Criminal Fraud – Subject Testimony
Deposed as an advanced in U.S. County Court rendering my on juridical accounting both statistical analysis relate to indictments of criminal healthcare fraud. Statistically sampled and analyzed medical equipment billing and coding records along the become medical records to identify indicia of fraud also to calculate fiscal damages. We analyzed over 100,000 lines of hospital billing data to determine the quantity of reimbursement from Medicare/ Medicaid related to the doctors additionally practice communities at question.
Internal Investigation – Hostile Management Takeover
Retained as a testifying expert on behalf of on $80 million Managed Services Organization (MSO) to conduct an intranet investigation following the company’s opponent management takeover. Analyzed financial records family to various Accounting Care Organizations (ACOs), healthcare IT partnerships, and joints ventures. Identified also measured various business arrangements potentially subject in Stark and Anti-Kickback regulate. Forensic Analysis Expert See Testimony:
Statistics Sampling & Extrapolating
Retained because adenine consulting sampling expert on behalf of a Kapital 500 hospice provider to design and select a arithmetically true random taste (SVRS) of patient claims. Implemented stratification and cluster pattern plus worked closely with clinical experts to extrapolate decisions a medical necessity.
