Even well-executed electronic health record (EHR) transitions can introduce silent compliance risks. Our Forensic Services Practice was enlisted after a health system discovered that its newly implemented EHR system was misattributing certain federally qualified healthcare claims—assigning services to supervisory providers, regardless of who rendered care.
The culprit? A single flawed logic rule embedded deep in the system configuration. The regulatory implications were real, and the potential financial exposure was material.
Our team, led by Vice President Kristofer Swanson and Principal Patricia Pelaez, helped the client isolate the problem, reconfigure the attribution logic, and validate that the client’s corrective efforts were working as designed—bringing its compliance posture back on track, and preparing it to engage effectively with the government.
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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).
