Health Care Fraud Investigations
The health care industry is one of the most rapidly expanding segments of the U.S. economy. The National Coalition on Health Care (NCHC) and other organizations report and document the fact that health care spending represents at least 16 percent of the nation's gross domestic product (GDP). Each year during the past decade health care spending has grown in dramatic proportions.
Given these trends, the introduction of "baby boomers" into the Medicare system and rising Medicaid costs, federal and state agencies charged with preventing fraud and abuse in the health care industry are aggressively pursuing criminal and civil investigations and regulatory enforcement. Chase & Associates offers the investigative services of personnel with extensive experience who can guide clients in this specialized field.
Kenneth Walsh, Vice President of Chase & Associates, manages the agency's health care practice. Mr. Walsh retired from the Federal Bureau of Investigation (FBI) following a thirty year career as a Special Agent during which he investigated Health Care Fraud and other complex white collar crime cases. Mr. Walsh's investigative experience in health care fraud includes investigations of national drug store chains and the nation's largest for-profit hospital system, an investigation that resulted in criminal convictions and a recovery of $1.7 billion by the federal government, the largest aggregate recovery in U.S. history.
In addition to Mr. Walsh, other members of the Chase team have extensive experience in the health care field. Chase & Associates offers Health Care Fraud related services to law firms, corporate and public sector clients that include:
- Investigative and litigation support defending allegations of Medicare or Medicaid fraud and abuse brought by federal and state agencies.
- Assistance to Relator's counsel in the development and presentation of Qui Tam actions pursuant to the False Claims Act (FCA).
- Establishing liaison with United States Attorney's Offices, the FBI, the Department of Health and Human Services - Office of Inspector General (HHS-OIG), the Defense Criminal Investigative Service (DCIS), state Medicaid Fraud Control Units (MFCU), the Centers for Medicare and Medicaid Services (CMS), CMS Program Safeguard Contractors (PSC), and other federal, state and local agencies.