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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THE NATION’S NEWSPAPER BS2003-01b Collegiate Case Study Adelphia founder‚ 2 sons‚ 2 others arrested in fraud By David Lieberman and Greg Farrell www.usatodaycollege.com Accounting fraud Part II: The results “Creative accounting” is not a new technique‚ but it can certainly be a costly one. Businesses feel the pressure to appear profitable in order to attract investors and resources‚ but deceptive or fraudulent accounting practices often lead to drastic consequences. Are these so-called
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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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that both the CEO and CFO along with a handful of other employees were found guilty of numerous charges and face huge fines and jail time. Knowing that and knowing that they might get into serious trouble for their actions‚ why would they commit fraud? Obvious motives include greed and or pressure to please investors and creditors. It is hard to know for sure but the above mentioned most likely played a role. However‚ it is important to look into the background of these people to see if their
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Abstract - The Enron scandal is one of the biggest financial scams ever to take place and its root’s lie in the desire of the senior members of Enron to earn as much for themselves as possible and were assisted in this greatly by the negligence shown by their auditor’s and consultants‚ Arthur Andersen. Most of the debts and tangible assets of Enron were on the balance sheet of partnerships that were run by high-ranking officials within the corporation and these partnerships were recorded as related
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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
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What aspect of the Columbia community‚ outside of the classroom‚ would you most want to impact and why? (150 words or less) Helping people has always been an important aspect of my life. Whether I’m directly meeting a need or simply providing entertainment‚ I enjoy being of service to others. I have the aptitude to be a leader in any situation‚ and I’m constantly utilizing my leadership skills to make a change for the better. During my time as the head of committees on the student council and
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the presentation‚ I would have given them my attention regardless but it is nice to have the extra materials and visual elements in a presentation. Their presentation certainly made a good impression of Columbia River‚ and I was personally impressed by the vast amount of services offered by Columbia River and its employees. During the presentation they described multiple situations where a lot of additional care would be made for clients that go beyond basic support‚ such as when Christine approached
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accounting fraud – how Liong Sik is to assume responsibility as Chairman? Former MCA President and Cabinet Minister‚ Tun Dr. Ling Liong Sik was quite active in the past month‚ as a search with The Star archives would produce eight news items featuring him‚ including one today at the ceremony at the Universiti Tunku Abdul Rahman (Utar) campus in Kampar yesterday planting a Blue Pine tree. But he has been very reticent on what has been described as the biggest accounting and corporate scandal in recent
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Elan Insurance Fraud The early warning signs of fraud are‚ usually‚ always ignored. There are warning signs for every type of fraud out there. To understand the warning signs of fraud‚ we must first know what fraud is. Fraud is the intent to trick someone or lie to someone in order to receive financial gain. This definition varies depending of the type of fraud used‚ but the person committing the fraud is always looking for financial gain. There are many types of fraud out there. You have
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