Anthony Spaventa, CFE, AHFI

Director, Health Care Fraud & Abuse

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Anthony Spaventa joined T&M in December of 2016 and currently serves as Director of Health Care Fraud & Abuse. Before joining T&M, Mr. Spaventa was a Special Investigations Unit (SIU) investigator with Fidelis Care, the largest Medicaid managed health plan in New York State, where he identified and investigated aberrant providers, resulting in substantial recoveries and referrals to regulatory or law enforcement agencies. Prior to Fidelis Care, Mr. Spaventa was a Special Investigator for Affinity Health Plan and before that, an Associate Special Auditor Investigator for the New York State Office of the Attorney General Medicaid Fraud Control Unit, where he worked for over ten years. While with the NYS Office of the Attorney General, Mr. Spaventa specialized in complex Medicaid fraud investigations involving hospitals, clinics, pharmacies, doctors, transportation companies and Medicaid member doctor shopping.  Mr. Spaventa also worked as a Senior Accountant with a leading New York forensic accounting firm which specializes in the audits of healthcare facilities to determine compliance with Medicare and Medicaid regulations. While with this firm, he performed Medicare cost report audits for Medicare Administrative Contractors, program safeguard contractors and fiscal intermediaries.

Mr. Spaventa received his Bachelor’s Degree in Accounting in 2000 from St. John’s University. He has been a Certified Fraud Examiner (CFE) since 2012 and was certified as an Accredited Health Care Fraud Investigator (AHFI) in 2017.