Counsel to a behavioral health provider network reached out to CRA’s Forensic Services Practice after potential areas of noncompliance surfaced during a routine internal review. Our team, led by Vice President Kristofer Swanson and Principal Patricia Peláez, conducted forensic analysis that revealed inconsistently-applied billing modifiers across providers, settings, and services. While the claims had often passed internal checks, they generated a combination of underpayments and overpayments, causing regulatory exposure and creating reputational risk. The team quantified the exposure and recommended coding protocol refinements and targeted staff training to prevent future issues.
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CRA’s Forensic Services: Trusted by Counsel. Proven in healthcare.
Whether you’re advising the business, leading an internal compliance review, or facing government scrutiny, CRA’s Forensic Services Practice professionals deliver deep healthcare expertise and the investigative rigor required to resolve complex issues—quickly, credibly, and effectively.
Let’s talk about how we can help.
Operating from ten countries worldwide, CRA has served 97% of AmLaw 100 law firms and 82% of Fortune 100 companies over the past two years.
Our Forensic Services Practice has received numerous accolades, including being recognized by The National Law Journal as one of the top three Forensic Accounting Providers in the country; listed by Global Investigations Review as a leading investigative consultancy for handling sophisticated cross-border, government-driven, and internal investigations; ranked by Chambers for our deep expertise in litigation support, crisis management, and risk management; honored as “Engagement Licensing Partner of the Year” by CrowdStrike; and awarded “Security Innovation Partner of the Year” by Tanium.
The Forensic Services Practice is also proud of its state-of-the-art digital forensics, eDiscovery, and cyber incident response lab, certified under ISO 27001:2022 requirements, demonstrating our industry-leading commitment to clients and their information security. CRA professionals hold private investigator licenses as listed on our website (www.crai.com).
