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    Fraud Detection

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    1 Fraud Fraud can be defined as any activity that leads to the obtaining of financial advantage of causing of loss by implicit or explicit deception. It is the mechanism through which the fraudster gains an unlawful advantage or causes unlawful loss. There are many different types of fraud‚ I would like to mention some of the well known fraud types in the area of the Internet‚ which is an area where more than one billion peole are in touch with everyday. Fraud Terminology • Auction Fraud : involves

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    Mortgage Fraud

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    Mortgage Fraud Table of Contents Abstract 3 Mortgage Fraud 4 Mortgage Fraud Statistics 4 Reports of Fraud 5 Key players in a real estate & mortgage transaction 5-6 Factors for Mortgage Fraud 7 The Fraud Triangle 7 Common Mortgage Fraud Schemes 8 Who are victims of mortgage fraud? 9 How to avoid becoming a victim of Mortgage Fraud 10 How to report fraud 11 Mortgage Fraud Indictment 11-12

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    Billing Fraud

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    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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    Adelphia Fraud

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    forecasts by Wall Street analysts. (2004)‚ “Corporate scandals are now staples of front-page news as shareholders demand accountability for billions of dollars lost. Still‚ the U.S. government says the Rigases ’ case is one of the worst ever of financial fraud” (para. 3). Adelphia scandal consisted of six members‚ John Rigas‚ Timothy Rigas‚ Michae; Rigas‚ James Rigas‚ James R. Brown and Michael Mulcahey. These members of the scandal committed many crimes based on selfishness‚ greed‚ and power. Their management

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    Frauds in Insurance

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    EXECUTIVE SUMMARY “Rising frauds lead to greater operational threat.” Insurance is one of the tools for risk management that aims at reducing the risk on the day-to-day life of individuals‚ organisation and society. At the same time‚ it should also be appreciated that insurance cannot be utilised as a risk free tool for all types of situations. Insurance provides risk management solutions to many situations that fall within the competence of human judgement and managerial skills. Insurance is

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    Insurance Fraud

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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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    Fraud Essay

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    Tax Fraud Fraud Examination Wed. 7-10pm Millions of people all over the world pay taxes each year. These taxes could include amounts collected by the government or similar organization on behalf of the federal government‚ state government‚ local governments and even other taxing authorities. In 2009 alone‚ the Internal Revenue Service received $1.9 trillion dollars in revenue‚ and completed over 236 million returns. “The tax system in the United States depends on voluntary compliance‚ which

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    Fraud Investigator

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    Fraud Investigator NAME COURSE NUMBER DATE Fraud Investigator If I were to be a part of the fraud examiner career field‚ I would have to choose the fraud investigative field. There are a wide variety of companies that hire fraud investigators; for example insurance agencies‚ realtors‚ banks‚ online retailers and also the government. There are plenty of other types of companies that need fraud investigators‚ because it is‚ unfortunately‚ an all too common crime. The job posting I found is

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    Healthcare Fraud

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    Health Care Fraud 1. Types of Health Care Fraud A. Health insurance B. Drug Fraud C. Punishment 2. Entities involved in Health care fraud A. Social a. Individuals B. Political a. Oversight b. Supreme Court input C. Cultural 3. Technology and health Care Fraud A. Billing Procedures B. Unbundling 4. Ethics involved with Fraud/Economic Impact a. Effects on Health Care b. Monitor outgoing monies

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    Welfare Fraud

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    Welfare fraud refers to various intentional misuses of state welfare systems by withholding information or giving false or inaccurate information.  Some common types of welfare fraud are failing to report a household member‚ claiming one or more imaginary dependents‚ failure to report income‚ or providing false information about not being able to work. There have been cases of people feigning illness in conjunction with welfare fraud.             Welfare fraud seems to be a big and expensive problem

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