Results That Endure.

The Challenge

A federal agency identified anomalies in reimbursement patterns associated with a neurologist's billing submissions. The volume and complexity of claims made manual review insufficient to isolate the scope of the misconduct.

Our Approach

As the lead federal investigator, targeted data analytics were deployed to interrogate billing records at scale — isolating instances where minor surgical procedures had been unbundled to inflate reimbursement. The analytical findings formed the evidentiary foundation of the case.

The Outcome

The investigation confirmed systematic unbundling across a pattern of claims. The case resulted in an $800,000 overpayment determination against the provider.

The Challenge

An academic medical center in Florida faced a compliance gap with the potential to generate a six-figure overpayment liability. The risk stemmed from a website compliance requirement that had not been updated — an oversight that, left unaddressed, would have triggered a significant overpayment liability.

Our Approach

A structured compliance assessment was conducted to identify the gap, trace its root cause within the organization's governance and controls environment, and quantify the actual exposure. Findings were translated into actionable remediation steps the client could implement immediately.

The Outcome

What could have resulted in a six-figure overpayment was contained. Following remediation, the client's residual risk was assessed as marginal — a material reduction in liability achieved without regulatory escalation.

The Challenge

A Big Four professional services firm was pursuing a long-term engagement with a state agency and required specialized RFP support to strengthen its response and demonstrate the depth of its consulting capability.

Our Approach

We provided targeted RFP strategy and subject-matter expertise, helping shape a clear, credible response that aligned the firm's practitioner strengths with the agency's requirements and long-term objectives.

The Outcome

The firm was awarded the state agency engagement, creating a durable consulting relationship while opening new revenue opportunities and meaningful work for its practitioners.