Comprehensive Medicaid Fraud Investigations
In-depth analysis of provider or beneficiary fraud across all Medicaid services.

Forensic Document Review
Detailed review of medical records, billing logs, and supporting documents for discrepancies.

Whistleblower (Qui Tam) Case Support
Confidential assistance in substantiating and documenting False Claims Act cases.

Claims Auditing (Pre- and Post-Payment)
Identify improper payments or suspicious claims with focused review.

Provider Behavior Monitoring
Surveillance of high-risk providers based on billing, referrals, and prescription patterns.

Healthcare Data Analytics
Use of statistical and algorithmic tools to uncover red flags in large datasets.

Risk Assessments for Providers & Facilities
Evaluate internal processes to ensure Medicaid compliance and reduce exposure to fraud.

Internal Investigations for Healthcare Organizations
Third-party investigations into suspected staff or contractor misconduct.

Healthcare Fraud Mitigation Strategy
Long-term consulting to build fraud-resistant systems and processes.

Expert Witness Testimony
Credible, courtroom-ready expertise for civil or criminal fraud cases.

Training for Providers & Staff
Education sessions to help providers understand Medicaid rules and avoid violations.

Consulting for Law Firms & Government Entities
Advisory support on healthcare fraud matters, case development, and enforcement strategy.