Fraud Investigations

Our investigators employ advanced data analysis, interviews, and thorough legal scrutiny to address complaints of fraud, abuse, and non-compliance.

Extensive Government and Private Sector Experience:
Medicare, Medicaid, and Marketplace.

We have provided unmatched expertise to clients with backgrounds in law enforcement (LEO) and payer operations.
Our findings often lead to administrative, corrective, or potential criminal actions.
We have deep-rooted relationships built on successful collaboration with CMS, law enforcement, and state agencies.

Specialized Expertise

Our team of investigators brings our clients unique skill sets.

– Commercial Payer Investigators.

– Former Senior Special Agents.

– Officials from government agencies (Department of Health and Human Services (HHS), the Federal Bureau of Investigation (FBI), and the Offices of Inspector General (OIG)).

– Retired HHS-OIG leaders with extensive UPIC and commercial payer experience. 

Improper Payment Identification

Criminal Enterprise Association

Investigative Reports

Onsite Investigations

Testimony (SME)

Law Enforcement and
OIG case referral

Safeguard your organization against fraud and non-compliance risks.
Let our investigators protect your interests and ensure your compliance.