The Perfect Health care Fraud Investigation - PowerPoint PPT Presentation

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The Perfect 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. Know more: – PowerPoint PPT presentation

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Title: The Perfect Health care Fraud Investigation

The Perfect Health care Fraud Investigation
What we do
  • False billing, offering health care services
    without a license
  • False insurance claims
  • False diagnoses and unauthorized surgery
  • Forcing patients to undergo tests or surgery
    solely for pecuniary gains
  • Staged accidents
  • Kickbacks in patient referrals
  • Medicare/Medicaid billing schemes

What makes us Unique?
  • Dan James has 40 plus years of experience in
    fraud examinations and leads a team of experts
    with his insightful expertise.
  • We have the resources, the lab and the know-how
    to penetrate the complex payment systems and
    derive information that can be used as evidence
    acceptable in courts of law.
  • We know which records to examine and gather
    evidence references to legal implications and
    applicable laws.
  • Analyze data with computer forensics, carry out
    audits and investigate fraudulent claims in
    addition to putting our knowledge of equipment
    and drugs to question witnesses and gather
    evidence that is usually not obtainable through
    usual channels.
  • You will find us committed once we take on a case
    and we see it through right to the end.
  • We do face mighty challenges since we are up
    against established organizations that have
    access to legal counsel that can obfuscate

Health care fraud investigation in Fort Worth
Should you find yourself accused of health care
fraud, get in touch with us and we will put our
investigative engine to work to help you. It may
also happen that you are wrongly accused of
health care fraud. In this instance, it is even
more of a priority that you retain us to carry
out investigations and compile evidence that will
tilt the scales in your favor and help you emerge
with your reputation intact.
Contact Us
Dan James, CFE, LCE 214-384-3
246 4364 Western Center Blvd., 304, Fort Worth,
Texas 76137
  • Any questions?
  • You can find me at
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