Medical Billing Fraud What is Medical Billing Fraud? It is an attempt to fraudulently obtain payments from insurance carriers. Medicare and Medicaid are the most susceptible to fraud because of their payment arrangements. Fraud in medical billing cost tax payers and medical providers millions of dollars annually. In 1996‚ HIPPA established the Health Care Fraud and Abuse Control Program (HCFAC) to help combat medical billing and health care fraud. Fraud is an act done with the knowledge that you
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| Satyam Scandal | | March 04‚ 2013 | | Satyam Scandal | | March 04‚ 2013 | Abstract The purpose of this report is to highlight the ethical issues involved‚ wrongdoings by the top management of the Satyam Computer services‚ and some ways adopted by government to prevent this type of fraud in the future.
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Associate Level Material Appendix F Review the following two case studies. Each patient is being referred to a specialist for further evaluation of a nervous system disorder. Outline characteristics of the disease each patient is suffering from by answering the questions associated with each case study. Answer in your own words. Case Study 1 Name | Myelin S. Heath | Patient # | 12312312 | DOB: | 03/05/1986 | Physician | Dr. Delgadillo | Date: | 02/16/20XX | Interoffice Referral Form
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in the scandal‚ including the then senior Xerox management‚ the Board of Directors and external auditor KPMG LLP. The failure of those parties in discharging their duties induces the further thought of trust and accountability among them and shareholders. Furthermore‚ the external environment in 1990s‚ including economic bubble boom‚ irrational investors‚ fierce industrial competition and ineffective regulations on audit‚ provided a hotbed for the scandal. Lessons learnt from Xerox scandal indicate
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The Olympus Scandal Hot Potatoes and Flying Funds Summary This paper describes the case of Olympus‚ a Japanese manufacturer of optic equipment‚ at which in early 2012 a scandal was uncovered which was soon dubbed to be one of the largest loss-concealment schemes of Japan. In the 1990’s‚ Olympus incurred significant losses on financial investments made. These were subsequently hidden with the aid of investment companies by shifting the investments around. In the 2000’s‚ these losses were
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Space Shuttle Columbia Courtney K. Nagel Embry Riddle Aeronautical University Abstract On February 1‚ 2003‚ the Space Shuttle Columbia broke apart during re-entry resulting in the loss of the seven crewmembers and the shuttle. For the next several months an extensive investigation of the accident was performed by the Columbia Accident Investigation Board (CAIB). The board published their final report in August‚ 2003 and concluded that the cause of the loss of Columbia and its crew was a breach
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Adelphia Communications Scandal Adelphia Communications was the nation’s 6th largest cable company and became yet another corporation involved in a scandal that resulted in their downfall. Adelphia’s services included high speed cable internet service‚ cable TV service‚ and long distance phone service. Adelphia had more than five million subscribers to these services. The scandal consisted of the Rigas family‚ the family that founded the company‚ and two other executives fraudulently excluding over
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According to the COSO framework‚ there are five elements can be applied to analyze companies’ internal control systems. They are control environment‚ risk assessment‚ control activities‚ information and communication and monitoring. Here is my research of what went wrong in internal controls during the 2008 financial crisis using exhibit 6-6 with Lehman Brothers. Control Environment Lehman Brothers has a long history. Fuld led the company tide over the difficulties several times and achieve remarkable
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| A Trifecta Scandal | Arthur Waldon | | Charter College | | Conspiracy to steal more than a quarter billion dollars from insurance companies. The plot involved 10 doctors‚ 9 separate clinics in New York and 105 different corporations‚ and all in service in a health care fraud ring. It all stems from Russian-speaking immigrant population‚ to who grew up in a communist society that bred despite for the rules and a willingness to cheat around them. Come to find out this scheme is the
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SUMMARY OF THE CASE This case study focuses on the bribery scandal surrounding the city selection process for the 2002 Olympics held in Salt Lake City‚ Utah‚ USA. The student is ask to discuss the merits of the case based on three parameters‚ ethical behavior‚ the impact of culture‚ and the bid process from a broad based business point of view. They are also ask to speculate as to their actions if they were particular individuals associated with the chain of events. CASE DISCUSSION Questions 1
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