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Forensic Analysis and Fraud, Waste and Abuse Detection

Certified Fraud Examiners for Government Consulting

After conducting audits and developing monitoring and reporting procedures on behalf of the Centers for Medicare & Medicaid Services (CMS), Bland has a strong knowledge of care outcome best practices and CMS payor programs. Our forensic analysis services are a natural extension of that knowledge. When you understand the intent and protocols of a payor program, for example, it’s easier to spot inconsistencies and potential waste.

With Certified Fraud Examiners on staff, Bland is dedicated to identifying risk and vulnerabilities in existing programs as well as new and emerging payment and delivery models and programs. We support improvements in internal controls and can also help to uphold findings in disputes. With our teaming partner, we are designated as a Unified Program Integrity Contractor (UPIC) under the direction of CMS — retained to detect, prevent, and proactively deter fraud, waste, and abuse in the Medicare and Medicaid programs.

Bland is available for special projects involving fraud investigations for a variety of government clients — as prime contractors or as part of a larger consulting team. Our discretion and efficiency are well regarded by clients in the early stages of an investigation, and when brought in later to vet or analyze findings.

Our Outcomes

“We requested analysis of primary care practices who reported quality performance information that did not match the data they submitted. [Bland] assessed potential problems with this data and aided the team in better understanding how to respond to this problem.”
– CMS contracting officer

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