Investigative Services

Investigative Services

PHBV Partners has extensive experience in the areas of litigation and compliance auditing through the detection of fraud, waste, abuse and improper payments through claim/billing reviews. In addition, we have represented states before CMS, DOJ, and OIG, as well as provided appeal representation and expert witness testimony. Our services include performing investigations into the areas of:

  • Improper billing of emergency doctors
  • Improper partial hospitalization billings
  • Incorrect site-of-service billings
  • Inpatient psychiatric billings
  • Unbundling
  • Upcoding
  • PATH issues
  • Home health care improprieties
  • Improper cost report filings
  • Nursing home abuse and neglect