The passage of the Sarbanes-Oxley Act in
2002 implemented new requirements on corporations: mandates to increase the
accountability of officers and directors as well as to enhance the
quality and timeliness of financial reports of public companies,
to name a few.
Several other requirements that addressed auditing, financial
accounting practices, and corruption were also included. Although
the passage of this act addressed bad corporate 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
that 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 when unethical
employees take advantage of their positions and access to
information to the detriment of their
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
such as advance fee and investment schemes.
CARE FRAUD INVESTIGATIONS
Centers for Medicare and Medicaid Services (CMS) projects that
in, 2012, health care expenditures will reach $3.4
trillion, representing an increase of 104% of the $1.67 trillion
expended in 2003, which accounted for 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 managing the most comprehensive FBI HCF
program in the United States. 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 ethically
questionable individuals have been attracted to the health care field with the sole
defrauding government-sponsored programs and private insurance
programs of millions of dollars. With the
recent addition of Medicare Part D benefits for drug coverage,
added risks such as counterfeiting, undisclosed generic
substitutions, over-prescribing of medications, and
pharmaceutical diversion are expected to increase substantially.
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 licenses and livelihoods. Identity theft
of both patients and physicians has become more prevalent over the
past several years and continues to be a significant problem.
Insurance plans throughout the country have been defrauded of
millions of dollars, which may translate into higher
premiums and/or a decrease in benefits to the consumer.
CARE ANTI-FRAUD TRAINING
Martino Consulting and Investigative Services Inc. is in a
unique position to provide clients with a comprehensive, practical
understanding of health care fraud, prevention techniques, and
appropriate responses 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 various
components of the health care delivery system and insurance
industry, and can be tailored specifically to
Mr. Daniel Martino is nationally recognized
as a public speaker and has made numerous presentations at fraud-investigator seminars,
national health care
anti-fraud conferences, and a variety of other venues. The firm
provides its clients with insight into how problems are identified, pursued
and evaluated, which, in turn, results in investigation
and resolution of these matters. Additionally, Mr. Martino
suggests guidelines for avoiding and preventing fraud.
Participation in the firm's training seminars and presentations
can have a
lasting impact on your operations regardless of your role in the
health care delivery system. ,