Home  /   Fraud & Forensics

Fraud & Forensics

Risk & Compliance|Revenue Cycle

Government and Third-Party Payor Fraud Investigations

Our experienced team will work in collaboration with you to respond to compliance allegations brought forward by government and/or third-party payors. Based on the scope of the project, HBE Advisors can offer assistance in many key areas including:  statistical sampling, coding, documentation and billing reviews; cost reporting and, if necessary, expert witness testimony.  We can provide objective reviews and assistance, tailored to your specific needs.


Class Action Litigation

Our consultants have testified in court and assisted legal counsel in class action matters including physician fee setting and preferred provider organization contracting.


Business Disputes

We have extensive experience assisting clients in business disputes with vendors, suppliers and others.  We are capable of assessing damages and have worked for both plaintiff and defense counsel.


Business Interruption Losses

HBE Advisors can evaluate business interruption losses due to casualties such as floods, fire and other similar events and have worked with clients, insurance companies and legal counsel in such matters.


Statistical and Non-Statistical Sampling

We provide statistical sampling services including:  identification of the relevant population, reviews of population integrity, sample size optimization and risk, and confidence and precision levels.  In performing these services, we use masters-level statisticians to assist in all phases of the sampling process.  HBE Advisors adheres to both industry and government protocols regarding sample selection, evaluation and documentation.


Expert Witness Testimony

Our team of Certified Public Accountants and healthcare experts have testified in both state and federal court and are available to provide expert witness services in billing, cost report, contractual dispute and business loss cases.