Kelly Anderson |
| 11:30 - 1:00 p.m. | NETWORKING LUNCH VISIT EXHIBITS |
| 1:00 - 2:30 p.m. | FOUR CONCURENT SESSIONS |
| [F] | "Fighting doctor fraud" Follow step by step, the identification, investigation and prosecution of a health care provider, in a classic case of doctor fraud. Speakers: Dr. Steve Ingle, Medical Consultant, Ministry of Health and Long-term Care and Keith Messham, Manager, Health Fraud Investigation Unit, Anti-Rackets Section, Ontario Provincial Police |
| [G] | "Taking health care on the road" This joint session will examine indicators and solutions for fraudulent out-of-country health care claims as well as the need for improved networking and communication between private and public partners. Speaker: Wendy Maronese, Coordinator, Out of Country Claims, Ontario Ministry of Health and Long-term Care Stella A. Obiora-Mbachu, PhD, Vice President, J.C. Owens Investigations Inc. and Israel I. Mbachu, CFE,CII, CEO and Chief Investigator, J.C. Owens Investigations |
| [H] | "Drug/Pharmacy fraud" This session will focus on the audit activities conducted by the Ontario Drug Benefit program and the Ontario College of Pharmacists. We'll look at a case study involving fraudulent activities observed in a pharmacy audit. Speakers: Brent Fraser, Pharmacist and Manager, Pharmaceutical Strategy, Drug Programs Branch, Ontario Ministry of Health and Long-Term Care Kim Ruthig, Pharmacist and Senior Investigator, Ontario College of Pharmacists |
| [I] | "All you ever want to know about the Canada Health Act..." This session will be an excellent opportunity to learn about the Canada Health Act as it relates to hospital services. Federal and provincial initiatives will be discussed. Speakers: David MacKinnon, President and CEO of the Ontario Hospital Association. A senior official with the Ontario Ministry of Health and Long-term Care Allison Stuart, Director, Hospital Programs, Health Care Programs, Ministry of Health and Long-term Care. |
| 2:30 - 3:00 p.m. | HEALTH BREAK VISIT EXHIBITS |
| 3:00 - 4:00 p.m. | "The latest trends in identity fraud and crime" Speaker: Detective Senior Constable Gus Riddell |
| 4:00 - 4:30 p.m. | CLOSING REMARKS NETWORKING |
| Back to top | |