Medicare & Medicaid Fraud Investigators | Waste Abuse Investigations

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. With decades of audit experience in the government and private sector, and expertise in Medicare part A, B (DME), C, and D, IntegrityM investigators have contributed to the identification and resolution of numerous program irregularities. Our findings are suitable for both administrative or criminal follow-up action. As necessary, we liaise with law enforcement officials, the Office of Inspector General, Federal Bureau of Investigation, Department of Justice, state agencies, and Attorneys General.

Detect and resolve fraud in healthcare programs.

Following the Generally Accepted Government Auditing Standards (GAGAS/Yellow Book), our investigation services include:

Improper payment identification

Criminal enterprise association

Inspection services

Testimony (SME)

Onsite investigations

Criminal case adjudication and administrative action

Law enforcement and OIG case referral

Investigative reports

Let’s get started

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 auditors and investigators have senior-level experience across government agencies, including the National Reconnaissance Office, National Geospatial-Intelligence Agency, Government Accountability Office, Department of Homeland Security, United States Postal Service, Federal Bureau of Investigation, and Office of Inspector General. Our depth of familiarity and expertise in enforcement initiatives gives us valuable insight into managing fraud activities, particularly as it relates to Medicare and Medicaid.