Patricia Peláez

she/her/hers
Principal
Patricia Pelaez | Forensic Services | Charles River Associates

Patricia works on high profile matters focusing on applying forensic analysis, governance, risk and compliance, as well as general business and financial expertise across various functions and industries with a focus on conducting complex investigations and assisting clients reaffirm their commitment to integrity by independently responding to allegations of fraud, abuse, misconduct, and non-compliance.

She has served as the project manager on compliance assessments engagements, led Compliance Monitoring Program projects pursuant to the regulator’s expectations, and investigated possible fraud and non-compliance related matters. She also helps lead the Forensic Services Blockchain and Cryptocurrency solution.

She has extensive experience performing readiness assessments for providers and pharmaceutical companies executing Corporate Integrity Agreements (CIA) with the Office of Inspector General (OIG) and Provider self-disclosure matters. She has also worked on large and mid-tier financial institution clients, focusing on compliance matters, including look backs and performing compliance assessments of financial investigations units’ processes and procedures.

She is a Certified Public Accountant (CPA) in the state of Illinois, Certified in Financial Forensics (CFF), a Certified Fraud Examiner (CFE), a Certified Professional Coder (CPC – A), a Certified Anti-Money Laundering Specialist (CAMS), and a Change Management Specialist (CMS).

Selected engagements

  • 01
    Behavioral health billing: The risks behind modifier inconsistencies
    Counsel to a behavioral health provider network reached out to CRA’s Forensic Services Practice after potential areas of noncompliance surfaced during a...
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  • 02
    When system logic goes wrong: Responding to compliance pitfalls in EHR implementations
    Even well-executed electronic health record (EHR) transitions can introduce silent compliance risks. Our Forensic Services Practice was enlisted after a health...
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  • 03
    CRA Forensic Services and Energy experts assess flawed tech implementation for major utility—findings support tens of millions in contested costs
    A skilled cross-practice team—drawn from CRA’s Forensic Services and Energy Practices—conducted a privileged, independent assessment of a flawed software...
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Recent achievement

Lexology Index
Recommended: Consulting Experts - Forensic Accountants 2024

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