CORPORATE INVESTIGATIONS
The passage of the Sarbannes-Oxley Act in
2002 implemented new requirements on Corporations
which
included several items to include mandates to increase the
accountability of officers and directors and to enhance to the
quality and timeliness of financial reports of public companies.
Several other requirements which addressed auditing, financial
accounting practices and corruption were also included. Although
the passage of this act addressed corporate bad behavior,
corporations continue to be victimized by outsiders and insiders
alike. In a competitive business environment, the theft of trade
secrets and proprietary information is prevalent. The great idea
which launched a new product line costing millions of dollars
can be lost very quickly as a result of fraud and abuse. Legal
remedies can be costly, lengthy and difficult to implement.
Often times, corporations are victimized from within wherein
some unethical employees will take advantage of their
position and access to information at the detriment of their
employer.
The firm is in a position to
provide various investigative services to address embezzlements,
theft of trade secrets and other employee misconduct.
Furthermore, Martino Consulting and Investigative Services Inc.
can provide investigation services regarding outsiders who seek
to defraud the corporation through various fraudulent schemes to
include but not limited advance fee and investment schemes.
HEALTH
CARE FRAUD INVESTIGATIONS
The
Centers for Medicare and Medicaid Services (CMS) projects that
in 2012, Health Care Expenditures are expected to reach $3.4
Trillion representing an increase of 104% of the $1.67 Trillion
Dollars expended in 2003 which represented 15.3% of the Gross
Domestic Product. In 2007, it is estimated that losses due to
fraud and abuse will exceed $ 66 Billion .
Daniel M. Martino, the founder of the company, has over 9
years of experience in Health Care Fraud investigations and was
responsible for the managing the most comprehensive FBI HCF
program in the United States dealing with these issues. Mr.
Martino is uniquely familiar with a variety of health care fraud
and abuse issues concerning medical practices, home health
agencies, clinical laboratories, durable medical equipment and
other specialty areas.
Over the past several years, a number of individuals have
entered the health care field with the sole purpose of
defrauding Government Sponsored Programs and Private Insurance
Programs of millions of dollars. The Health Care delivery system
has attracted numerous unsavory characters over recent years
whose sole purpose is to defraud health care plans. With the
recent addition of Medicare Part D benefits for Drug coverage,
added risks are expected to increase substantially to include
but not limited to counterfeiting, undisclosed generic
substitutions, over-prescribing of medications and
pharmaceutical diversion.
During the course of these frauds, many licensed medical
providers knowingly or unknowingly increased their liability
through associations with unscrupulous individuals. Medical
provider reputations are being challenged and, in many cases,
they risk losing their license and livelihoods. Identity theft
of patients and physicians have become more prevalent over the
past several years and continue to be a significant problem.
Insurance plans throughout the country have been defrauded of
millions of dollars which may translate into potential higher
premiums and/or a decrease in benefits to the consumer.
HEALTH
CARE ANTI-FRAUD TRAINING
Martino Consulting and Investigative Services Inc. is in a
unique position to afford clients with a comprehensive practical
understanding of Health Care Fraud, prevention techniques and
how to respond to the ever changing dynamics of fraud as it
affects the industry. Mr. Martino's extraordinary experience and
insightful understanding of the issues can be an asset to your
operations. Through the Firm's Provider Ethics Program, the firm
can demonstrate the unusual and disguised aspects of fraud and
how it can affect medical providers in a variety of disciplines.
This training is also applicable to the health various
components of the health care delivery system, insurance
industry, health care plans and can be tailored specifically for
consumers.
Mr. Daniel Martino is Nationally recognized
as a Public Speaker who has made numerous presentations to civic
groups, fraud investigator seminars, National Health Care
Anti-Fraud Conferences and a variety of other venues. The firm
provides you insight as to how problems are identified, pursued
and evaluated resulting in the establishment of investigations
and the resolution of these matters. Mr. Martino provides you
with knowledge on how to avoid and prevent fraud. Participation
in the firm's training seminars and presentations can having a
lasting impact on your operations regardless of your role in the
health care delivery system.