CRA was retained on behalf of a practice management software company facing False Claims Act allegations that its software was biased to encourage provision of healthcare services. Relator proposed a statistical sampling methodology to demonstrate liability in a bellwether trial, but CRA analysis demonstrated that the proposed methodology itself was significantly biased. In addition, CRA refuted expert reports from a statistician (proposing alternate sampling methods), a reimbursement specialist (regarding billing and reimbursement mechanisms and whether they could be affected by the alleged behavior), and a medical coding expert (regarding the link between treatment recommendations and actual billed services). The case resolved with summary judgement against the Relator.
Why social media analytics is an essential component of due diligence
In the era of ESG and socially responsible investing, the ubiquity and virality of social media holds sway over businesses. Simply being profitable is no...