I spoke at the ACFE Insurance Fraud Conference in Hartford, CT August 24. You can download my presentation materials, download the article or read the article online.

Some of the other presentations were facinating, especially the presentation Cam Towers Jones did called Prosecuting Multi-Jurisdictional Health Care Fraud Cases. Ms. Jones is the Assistant United States Attorney with the Criminal Division, Western District of Tennessee. Previously, she as the Health Care Fraud Coordinator for the Executive Office for the United States Attorneys, Washington, DC.

In addition to talking about the importance of coordination in preparing a multi-jurisdictional case, Jones stressed the importance of building a very strong case before going to the prosecutor. Three things you’ll need before going to the prosecutor:

1. 90 Second Case Statement that describes what fraud occurred and how you’ll prove it.
2. Executive Summary that describes the key points of the case in a few pages
3. Case Document that includes carefully organized charts, graphs and other evidence to support your case.

Dennis Jay of the Coalition Against Insurance Fraud also spoke at the conference. He discussed some of the trends in Insurance Fraud and the work that the Coalition Against Insurance Fraud has done to bring more resources to fighting insurance fraud.