What is one of the potential issues to identify in the investigation roadmap?

Prepare for the NHCAA Accredited Health Care Fraud Investigator Exam. Study with flashcards and multiple choice questions, each question has hints and explanations. Boost your readiness for the exam!

Identifying relevant documents is crucial in the investigation roadmap because these documents serve as the foundation for gathering evidence and building a case. Relevant documents can include billing statements, medical records, contracts, and communications, which help establish the facts of the case and demonstrate any fraudulent activities. Collecting and analyzing these documents allows investigators to identify inconsistencies, patterns of behavior, or anomalies which may indicate fraud.

In the context of a health care fraud investigation, without relevant documents, it becomes challenging to substantiate claims or determine whether fraud has occurred. Each piece of documentation can provide essential information regarding the services rendered, payments made, and compliance with regulations, making their identification a critical step in the investigative process. This systematic approach aids in forming a clear and comprehensive picture of what transpired, ultimately supporting the investigation's goals.

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