Provides services to businesses throughout the country. The firm is involved in consulting, investigations, and training to support the financial and health care industries. Daniel Martino, the founder of the company, is a former FBI Supervisory Special Agent with 34 years of experience and a long track record of success. The firm participates in a vast network of highly trained and experienced professionals who provide high-quality services marked by integrity in a variety of disciplines. Enjoy your visit.
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Federal Trade Commission

Sarbanes-Oxley - Financial &
   Accounting Disclosure Info.

Medigap (Medicare
   Supp. Health Ins.

Medi-Cal Site Map

Financial Crimes Enforcement
   Network (FinCEN)
 Media Coverage
Fraudulent Doctors ... Fraudulent Claims
12 BCBS Plans File Suit Against California Clinics
Kaiser Daily Health Policy Report
California rogue clinics operated on kids as young as 12
Coalition Against Insurance Fraud

Investiagtion Services Consulting Corporate & health care fraud investigations Public Speaking on Fraud Prevention & Identity Theft Provider Ethics Program to educate & mitigate liability

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 employer.

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.

The 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 intention of 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.

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 consumers.

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. ,



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California Private Investigator: CA PI 25170
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Last Modified: 1/19/2022