Payment Integrity Investigations

Fraud, waste and abuse are rampant in Australia’s health system. For example, one study found that 29.6% of GPs billed a longer service than they provided “at least once”, even when they knew their billing behaviour was being watched. Investing in an Australian healthcare company whose profits are derived from fraud is high risk and medical billing is a very technical area with few experts. Let our experts support your due diligence with a claims integrity audit before you invest. We also conduct audits for payors and provide independent expert reports in legal proceedings.

Case Studies