CRA’s Patricia Pelaez was retained as a part of the Forensic Accounting team to investigate facility-based behavioral health billing for a client that had unknowingly submitted claims with incorrect Place of Service (POS) codes and corresponding contextual requirements. Each mistake represented legal and regulatory risk, with a potential audit trigger. We advised the client on how to identify and remediate workflow gaps, restructure internal review processes, and implement real-time safeguards.
Q&A: Weaving forensic analysis with legal strategies to win an international trade fraud case
Their partnership demonstrates how insightful forensic analyses and deep-dive background investigation can be woven into effective legal arguments that can...