HEALTH CARE FRAUD INVESTIGATION Health care fraud is the intentional deception which mainly involves submitting misrepresentations to acquire claims repayment from payers for which no privilege exists. Often Medicare/Medicaid patients are unaware that their identity, insurance information and treatment is being used in a scheme to defraud.
What we do Led by Dan James, one time Chief Investigator & Certified Fraud Examiner for the Office of the Federal Public Defender, Northern District of Texas, ICFECI’s team of healthcare fraud examiners investigate cases relating to False billing, offering health care services without a license False insurance claims