Overview of Statistical Sampling and Extrapolation | Forensus’ Framework
Statistical sampling analysis is most commonly used when one seeks to infer useful information about a relatively large population without examining every unit in the population by examining only a subset of that population (i.e. a sample). As part of…
Read moreScrutinizing Sampling Analysis in Litigation and Audits; PART TWO
In compliance and litigation settings, we are routinely confronted by an opposing party alleging some form of inappropriate conduct. Disputes often arise involving overpayment allegations, audits of insurance claims, or purported false claims and any of these allegations may invoke…
Read moreUsing a Probe Sample for Healthcare Audits and CIA Claims Reviews
Statistical sampling is routinely used in audits and investigations when seeking to reach conclusions about large volumes of data. A probe sample can be a key tool in increasing the efficiency and reducing the cost of statistical sampling analysis. A…
Read moreExtrapolating Losses in Healthcare Fraud Sentencing: United States v. Melgen
Statistical sampling and extrapolation are routinely accepted as evidence to estimate damages, and established methodologies to design and implement valid sampling studies are well-known. Yet the role and propriety of a given analysis in litigation continues to be hotly contested. The…
Read moreDetermining Sample Size with RAT-STATS | Framework STEP FOUR
Determining the sample size is an important step of planning a sample design. Too small a sample may diminish the utility and precision of the results, while too large a sample consumes excess time and effort …
Read moreDemystifying OIG RAT-STATS; Best Practices for Using the Software
Financial statements may be used by different stakeholders for a multitude of purposes. Owners and managers require financial statements to make important business decisions affecting its continued operations. Financial analysis is then performed on these statements, providing management with a more detailed understanding of the figures.
Read moreScrutinizing Sampling Analysis in Litigation and Audits; PART ONE
In compliance and litigation settings, we are routinely confronted by an opposing party alleging some form of inappropriate conduct. Disputes often arise involving overpayment allegations, audits of insurance claims, or purported false claims, and any of these allegations may invoke…
Read moreExtrapolating Liability in FCA Cases | Decisions of Medical Necessity
There is considerable hesitancy in the healthcare industry to rely on statistical sampling for questions deemed subjective in nature, or when the sampling units in a population might be considered too unique. This generally manifests when attempting to extrapolate liability…
Read moreExtrapolating Sample Results with RAT-STATS | Framework STEP SEVEN
Consider the concept of statistical inference (i.e. extrapolation). Following the proper design, selection and analysis of a sample, we can assume the characteristics witnessed in the sample can be reasonably estimated (i.e. inferred) for the total population … extrapolation expert
Read moreRelevant Cases with Statistical Sampling Implications
A variety of cases have addressed the role of statistical sampling in healthcare matters, including litigation before courts, administrative hearings and other matters … Statistical Sampling Case Law
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