Organizational Responsibility and Current Health Care 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
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flowing in the veins and prevents the formation of clots that can result in deep vein thrombosis (DVT) or pulmonary embolism. SCD’s are used as prophylaxis in patient groups with low to moderate risk of DVT (Brady et al.‚ 2007‚ p. 256). Patient compliance plays a major role in the effective application of SCD’s. The Association of Perioperative Registered Nurses (2007) states: Deep venous thrombosis (DVT) and pulmonary embolus (PE) are major risk factors for patients undergoing surgical or other
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11/28/10 Business 210 Investment Fraud Charles Ponzi will forever infamously known as the con man of the 1920’s. Ponzi dealt with numerous amounts of investors who all trusted him to make them a profit on their investments. Unfortunately‚ Charles Ponzi was a crook from the start. He bought a total of $30 dollars in IPRC’s and stole about $30 million of his investor’s money. His brilliant idea that landed him in jail was to not buy IRPC’s at all‚ but to give people
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Organization http://org.sagepub.com/ Corporate Codes of Ethics and the Bending of Moral Space Tommy Jensen‚ Johan Sandström and Sven Helin Organization 2009 16: 529 DOI: 10.1177/1350508409104507 The online version of this article can be found at: http://org.sagepub.com/content/16/4/529 Published by: http://www.sagepublications.com Additional services and information for Organization can be found at: Email Alerts: http://org.sagepub.com/cgi/alerts Subscriptions: http://org.sagepub
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The accounting fraud is frequent‚ widespread and familiar in many countries and organization. It brings a loss to firms and investors. But there is no research trying to explain factors comprehensively influencing it. The obyectives of the research are to test and explain the effect of the internal control effectiveness‚ suitability of reward‚ compliance to accounting rules‚ information asymmetry‚ management morality toward unethical behavior and intention to accounting fraud. More particularly
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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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Phase 2 Planning Due: 18 May 2013 Required: Given the details established in phase 1 (Instigation) and further details below you are required to prepare a 1-2 page document stating your investigative hypothesis and then deduce your strategy for proving/denying your hypothesis. Your deduction should include a table with three columns stating the information you propose to review‚ where the data would be found and what you are specifically looking for in analysing the data. Information – what
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HealthSouth Fraud Investigation Table of Contents Table of Contents i Introduction and Background 1 Analysis 1 Why it occurred 2 Fraud Triangle 2 How it occurred 3 Red Flags of the Fraud 5 Why the Fraud Continued Undetected 6 The Auditors Roles and Responsibilities 7 Fate of Parties Involved 8 Effect of Fraud on HealthSouth 9 Conclusion 10 Appendix A 11 Appendix B 12 Appendix C 13 Appendix D 14 Appendix E 15 Appendix F 16 Works Cited 17 Introduction and
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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
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B1 – Ethics‚ fraud and internal control at Bern Fly Company The main purpose that a good internal control must fulfil is to protect the firm’s assets from fraud and theft. As we can see from the description of Bern Fly Company’s case‚ the internal control within the company leaves much to be desired. As it can be read in the case the salespersons get commission promptly after each order taken by their customers without any control to check if that order is real or only a fictitious one. This
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