A clinic hires a specialist surgeon with an impressive CV, overseas training and years of experience. Patients start to complain. When someone finally checks, the overseas fellowship never happened, and a previous employer had quietly let him go after a serious incident. In healthcare, a false credential is not an HR problem. It is a patient safety problem.
Hospitals, clinic groups, healthcare investors, insurers and medical tourism operators all depend on trusting people and partners they cannot fully verify on their own. Our healthcare investigation services check credentials, investigate fraud, vet providers and partners and support recovery. As an international investigation firm headquartered in Dubai and backed by the 30+ years of GREVESGROUP®, we support healthcare organisations in more than 100 countries.
Investigation Challenges in Healthcare
- False or inflated medical credentials among doctors, nurses and allied health staff
- Billing fraud, including phantom treatment, upcoding and unnecessary procedures
- Collusion between providers, patients, brokers and insurance staff
- Procurement fraud in equipment, consumables and pharmaceuticals purchasing
- Provider and acquisition risk when investing in or partnering with clinics and hospitals
- Medical tourism fraud, including unlicensed facilities and misleading referral agents
- Data leaks and misuse of patient information by staff or partners
Our Investigation Services for Healthcare
Background Check
Our medical credential verification and doctor background checks confirm qualifications, specialist training, licences and registrations directly with universities, training bodies and licensing authorities. We verify employment history, check for disciplinary action and malpractice litigation where records are available, and flag gaps and inconsistencies before you hire or grant privileges.
Claim Investigation
For health insurers and TPAs, our hospital verification confirms that admissions, treatments and bills match reality. We investigate medical billing fraud, phantom treatment, inflated invoices and networks of providers and claimants, including claims from hospitals abroad.
Corporate Investigation
When losses, complaints or whistleblower reports point to wrongdoing, our corporate investigators examine procurement fraud, kickbacks from suppliers, conflicts of interest, theft of drugs and consumables and misuse of patient data, working with your legal, compliance and HR teams.
Due Diligence
Healthcare provider due diligence investigates clinics, hospitals, laboratories and practitioners before acquisition, investment, network inclusion or partnership. We verify ownership, licensing, litigation, regulatory history, reputation and the backgrounds of key doctors and managers.
Brand Protection
Healthcare brands are impersonated by fake clinics, cloned websites and social media accounts offering treatments or appointments. We identify impersonation, trace the operators and support takedowns and legal action. For medical device and consumables brands, we investigate counterfeit products entering clinical supply.
IP Investigation
We investigate misuse of hospital names and trademarks, copied treatment brands and infringement of medical device designs and patents.
Private Investigation
Our investigators trace former staff and partners who owe money or breach restrictive covenants, conduct asset searches for recovery, and carry out lawful enquiries in commercial disputes.
Process Service
Healthcare disputes, recovery actions and litigation with foreign patients, insurers and suppliers often need international service. We serve documents by personal service or through the Hague Convention with court-ready proof.
Why Credential Verification Needs an Investigator
Certificates, logbooks and reference letters are easy to forge and hard to check when they come from another country. Some institutions have closed, some respond slowly and some do not exist at all. Our investigators contact issuing bodies directly, confirm the institution's accreditation, verify training posts with hospitals and speak to former employers. For senior clinicians and department heads, we add litigation, disciplinary and reputational research, giving medical directors and credentialing committees a complete picture.
Healthcare Fraud Across Borders
Cross-border care creates new fraud opportunities. Patients claim for treatment abroad that never happened. Referral agents steer medical tourists to unlicensed facilities. Hospitals in one country bill insurers in another. Our in-country investigators verify facilities, treatments and bills at the source, so insurers and providers can rely on the facts rather than paperwork alone.
Screening Healthcare Staff at Scale
Healthcare employers in the Gulf and elsewhere recruit large numbers of doctors, nurses, pharmacists and technicians from many countries. Licensing authorities require verification of qualifications and experience, but gaps in the process can remain, particularly for employment history, reasons for leaving and disciplinary issues. Our screening programmes verify each candidate against agreed standards, with deeper checks for senior and high-risk roles. We report discrepancies clearly and quickly, so recruitment teams can move forward with confidence or stop before an offer is made.
Healthcare Organisations We Support
We work with hospitals and hospital groups, specialist and day-surgery clinics, diagnostic laboratories, pharmacies, home healthcare providers, medical tourism facilitators, health insurers and TPAs, healthcare investors and private equity funds, and medical device and consumables suppliers.
Typical Engagements
The scenarios below are illustrative examples of the kind of work we carry out in this sector.
Specialist credential check
A hospital group is about to appoint a consultant trained in three countries. Verification confirms two qualifications but finds the third was never awarded. The appointment is withdrawn before the consultant treats patients.
Billing pattern investigation
A health insurer suspects a clinic of billing inpatient stays for outpatient care. Patient interviews and record checks confirm the pattern, supporting recovery and removal from the network.
Clinic acquisition
An investor plans to buy a group of clinics. Due diligence reveals undisclosed regulatory warnings and a dispute between founding doctors, which is priced into the deal.
Procurement kickbacks
A hospital's spending on consumables rises sharply. Investigation identifies a buyer receiving payments from a supplier's agent.
How We Work with Healthcare Clients
We work with medical directors, credentialing committees, HR, procurement, compliance, legal and claims teams. Credentialing clients often use us under an ongoing arrangement with agreed check packages. Insurers refer cases individually or through a panel. Investors instruct us for each acquisition. Every engagement starts with a confidential briefing and a written scope.
What You Receive
Sourced reports with verified credentials, identified discrepancies, evidence of fraud where found and clear recommendations for credentialing, claims or legal decisions.
Why Healthcare Organisations Choose Risk Investigators
Direct source verification
Credentials checked with the institutions that issued them.
Cross-border capability
In-country verification in more than 100 countries.
Claims expertise
Years of hospital verification and health claim work for insurers.
Confidentiality
Patient data and sensitive matters are handled lawfully and on a need-to-know basis.
Group experience
GREVESGROUP® has conducted investigations for more than 30 years.
Frequently Asked Questions
How do you verify a doctor's credentials?
We contact universities, training bodies and licensing authorities directly, confirm the institution's accreditation, verify training and employment history with hospitals, and check for disciplinary and litigation records where available.
What is hospital verification?
Hospital verification confirms that a patient was admitted and treated as claimed and that bills are genuine and consistent with medical records. It is a key tool against health insurance fraud.
Do you investigate medical billing fraud?
Yes. We investigate phantom treatment, upcoding, inflated bills and collusion between providers, patients and brokers.
Can you do due diligence on a clinic before acquisition?
Yes. We investigate ownership, licensing, regulatory history, litigation, reputation and key personnel before you invest or acquire.
Do you verify medical tourism facilities abroad?
Yes. Our investigators verify licensing, ownership, facilities and reputation of hospitals and clinics abroad, as well as the agents who refer patients to them.
How do you protect patient data during investigations?
We collect only the information that is necessary and lawful, handle it on a need-to-know basis and comply with applicable data protection laws.
Do you investigate counterfeit medical devices?
Yes. We trace counterfeit devices and consumables through suppliers and distributors and support enforcement action.
Can you check whether a nurse or technician was dismissed by a previous employer?
We verify employment dates, roles and, where the former employer will disclose it, the reason for leaving. We also check for publicly recorded disciplinary action and litigation where records are available.
Do you investigate theft of drugs from hospitals?
Yes. We investigate losses of controlled and high-value medicines, consumables and equipment, working with your pharmacy, security and HR teams to identify how the losses occur and who is responsible.
Do you verify overseas nursing and allied health qualifications?
Yes. We verify nursing, pharmacy and allied health qualifications and registrations directly with issuing institutions and regulators abroad.