Daniel J. Osborne, M.S., with an extensive investigative & compliance background — specializing on Chiropractic and Physical Medicine, founded Provider Fraud Consultants, Inc. (PFC), dba Chiropractic Compliance
Consultants (CCC), in 1997 for purposes of assisting health care providers, insurers, regulators, law enforcers and others on increasing practice certainty and to bolster healthcare fraud-fighting success. Daniel has a vast expanse of training, knowledge, and experience in this sector:
- Trained by Health Care Providers on using clinical & billing records to detect health care fraud & abuse
- Conducted/assisted on extensive health care fraud investigations
- Participated in Federal & State health care fraud task forces
- Created working groups of providers, insurers & law enforcers to address health care fraud
- Assisted on the prosecutions of health care fraud subjects—including those having national significance
- Set foundation for implementation of NICB’s Medical Provider Fraud Units
- Expert witness in administrative, civil & criminal health care fraud proceedings
- Extensive education & training programs for insurers, law enforcers & regulators on health care fraud topics to enhance successes on identifying, investigating and prosecuting health care fraud
- Presentations on Chiropractic Fraud at the FBI Health Care Fraud Managers Conference
- Presented Next Generation of Multidiscipline Fraud at NHCAA conference
- Published author on health care fraud & compliance topics
- Extensive education & training programs for Health Care Professionals on Health Care Fraud/Abuse & Compliance to increase practice certainty
- Past speaker for the NCMIC Speaker’s Bureau
- Former FCLB Fraud Committee representative
- Assisted providers with audit services to proactively detect & correct problems
- Assisted providers on implementing & administering ’effective’ health care compliance programs
- Approved compliance officer by regulators for providers under consent agreements
- Assisted providers on responding to Payor Audits and allegations of misconduct
Read more about Daniel J. Osborne, M.S.
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