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Dr Margaret Faux was engaged to provide an expert opinion in the context of a criminal trial involving serious allegations of Medicare fraud. The case centred on a medical practitioner accused of deliberately and dishonestly claiming Medicare rebates for services that were either…
Our client, a major player in the Australian healthcare market, engaged us to conduct a detailed Medicare billing review as part of due diligence for a potential acquisition. The target business was a large, multi-site general practice operation with over 200 GPs contributing to …
This report was prepared for the Australian Broadcasting Corporation to assess payment integrity in spinal surgery billing, as part of a broader investigation into chronic low back pain.
Our brief was to analyse private health insurance inpatient billing for spinal surgeries t…
Our client, a state government regulator overseeing workers compensation schemes, engaged us to assess the integrity of medical practitioner billing and claims management processes.
Following initial discussions, we agreed to a proof-of-concept project. Synapse was tasked with…
Dr Margaret Faux was engaged to provide an independent expert opinion regarding the Medicare billing compliance of a medical specialist under review by the Professional Services Review (PSR) Agency. The PSR is responsible for investigating whether services billed to Medicare comp…
Dr Margaret Faux was engaged to provide an expert opinion in a high-stakes matter concerning the Medicare billing practices of a medical specialist working within a public hospital setting. The case formed part of a formal state inquiry examining the conduct and compliance of med…
