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Dr Margaret Faux was engaged to provide an expert opinion concerning allegations of Medicare fraud in criminal proceedings. This project involved analysing over 7,500 lines of Medicare claims and associated clinical records to provide an opinion concerning whether the available e…
Dr Margaret Faux was engaged to provide an expert opinion regarding Medicare billing compliance by a medical specialist. This project involved analysing the full sample of claims seized by the PSR and reporting her opinion on whether the evidence supported compliant Medicare bill…
Dr Margaret Faux was engaged to provide an expert opinion regarding Medicare billing compliance by a medical specialist billing to Medicare at a public hospital. This engagement included Dr Faux appearing as an expert witness before a state inquiry.
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Our client was a state regulator of a workers compensation scheme who was concerned about the incidence of fraud and abuse it believed was occurring in certain areas.
The project involved analysing 32,000 lines of medical billing claims including anaesthesia, surgery, surgica…
Our client engaged us to analyse approximately 26,500 lines of Medicare claims valued at over $35 million which spanned a one-year period. These claims were billed by over 200 GPs.
This project was undertaken in the context of due diligence related to a potential acquisition….
