Let’s get to the bottom of this.
Our investigators combine sophisticated data analysis with key informant interviews and a rigorous review of legal and regulatory requirements to examine and resolve complaints and allegations of fraud and abuse or non-compliance with laws. With decades of investigative experience in the government and private sector, and expertise in Medicare, Medicaid, and the Marketplace, IntegrityM has contributed to the identification and resolution of numerous program irregularities. Our findings are suitable for administrative action, corrective action, or possible criminal follow-up action. As necessary, we liaise with CMS program officials, law enforcement officials, the Office of Inspector General, the Federal Bureau of Investigation, Department of Justice, state agencies, and Attorneys General.
Detect and prevent fraud, waste, and abuse (FWA) and non-compliance in healthcare programs.
Investigative services to safeguard the integrity of health insurance programs, including Medicare, Medicaid, and the Marketplace authorized by the Social Security Act (SSA), the Affordable Care Act (ACA), and the Consolidated Appropriations Act (CAA) and their respective amendments.
Improper payment identification
Criminal enterprise association
No Surprises Act
Testimony (SME)
Onsite investigations
Criminal case adjudication and administrative action
Law enforcement and OIG case referral
Investigative reports
Our team makes all the difference.
IntegrityM provides a range of standard, focused, and complex investigative support – enabled by our diverse pool of experienced investigators. Our fraud investigators and auditors have served in senior-level positions across government agencies, including the Department of Health and Human Services, the Federal Bureau of Investigation, and Offices of Inspector General. Our depth of expertise and expertise in the regulatory impact on enforcement initiatives gives us valuable insight into managing program compliance and fraud related activities, particularly as it relates to Medicare, Medicaid, and the Marketplace.
Speak with an expert in fraud and abuse investigations.
Get in touch with IntegrityM by dropping us a note or giving us a call at (703) 535-1400.
Imagine what we can do together.
Partner with IntegrityM as a prime or subcontractor.
Like a challenge?
We’re always on the lookout for talented investigators with proven ability to execute successful law enforcement referrals.
If you have what it takes, explore a career with IntegrityM.
