Members of CRA’s team were hired to investigate a payment processor of Medicare claims related to home health aides in approximately 27 states. The team was retained by the company’s general counsel to investigate stolen checks that were traced to a man in Florida, who was then prosecuted by local authorities. In a subsequent investigation done for the company a few years later, the team investigated and shut down a ring (composed primarily of methamphetamine addicts) operating in multiple states that stole, reproduced and falsified the company’s checks.
Harnessing artificial intelligence and machine learning to combat fraud: A new era in investigations
While the sophistication of fraud and financial crimes continues to grow, advancements in artificial intelligence (AI) and machine learning (ML) have...