Organizational Responsibility and Current Health Care Issues Paper - Health Care Fraud Roberta Roelofs HCS / 545 November 17‚ 2014 Michael Grossman Health care fraud is a current health care issue throughout the health care industry from hospitals to home care services. “The National Health Care Anti-Fraud Association (NHCAA) estimates that health care fraud accounts for at least three‚ but as much as ten percent of total health care expenditures”(Hubbell‚ 2006). Health care organizations
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Case 1.9 ZZZZ Best Company‚ Inc. Delta. Describe the elements of the Fraud Triangle that apply to this case. Assume you are the perpetrator. Is there a better way to perpetrate this fraud? If there is‚ describe your method. Specify practical recommendations for the client to prevent this fraud from occurring in the future. The first element of the Fraud Triangle in the case of ZZZZ Best‚ case 1.9 is Incentives/Pressure. Incentives/Pressure- As a result of the pressure placed on a person who
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and the state. All the different powers in a democracy have a specific role. What is the role of the judiciary in a democracy? We will try to answer that question in studying the democracy and the judiciary in the first part‚ and then see what is its role in a democracy. In this first part we will study the democracy and the judiciary‚ as it is important to understand these two principles before analysing the role of the judiciary in a democracy. “Democracy is the worst form of government
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and popular fraud types is Workmans Compensation Fraud. This also happens to be the type of fraud that any employer is in the position to help and assist with uncovering the truth. Fraud is actually committed when an employee deliberately lies so that he or she will receive benefits. This usually happens when an employee claims a work-related injury when in fact‚ it isn’t. Another case is when he or she exaggerates a minor injury or continuing to work in secret while at the same time receiving the
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Running Head: Credit Card Fraud Impact of Credit Card Fraud Outline Card Credit Fraud Thesis Statement: Credit card fraud is an inclusive term for larceny and deception committed using a credit card or any similar payment mechanism as a fraudulent source of funds in a transaction. The purpose may be to attain goods without paying‚ or to achieve illegal resources from an account. Credit card fraud is also an appendage to identity theft. According to the Federal Trade Commission‚ while identity
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company i.e. not for personal use. Refer to lecture note: Most companies have different levels of general authorisation depending on the type of purchases. Weakness Strength Audit procedure (To what‚ for what) Objective There are no proper procedures for authorisation. Purchase requisition does not need to be approved by authorised personnel. This may results to unauthorised and invalid company purchases i.e. for personal use and thereby‚ excessive or unnecessary items. Hence‚ lead
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What role does society and politics have in our public school system and what are its ultimate affects on the children? In the 1600 ’s in the New England colonies of Massachusetts‚ New Hampshire and Connecticut‚ what began as a system of primarily teaching male children to read and interpret the Bible was eventually reformed to the 19th century concept of creating a national public school system which would be used as a community cornerstone to “create better citizens‚ unite society and prevent
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The Olympus Scandal and Corporate Governance Reform: Can Japan Find a Middle Ground between the Board Monitoring Model and Management Model? Bruce E. Aronson∗ I. Introduction II. The Olympus Scandal and Corporate Governance Issues III. Towards a Mixed Model? Considering Effective Monitoring of Management under the Japanese Corporate Governance System IV. Conclusion I. INTRODUCTION Japan has been in a corporate governance dilemma for the past 15 years. The country has
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increasing&from&$304&billion&in&fiscal&year&2000&to&almost&$700&billion&in&fiscal&year& 2008.&& Why&Do&People&Commit&Fraud?&In&the&1950’s‚&famed&criminologist&Donald&R.&Cressey& develK&opted&a&hypothesis&to&explain&why&people&commit&fraud.&Over&the&years‚&his& hypothesis&has&become&known&as&the&fraud&triangle.&The&triangle&is&usually&pictured& with&three&common&fraud&elements:&opportunity‚&motivation‚&and&rationalization.& The&opportunity&to&commit&fraud&occurs&when&employees&have&access&to& organizational&assets&or&information&that&allows&them&to&commit&and&conceal&
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Accounting Fraud at WorldCom LDDS began operations in 1984 offering services to local retail and commercial customers in the southern states. It was initially a loss making enterprise‚ and thus hired Bernie J. (Bernie) Ebbers to run things. It took him less than a year to make the company profitable. By the end of 1993‚ LDDS was the fourth largest long distance carrier in the United States. After a shareholder vote in May 1995‚ the company officially came to be known as WorldCom. WorldCom culture
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