Preventing fraud and abuse continues to be a huge problem for the health care industry. Over $80 billion dollars is lost annually to health care fraud alone. As a result, governmental agencies have implemented new regulations and placed increasing emphasis on investigating and prosecuting health care fraud.
ARA Fraud & Forensic Services is dedicated to working with medical practice groups and hospital systems to prevent and detect fraud and abuse. We believe in taking proactive measures to help our clients correct problems before the government becomes involved. Our investigative expertise combined with our regulatory knowledge allows us to help clients avoid civil fines, criminal and administrative penalties while creating a fraud free environment.
Assist with hiring ethical employeesDeliver training to instill a fraud free culturePerform comprehensive fraud risk assessments which assess internal controls and areas of weakness to detect and prevent fraudAudit medical billing recordsAssess IT controls to safeguard PHI and HIPAA information for complianceConduct internal investigations into various fraud schemes including medicare fraud, billing fraud, kick back schemes and expense reimbursement, to name a few.
2012 Fraud Statistics in Healthcare:
The median fraud loss in medical practices is $200,00083% of medical practices experienced losses as a result of fraudThe average fraud lasts over 18 months before being detectedThe top three healthcare fraud schemes include billing, corruption and expense reimbursement