ABSTRACT
Sample case study utilizing “The Piper Method” To illustrate how information and guidance provided in this book can actually be applied in the eld, a ctional case study is provided in the following. Many healthcare fraud ghters serve as auditors, analysts, examiners, consultants, or in similar investigative-type positions, and very often their information is provided to eld investigators to prove (or disprove) if fraud occurred or perhaps is still occurring. Many of the referrals end up in the hands of federal or state law enforcement investigators. In this sample case study, the ctional assigned investigator will assume the role of a senior federal agent that routinely investigates healthcare fraud. This sample case study will provide my personal insight into how an investigator (in this case a federal agent) might go about conducting a healthcare fraud investigation while utilizing The Piper Method of Conducting Thorough and Complete Investigations.
