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 that work with medicare and medicaid are at higher
Premium Health care Fraud Medicine
in British Columbia B.C. 2 Skilled Immigrants in British Columbia Bringing skilled immigrants into British Columbia has become more and more vital than before. People can immigrate to another country according to their comprehensive abilities‚ such as cultural level‚ professional skills and language ability. Every year‚ there are 35‚000 people immigrate to British Columbia and half of them are skilled immigrants. The government in British Columbia should encourage
Premium Health care Canada Logging
Management Term Project Financial Fraud in Canada [pic] Analysis presented to Ms. Julie Slater by Anouck Cinq-Mars (9197710) Anthony Liscio (9097856) Angelo Vaccaro (9356290) Joe Vincelli (9234403) Kyle Zarmair (9055177) John Molson School of Business April 4th 2011 Table of Contents Evolution of financial fraud in Canada…………………………………………...……4 Current types of fraud Canadian financial institutions A) Internal fraud…………………………………………………………………………..5 Identity
Premium Fraud
3.How to detect the fraud? There are many ways to detect the fraud .They can simply be divided into two categories One is quantitative analysis‚another is qualitative analysis. In quantitative analysis‚the sample is fifty thousand investment company which issued form ADV ‚ form ADV is required to issue to SEC when the investment company’s client number more than 15 people or the size of asset under management is larger than $ 25 million ‚ if you did not issue the document or it is not correctly
Premium Investment
Medicare and Medicaid Medicare and Medicaid have similar names and are both are government programs. The name sounds so similar that most people get them confused. Medicare is for people who are older or disabled. While‚ Medicaid is for people with limited income and resources. Some people do qualify for both Medicare and Medicaid. There are several differences between the two. Medicare is for adults over the age of sixty-five and some younger with certain disabilities such as end stage renal disease
Premium Health insurance Health care Health care provider
must remain ethically cautious to circumvent falling into such a trap. Accountants need to be educated on what forms of financial statements frauds can be committed and ways to prevent financial statement fraud. A strong system of internal controls helps companies deter employees from committing fraud. Financial Statement Fraud Categories Financial statement fraud is deliberate misrepresentation‚ misstatement or omission of financial statement data for the purpose of misleading the reader and creating
Premium Balance sheet Financial statements
Tammy Coleman Dr. Wilson The Bohemian Scandal In Conan Doyle’s short story “A Scandal in Bohemia” (1888)‚ Sherlock Holmes can tell that the stranger possess great wealth before he speaks a single word. Sherlock Holmes analyzes everything when it comes to people. He uses their appearance‚ how they carry themselves‚ and what kind of objects they have on them. The author uses descriptive words to describe the way the stranger looked. This essay will prove that Sherlock Holmes is so observant
Premium Arthur Conan Doyle Sherlock Holmes Wealth
also expected to increase in population almost 1% every year. The aging population makes up 12.9% of the total U.S. population. It is projected that the majority of the population would at least 55-59 within the next 10 to 20 years. In some research studies‚ the distribution of child dependency and senior dependency would almost be equal to each other. There are environmental factors and changing demographics that contribute to the current age composition as well as the aging trend. When looking at
Free Obesity Nutrition Health
When does employee fraud occur? It is commonly accepted that the presence of the three elements of the “Fraud Triangle” increases the risk of employee fraud: Motivation: The employee is somehow motivated to commit a fraud. Economic factors such as personal financial distress‚ substance abuse‚ gambling‚ overspending‚ or other similar addictive behaviors may provide motivation. The current national economic recession may serve to increase the incidence of such financial motivations. Opportunity:
Premium Fraud Ponzi scheme Credit card
The WorldCom Accounting Scandal WorldCom was started in Mississippi as a long distance telephone service provider in 1983 (Lyke and Jickling‚ 2). Over the next decade and a half‚ the company expanded to offer a whole range of telecommunication services through a series of mergers and acquisitions (Lyke and Jickling‚ 2). At its height‚ WorldCom was the largest long distance phone company in the United States and was one of the leading companies in the telecommunication market in the world‚ providing
Premium Enron Generally Accepted Accounting Principles Accounting scandals