SunHawk Consulting, LLC is excited to announce that Lorraine Aniello and Leah Lane will be presenting on the topic of “A Case Study in Consequences of Insufficient Due Diligence in Medical Practice Acquisition” at the Clinical Practice Compliance Conference, which is being held virtually October 10th and 11th, 2023.
Don’t miss out on Lorraine and Leah’s presentation on Wednesday, October 11th from 1:15 – 2:15 PM CT!
The Presentation Will be Covering:
- How misrepresentation of a provider, other fraudulent claims and even a conflict of interest were discovered during an investigation.
- How medical practice acquisition with little due diligence resulted in no practice at all and costly litigation.
- How our varied experience from both a Certified Fraud Examiner and Clinician perspective allowed for unique and different transaction reviews resulting in the identification of additional frauds.
- How a lack of due diligence in an acquisition can be more costly than the acquisition price itself.
- Regulations related to misrepresentation of a provider.
- A case study where this actually happened.
Lorraine Aniello
Clinical Coding Audit Director
SunHawk Consulting, LLC
lorraine.aniello@sunhawkconsulting.com
Lorraine is a Registered Nurse and holds certification as a Certified Professional Coder (CPC), Certified Risk Adjustment Coder (CRC) from the American Academy of Professional Coders (AAPC), and Advanced HCC Auditor (AHCCA) from Rise Health. She is also certified as a HealthCare Anti-Fraud Associate (HCAFA).
Lorraine has been a coding trainer and reviewer for one of the largest U.S. healthcare organizations. Within regulatory organizations, she has worked with state Medicaid policy and program integrity, MFCUs, RACs, MEDIC, and was a corporate clinical trainer for a national vendor who assisted Medicare and Medicaid Advantage companies with risk adjustment data collection, coding and reporting. She has provided testimony and expert analysis for both government prosecutors, litigation counsel, and defense counsel.
Leah Lane
Corporate Investigations, Corporate Fraud
SunHawk Consulting, LLC
Leah.Lane@SunHawkConsulting.com
Leah has more than 31 years of combined global public and private sector investigations and fraud examination experience. During her career, she has managed, conducted, and assisted on hundreds of global and domestic investigations involving allegations of Foreign Corrupt Practices Act violations, internal and external fraud, and employee misconduct. She has presented investigative findings to corporate and government entities both nationally and internationally that directly led to major employment, civil, and criminal actions.
Leah is a Certified Fraud Examiner (CFE) and an active member of the Association of Certified Fraud Examiners. She was elected to the Board of Regents of this 90K member global organization in 2016 and elected Chairman of the Board of Regents in 2017. She has served on the ACFE Advisory Council and the ACFE Board of Review.
Leah began public speaking in 2011 regarding Fraud Risk Assessments. She continues to be an active lecturer and instructor globally on various fraud related subjects including investigations, building investigation teams, and maturing investigative programs.
Leah holds a Bachelor of Science Degree in Criminal Justice from the University of Southwestern Louisiana.
SunHawk experts are highly experienced professionals ready to assist you within our focus areas of:
Healthcare Compliance | Corporate Investigations
Corporate Compliance | Litigation Disputes
Have a question? We are ready to answer it.