WHAT WE DO
Our services include but are not limited to: Medicare and Medicaid, White collar crime, Qui Tam and False Claim, Governmental investigations, Forensic and investigative, and Litigation services
our services
MEDICARE AND MEDICAID
Payment integrity
Cost reporting
Reimbursement
Fraudulent and Abusive Procedure and Diagnosis
Coding and Reimbursement
Medicare, Medicaid and Managed Care Fraud and Abuse Investigations
Provide Self-Disclosure Analysis and Assistance Recovery Audit Contracts (RAC) Audits and Inquiries
Compliance
Coding and Billing
Critical Access Hospitals
CMS issues
Complex Data Analytics
Corporate Integrity Agreements
WHITE COLLAR CRIME
Employee and executive embezzlement investigation and quantification
Fraud examination and investigation
Complex Data Analytics
Financial statement fraud
Qui Tam and False Claim Act Services
Perform detailed analyses as part of strategy formulation while identifying potential issues
Prepare clear and concise presentations to aid governmental entities in understanding issues
Development of data required and documents to be subpoenaed
Assist attorneys in conferences and negotiations
Prepare detailed calculations as to damages
*Case Analysis, Development and Preparation
*Damage Calculations
*Identification of At-Risk Issues and Areas of Concern
*Identification of Fraud Schemes and Patterns of Abuse
*Legal Counsel Selection Consultation
*Litigation Consultation
*Whistleblower/Relator Consultation
GOVERNMETNAL INVESTIGATIONS
All providers
US Attorney/HHS-OIG and Government Investigator Consulting and Advisory
State Attorney’s General
Medicaid Fraud Control Units and Medicaid Agencies
RAC audits
Net Benefit Determinations
Medicare and Medicaid cost reporting and related reimbursement issues.
REGULATORY AND COMPLIANCE:
*Coding, Billing and Reimbursement Evaluation and Analysis
*Contract Compliance
*Corporate Integrity Agreements
*Due Dilligence
*Government Enforcement
forensic and investigative accounting
Damage determination
Fraud and embezzlement
Overbilling determination
Misappropriation
litigation services
Case development
Case strategies and insight
Discovery
Interrogatories,
Analysis of documents
Written report preparation
Expert witness testimony
Review and comment regarding opposing expert reports
Visual aids and exhibits to accompany reports