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.
DOJ declinations show the value of early voluntary disclosure
US Department of Justice (DOJ) declinations involving Robert Bosch GmbH (Bosch) and Campus Eye Management Holdings LLC (Campus Eye) offer early insight into...