Eligibility‚ Payment‚ and Billing Procedures Sharain A. Houser HCR 220 May 15‚ 2014 Instructor‚ Felecia Pettit-Wallace The three primary steps to establishing financial responsibility for insured patients are verifying the patient’s eligibility for indemnity benefits‚ determining pre-authorize and referral requirement‚ and determining the main payer if more than one indemnity plan is within effect. There are three
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ACC460 –Auditing Video Case Fraud and Tone at the Top - Video Case Questions This video is an informative video made for accounting students and employees that outlines the danger of corruption and fraud in the workplace. The majority of the video is an interview with Walt Pavlo of MCI Worldcom. He explains his case and the steps that lead him to take the actions that landed him in prison. While he is telling his story two gentalmen describe how Walt’s story relates to the world of auditing
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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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Experiment 55: A Separation and Purification Scheme The final lab report/procedure write-up will consist of the following: Report guide: 1. List the names‚ structures‚ and amounts of each compound in your mixture. 2. Draw a flow chart (like pg 687 in PLKE) showing how you separated and isolated your two compounds. Be sure to include the structures of the compounds at each step. 3. Write a procedure. This should include exactly how you performed your separation. It should have enough
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There are many different ways to accomplish this illegal activity‚ such as ballot stuffing‚ registration fraud‚ and voter impersonation. Obviously‚ submitting more than one ballot in the slot at a time‚ or ballot stuffing is the simplest and the easiest of the three. Even though registration fraud‚ or creating a fictional person and registering with the phony identity or without permission the identity of a real person is most commonly used. Without
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OVERVIEW OF LEARNING THEORIES Over the past century‚ educational psychologists and researchers have posited many theories to explain how individuals acquire‚ organize and deploy skills and knowledge. To help readers organize and apply this extensive body of literature‚ various authors have classified these theories in different ways. For this summary‚ learning theories are grouped into three basic categories:- • Behaviorist learning theories • Cognitive-information processing learning theories
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The Financial Executive Magazine conducted an interview in Spring 2014 with the members of Anti- Fraud Collaboration (AFC) about fraud and complacency. The members who participated in the interview were; Cindy Fornelli‚ executive director of the Center for Audit Quality; Ken Daly‚ president and CEO of the National Association of Corporate Directors; Marie Hollein‚ president and CEO of Financial Executives International; Richard Chambers‚ president and CEO of The Institute of Internal Auditors; and
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Payroll Patty Scam The Payroll Patty Scam is a payroll scam were a company nearly lost three quarters of a million dollars. The payroll clerk‚ known at Payroll Patty‚ was creating “ghost” employees in order to hide the fraud she was committing. The payroll clerk was adding these “ghost” employees to a separate cost center which was not noticed since the company typically had seasonal contract labor employees anyways. No red flags were noticed for a long time because it was typical for the company
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Phar-Mor declared bankruptcy due to fraudulent financial reporting and misappropriation of assets‚ making it one of the largest frauds in U.S. history. Below‚ we will use auditing standard AU 316.85 Appendix A in conjunction with the video “How to Steal $500 million” to analyze how incentives/pressures‚ opportunities‚ and attitudes/rationalizations allowed for fraud to start and continue at Phar-Mor. Incentives/Pressures Annual reoccurring losses due to small margins put pressure on the
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The Statute of Frauds clearly identifies what contracts have to be presented in the written format in order to remain enforceable (Reilly‚ 2000)‚ therefore written agreements should be signed by all parties to be binding. The Statute of Frauds is a rule of law requiring certain kinds of written contracts‚ not oral contracts since they are vague and frequently don’t provide sufficient proof of the terms agreed upon by each parties. Oral contracts create more complications and are the main reason for
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