A not-for-profit provider needed to analyze the fair market value of services provided by an affiliate-owned provider to effectively address and resolve potential Stark Law and anti-kickback implications. CRA professionals performed an analysis which included a report of self-assessment and the quantification of payments by Medicare for services of interest provided by physicians of interest. Our thorough analysis enabled the client to resolve its exposure and avoid treble damages.
Harnessing artificial intelligence and machine learning to combat fraud: A new era in investigations
While the sophistication of fraud and financial crimes continues to grow, advancements in artificial intelligence (AI) and machine learning (ML) have...