Category Archives: Fraud Investigation

Insurance fraud investigations

NAFA Salutes DOJ for Huge Takedown of Healthcare Fraud

There’s probably no lower brand of thief than one who will steal from the sick and elderly. Yet, Medicare and Medicaid fraud is a multi-billion dollar per annum business in the United States, threatening vital services for the most vulnerable members of our society. That’s why those of us in the business of stopping fraudsters were delighted to hear the announcement from the U.S. Department of Justice on Monday, June 30, 2025, of the largest healthcare fraud enforcement action in U.S. history. 


Internal Fraud Investigations

The Importance of Getting Internal Investigations Right

Internal investigations are a vital function for maintaining integrity, addressing misconduct, and mitigating legal liability. A proper internal investigation can shine light on the facts of an incident during a difficult time, bolster a company’s policy adherence, and discover gaps in current processes. However, when these investigations are conducted poorly or mishandled, they pose significant risks to the organization.


Fraud Prevention & Investigations

Protecting your Business against Vendor Fraud: Vital Strategies and Tips

Imagine your business losing thousands or even millions of dollars through dishonest practices that could have been avoided. Sounds like a nightmare, right? But vendor fraud is a grim reality for so many businesses across the U.S. It is an ugly siphon on hard-earned profits through schemes that aren’t always easy to detect. From price-fixing to kickbacks, there’s almost no limit to what fraudsters might cook up.


Uncovering Hidden Risks in a Business Acquisition

When contemplating the purchase of a company or new business unit, fraud usually isn’t top of mind. However, seasoned business professionals should understand that overlooking the possibility of hidden risks in your acquisition target could lead to serious financial and legal consequences both now and in the future. Including a forensic accountant on your acquisition team could help you move the transaction along smoothly, without unpleasant surprises.