discrete field of study and practice. The transaction involves the insured assuming a guaranteed and known relatively small loss in the form of payment to the insurer in exchange for the insurer’s promise to compensate (indemnify) the insured in the case of a financial (personal) loss. The insured receives a contract‚ called the insurance policy‚ which details the conditions and circumstances under which the insured will be financially compensated. 1.2 History of insurance In some sense we can
Premium Insurance
Computer fraud is the use of information technology to commit fraud. In the United States‚ computer fraud is specifically proscribed by the Computer Fraud and Abuse Act‚ which provides for jail time and fines. 1. Unauthorized access at North Bay Abdulswamad Nino Macapayad‚ a former accounts payable clerk for North Bay Health Care Group‚ admitted to using her computer to access North Bay’s accounting software without authorization‚ and in turn issued various checks payable to herself and others.
Premium Fraud Computer Malware
Public Prosecutor‚ Law firm of Nagashima‚ Ohno and Tsunematsu (NO&T) Anti-Financial Crime Provisions A) Fraud (the dishonest inducement of conduct for another’s benefit‚ by false representation) Criminal Law Article 246: Fraud Article 246-2: Computer Fraud (see http://www.cas.go.jp/jp/seisaku/hourei/data/PC2.pdf) B) Offences involving fraud‚ but in specific areas of activity such as the financial markets‚ taxation‚ company law or obtaining services
Premium Crime Criminal law Law
Organizational Responsibility Organizational structure and culture influence have a huge effect on the success or downfall of an organization. Many organizations have proper processes in place to prevent health care fraud and abuse. This paper reviews fraud and abuse and how organizational structure and governance‚ culture‚ and focus on social responsibility affect or influenced the described situation. This paper will also review resources and allocation to prevent this type situation in the future
Premium Management Fraud Health care
Discussion Topic #1 The fraud Triangle is a very important tool in seeking to understand why people commit fraud. In the examination of any fraud case according to the Fraud triangle there are three major elements‚ pressure‚ opportunity and rationalization. To illustrate the relevance of these three factors we can examine a recent fraud case i.e. the South Carolina Hospitality Association. In this case Rachel Duncan was the accountant for South Carolina Hospitality association‚ she is charged with
Premium Fraud Embezzlement
1. Introduction The US Subprime Mortgage Crisis in 2007 has had a severe impact on the global financial system. The collapses of Bear Stearns and Lehman Brothers‚ the acquisition of Merrill Lynch by the Bank of America and the conversion of Morgan Stanley and Goldman Sachs into bank-holding companies have all resulted from this subprime crisis that shocked the world and directly triggered the greatest global financial crisis since the Great Depression. The underlying factors leading to the crisis
Premium Subprime mortgage crisis
talking about a fraud hotline program to help detect fraud and also preventing fraud. Fraud Prevention Management is aware of the increased requirements for a public company to maintain a system of internal control to help prevent and detect fraud. The CEO‚ Mary Moore‚ is also interested in using a proactive posture toward building an antifraud prevention program‚ including exploring using a proactive auditing approach to fraud discovery. The internal auditor and the external fraud investigator
Premium Internal control Internal audit Auditing
The Fraud of the Century: The Case of Bernard Madoff December 2008 Case Study 11 Maria E. Delgado Madoff Ponzi Scheme Bernard Madoff took his investors for $65 billion over the course of nearly two decades. His list of victims includes billionaires‚ celebrities‚ individual investors‚ banks‚ and charities. His scheme was revealed when he confessed in March 2009‚ when he pleading guilty to the charges against him‚ and was then sentenced to 150 years in prison. Madoff was successful for so
Premium Bernard Madoff Ponzi scheme
ORGANIZATIONAL FRAUD [pic] Submitted by: Amit Goel(amigoel@gmail.com) Mohit Goel Executive Summary For many organizations‚ “getting it right” or “getting it wrong” is a matter of survival. This study talks about the issues like‚ ‘organisational fraud’‚ ‘ethics’ & ‘empowerment’ in an organisation and their relation to standards of good behaviour in order to explore various ways in which occurrences of ever increasing frauds can be checked. Organisational Fraud can be perpetrated by those
Premium Organizational culture Internal control Fraud
Medicare Fraud | Ms. Iris Hobson- Introduction to Logic | Atinuke Adumatioge | Medicare Fraud Healthcare today is one of the most lucrative businesses in America and many people are trying to take advantage of that. One of the reasons in the transition of street crimes is how much safer it is compared to the drug business. If we take a look at South Florida‚ we can see hundreds of people living the “high life”. The truth is rarely anybody sells drugs and more than half of those people
Premium Social Security Medicare