ARA Fraud & Forensic Services: Health Care
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 employees
Deliver training to instill a fraud free culture
Perform comprehensive fraud risk assessments which assess internal controls and areas of weakness to detect and prevent fraud
Audit medical billing records
Assess IT controls to safeguard PHI and HIPAA information for compliance
Conduct 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 $200,000
83% of medical practices experienced losses as a result of fraud
The average fraud lasts over 18 months before being detected
The top three healthcare fraud schemes include billing, corruption and expense reimbursement