Internal Investigations
When a client is subpoenaed, accused of or exposed to potential healthcare fraud, our breadth of expertise in healthcare fraud and compliance allows us to conduct thorough internal investigations and analyses of any inappropriate activity. Maintaining the integrity of a corporate client is at the core of our philosophy and because each client’s issue varies, BlickenWolf approaches each situation individually.
We have extensive experience working with the Office of Inspector General (OIG), State Medicaid Fraud Control Units, and the U.S. Attorney’s Office. Clients trust that BlickenWolf uses discretion when conducting internal investigations. When appropriate and in the best interest of the client, we recommend and can assist with making a voluntary disclosure (per the OIG’s voluntary disclosure protocol or, in some cases, directly to a Fiscal Intermediary/Carrier).
An internal investigation is best conducted by a third party to ensure that:
- confidentiality and integrity are maintained,
- an investigation is conducted promptly and thoroughly,
- no area, process or witness is overlooked during the investigation process,
- sufficient and objective information is recorded during witness interviews,
- recommendations are made where appropriate, and that
- information gathered during the internal investigation including corrective actions taken are clearly and objectively conveyed in any necessary voluntary disclosure.
Taking a proactive approach toward compliance is encouraged by BlickenWolf, and we assist clients in creating compliance programs, compliance policies and procedures, and reporting systems; conducting internal audits and risk assessments; and assisting in monitoring adherence to regulations and improving revenue cycle designs and processes.
Learn more about our capabilities and experience through our client case studies.
