Medicaid Fraud HCS/545 July 9‚ 2012 Medicaid fraud comes in many forms. A provider who bills Medicaid for services that he or she does not provide is committing fraud. Overstating the level of care provided to patients and altering patient records to conceal the deception is fraud. Recipients also commit fraud by failing to report or misrepresenting income‚ household members‚ residence‚ or private health insurance. Facilities have also been known to commit Medicaid fraud through false billing
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Assignment 08: "GREED IS GOOD!" Kant’s moral philosophy was the categorical imperative. As per Kant stated rules are rules‚ and commands are commands – unconditionally. Kant would have said that Gekko’s speech and ideologies were immoral. He would have said that greed was immoral as it was morally wrong intrinsically. As per Kant’s formula of universal law if the world population had to live with the maxim that “greed is good” the planet would soon run out of all its resources as everyone will
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Case 9 Enron: Questionable Accounting Leads to Collapse How did the corporate culture of Enron contribute to its bankruptcy? The corporate culture at Enron was centered on a twisted lack of ethical behavior based on greed and profit seeking. Top management set a tone in the workplace that encouraged risk and rule breaking in the name of revenue. Employees were compensated for unethical behavior that brought money into the company and terminated if they did not reach the monetary levels of
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How is Fraud and Embezzlement defined as? Fraud is defined “the abuse of a position‚ or false representation‚ or prejudicing someone’s rights for personal gain (Serious Fraud Office‚ 2013). In Moore v. United States‚ (1895)‚ the Supreme Court defined embezzlement in the following terms: Embezzlement is the fraudulent appropriation of property by a person to whom such property has been entrusted‚ or into whose hands it has lawfully come. It differs from larceny in the fact that the original taking
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more basic concepts in fraud deterrence and detection is the fraud triangle. The fraud triangle is also known as Cressey’s Triangle‚ or Cressey’s Fraud Triangle. Cressey’s Fraud Triangle gets its name from Donald Cressey. Cressey was one of the “nations leading experts on the sociology of crime”. He authored a few books including Other People’s Money‚ Theft of the Nation‚ and co-authored Principles of Criminology with Edwin H. Sutherland. Cressey is honored by many anti-fraud organizations‚ including
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Accounting fraud can be defined as knowingly falsifying accounting records in order to increase sales revenue and net income. Accounting fraud is committed in corporations by means of showing false information‚ using funds for illegal purposes or inflate expenses‚ overstating revenues‚ understating expenses or overstating the value of corporate assets. All these activities are entirely unethical. Behaving ethically depends on the capability to recongnize the ethical issues and to believe on their
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Illegal Immigration is a Crime each year the Border Patrol apprehends hundreds of thousands of aliens who flagrantly violate our nation’s laws by unlawfully crossing U.S. borders. Such illegal entry is a misdemeanor‚ and‚ if repeated after being deported‚ becomes punishable as a felony. Today there is significant number (that is up to 11.3 million) of immigrants who are labeled as “illegal aliens’ in the united states. The terms illegal and undocumented immigrants are used independently based upon
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Donna Sanders Financial Statement Fraud Week 12 There are many things that can motivate financial statement fraud. Taking a look at Donald Cressey’s hypotheses which is now known as the fraud triangle depicts the certain criteria for the mind frame of the fraudster. The fraud triangle is a theory that consists of perceived pressures‚ perceived opportunity‚ and rationalization. It gives us the different pressures placed on individuals that would make them consider “cooking the books.” It also
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commit fraud because of financial pressures‚ vices‚ or because of work-related pressures. As well‚ perpetrators of fraud can be motivated by a perceived opportunity to commit fraud and the ability to rationalize that what they are doing is not wrong. Their motivations are usually combined into the fraud triangle of perceived pressure‚ perceived opportunity‚ and rationalization. 3. The fraud triangle includes three elements that almost always must be present in order for someone to commit fraud: a
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283). Stolen funds were used to support Madoff’s luxurious lifestyle and to bribe employees to conceal the fraud (p. 284). Elaborate falsifications were also created to hide the fraud (p. 289). However‚ Madoff finally confessed to his family on December 10‚ 2008 (Gregoriou & Lhabitant‚ 2009‚ p. 91)‚ due to the steady flow of redemptions following the financial crisis (Rhee‚ 2009‚ p. 365). Madoff
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