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Forensic Accounting
+ Fraud Prevention

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A Certified Fraud Examiner Looking Behind the Financial Report

When a financial transaction raises a question, the accounting record is one place to start. A clean general ledger entry does not answer every question about how the transaction got there.

A Certified Fraud Examiner looks at the financial activity behind the accounting entry and the process that produced it. Source documentation helps establish what created the entry. Internal controls also become part of the review when financial authority, approval authority, or system access creates an opportunity for misuse.

Healthy Bodies of Finance helps established health and wellness practices understand where fraud risk exists. We also look at what the available evidence supports when something does not add up. For practices that accept insurance, the financial trail can also extend into claims activity, payer reimbursement, and the revenue cycle.

Unusual financial activity, including a billing or reimbursement pattern, can raise a forensic question without establishing fraud, embezzlement, or insurance fraud.

WHAT'S INCLUDED

Fraud risk can develop when financial authority or system access gives one person too much control over a financial process.

We examine internal controls based on how the practice operates, including where management review belongs and whether segregation of duties needs to change. Approval authority also becomes part of the review when the same person can initiate financial activity and approve it.

We want to know where financial authority, system access, or approval responsibility has become too concentrated.

A general ledger entry may tell you how a transaction was recorded, but it may not tell you what actually happened.

Transaction-level review follows the financial activity back to its source. Depending on the question, that may include records from the practice management system, payment processor, payroll platform, vendor documentation, or bank activity.

The comparison helps establish whether the accounting entry matches the underlying transaction and what the records support.

For health and wellness practices that accept insurance, claims activity and payer reimbursement create another set of financial records that may need to be reviewed.

A billing integrity or revenue cycle review may be appropriate when reimbursement activity does not match the practice management system or accounting records. Billing adjustments and refunds may also deserve closer review when the records do not explain the financial activity.

The review helps the practice understand what the billing and reimbursement records support. It can also identify issues that may need attention before an insurance audit.

Some concerns require more than a fraud risk assessment or focused transaction-level review, especially when the financial records raise questions that cannot be answered through a narrower review.

When a forensic investigation is warranted, we use forensic accounting procedures to examine financial records, source documentation, and available evidence. The findings show what the records can support and where questions remain.

Our Approach

Prevention first.
Investigation
when necessary.

Illustration of an overturned potted plant, with soil spilling out, symbolizing the need for health and wellness bookkeeping in nurturing growth.
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Prevention First

Identify where fraud risk, financial authority, or system access creates an opportunity for financial misuse before the weakness becomes a larger financial problem.

◉

Follow the Transaction

Trace unusual activity back to source documentation and the financial system where the transaction began.

◎

Evidence Before Conclusion

Base conclusions about fraud or financial misconduct on the available evidence, not suspicion.

What you walk away with
❂

You Know Where Fraud Risk Exists

You can see where financial authority or system access creates an opportunity for financial misuse. You also know where approval authority is too concentrated, where management review is missing, or where segregation of duties needs to change.

◍

You Know What the Records Support

Transaction-level review connects the accounting entry to the source activity. You can see whether the financial system and source documentation support what was recorded instead of making a decision from suspicion.

❍

You Know Whether the Concern Needs a Control Change or Further Review

You know whether the concern points to an internal control change or requires focused transaction-level review. If a forensic investigation is warranted, the findings show what the financial records and available evidence support.

How This Service Is
Different.

Forensic Accounting + Fraud Prevention focuses on the activity behind the accounting record and the fraud risk inside the financial process. Fractional CFO support uses financial reporting, forecasting, and analysis to evaluate cash flow, profitability, and financial decisions. Finance Team Development looks at how accounting responsibilities and review are assigned across the finance team.

When a transaction raises a question, the forensic review follows the financial activity back to the source documentation and financial system where it began.

We Start With a Paid Financial Assessment

Every engagement with Healthy Bodies of Finance begins with a paid Financial Assessment. For Forensic Accounting + Fraud Prevention, the assessment helps us determine whether the concern calls for an internal control change or focused transaction-level review. When forensic investigation may be warranted, we identify the records and financial systems needed before recommending a larger review.

When the numbers raise a question, follow the transaction before filling in the blanks.

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