Investigation
CES has extensive experience providing investigative services focused in the fraud, risk and cyber arenas.
Cyber Investigations
CES began as a cyber investigations firm and continues to provide superior service in that arena. Our company has experience in forensically researching and reviewing cyber attacks on the United States government and companies; we determine the origin of attacks, identify the perpetrators, and remedy the weaknesses in customers’ systems. In addition to providing post-attack investigative services, CES also provides insider threat assessments and consults customers on current best practices to protect their propriety information from a diverse array of internal and external threats.
CES’ personnel has extensive experience in combating and investigating cyber intrusions. Our executives are comprised of former FBI supervisors who regularly oversaw the investigations of all network intrusion and computer-based crime matters in the Seattle Division of the FBI. They were also responsible for briefing the White House on a number of critical cases impacting the United States’ military and large companies. Our employees include certified experts in network and desktop forensics, many of which conducted technical assessments for Fortune 500 companies. We have a team of experienced personnel ready to meet any of our customers’ investigative needs.
Risk Investigations
CES has assisted numerous private companies and law firms in assessing the risks involved with some action such as an acquisition, a key personnel hire, movement of assets into or from a location. We are experts in due diligence investigations and trade secret matters.
Our assessments have uncovered active insider threats within the organizations which included theft of proprietary data, theft of trade secrets, misappropriated customer lists, internal thefts, leaking of confidential company information to public and competitors, and misuse of company resources for criminal and personal gain.
In one investigation into the risks associated with a federal bid teaming agreement CES determined that one of the four team partners was actually a con man who was attempting to scam the other three companies out of millions of dollars in business development funds.
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Fraud Investigations
CES has conducted investigations focusing on product, mortgage, securities, insurance, worker compensation and other types of financial fraud. We have provided investigative services to Fortune 500 companies including Microsoft, U.S. Gypsum, Motorola, La Salle Bank, McDonalds, and others. Our investigations have identified Ponzi schemes, active insider threats, theft of trade secrets, fraudulent contract bids, securities formulation thefts, and fraud and waste issues in procurement matters.
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Healthcare Investigative Services:
CES is the premier leader in healthcare fraud investigations. CES provides investigative and analytical services on six different Medicare Program Integrity contracts. See our Healthcare Fraud Contracts » CES investigators have a strong expertise in Part A, Part B, Part C, Part D, DME, and home health investigations. CES personnel have made hundreds of referrals concerning potential fraud matters to HHS OIG, the FBI, DEA and local and state police agencies. CES investigators and managers established the first national information sharing workgroups which brought law enforcement agencies, regulatory agencies, and private insurance plans together to share information on fraud schemes, fraud groups, and other criminal groups impacting on healthcare in the United States. CES was also the first to bring an intelligence focus to healthcare fraud developing programs in intelligent targeting, organizational analyses of criminal fraud groups and predictive analysis of potential fraud group activities.
Provider Verification Services – CES conducts due diligence background investigations of healthcare providers, companies, and related entities on a tier based service formula ranging from record checks to site verification.
Pharmacy Verification Services – CES conducts due diligence background investigations of pharmacies and related services on a tier based formula ranging from record checks to site verifications to audits of supply and records.
EHR Verification Services – Insuring providers receiving EHR incentives meet all specified requirements.