"Describe a healthcare situation real or hypothetical in which potential for fraud or abuse is a concern" Essays and Research Papers

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    Insurance Fraud

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    Introduction: According to figures from the US Coalition Against Insurance Fraud‚ the cost of claims fraud in the US alone in 1995 amounted to US$ 85.3 billion‚ which equates to a cost of US$ 326.47 for each American citizen. Research by the Rand Institute for Civil Justice in the US revealed that over one third of people injured in vehicle accidents exaggerated their symptoms‚ which adds US$ 13-16 billion to the annual US insurance bill. Figures from the pan-European trade association‚ the Comité

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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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    Accounting Fraud

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    Anti Fraud Programs and Controls (Deloitte) What is Fraud? The Public Company Accounting Oversight Board (PCAOB) defines fraud as “an intentional act that results in a material misstatement in financial statements that are the subject of an audit. Two types of misstatements relevant to the auditor’s consideration of fraud include: misstatements arising from fraudulent financial reporting and misstatements arising from misappropriation of assets.” There are additional types of fraud that should also

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    Financial Fraud

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    Donna Sanders  Financial Statement Fraud   Week 12      There are many things that can motivate financial statement fraud. Taking a look at Donald Cressey’s hypotheses which is now known as the fraud triangle depicts the certain criteria for the mind frame of the fraudster. The fraud triangle is a theory that consists of perceived pressures‚ perceived opportunity‚ and rationalization. It gives us the different pressures placed on individuals that would make them consider “cooking the books.” It also

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    CONCERN FOR THE ENVIRONMENT Environment refers to everything that surrounds and influences an organism. Our environment is getting worse day by day‚ and we are suffering for other people and our mistakes. We might not be able to see all of the bad things in our environment‚ but they are for sure there. This could affect our families and our future one day. There are some problems affecting the environmental stability‚ namely- ozone depletion‚ enhanced greenhouse effect‚ global warming‚ and climate

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    E Fraud

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    Overview: An e- fraud is considered to be an electronic crime that affects not only individuals businesses and governments but also allows for very negatively intelligent people and hackers to use their intelligence to log into other’s accounts use their credit card numbers and banking password and transact huge amounts of trade and money . it has been seen that e fraud is on the increase and this is because of the low levels of awareness‚ the inappropriate counter measures that are ineffective

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    Healthcare

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    A White Paper on Strategic BPO in the US Healthcare Industry The Current Healthcare Environment The healthcare environment today faces challenges that it has never seen before. The industry is under attack from every possible direction from cost containment‚ HIPAA (Health Insurance Portability & Accountability Act) compliance‚ lack of stability‚ to an uncertain future. After trying various managed care techniques and concepts the

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    Fraud Law

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    coercion‚ fraud‚ undue influence‚ misrepresentation and mistake. Without free consent‚ the contract can be voidable or void‚ depending on the circumstances. English | BM/Mandarin | Example | Effect on contract | Coercion | | | | Fraud | | | | Undue influence | | | | Misrepresentation | | | | Mistake | | | | 3. Difference between fraud and misrepresentation: Fraud (Section 17 of Contracts Act) | Misrepresentation (Section 18 of Contracts Act) | Fraud involves intention

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    capacity concerns

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    case out the Hillier textbook‚ specifically Case 11.1 (Pages 533 – 535). In this case‚ Communicorp‚ a leading communication technology company is faced with financial difficulty due to disorganized internal communications. In order to remedy the situation‚ the CEO instructs us to phase in a corporate intranet to help departments communicate effectively. The schedule for different departments to ‘go live’ on the intranet is set‚ and we have to purchase the appropriate servers‚ minimizing cost and

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    Computer Fraud

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    Computer fraud is the use of information technology to commit fraud. In the United States‚ computer fraud is specifically proscribed by the Computer Fraud and Abuse Act‚ which provides for jail time and fines. 1. Unauthorized access at North Bay Abdulswamad Nino Macapayad‚ a former accounts payable clerk for North Bay Health Care Group‚ admitted to using her computer to access North Bay’s accounting software without authorization‚ and in turn issued various checks payable to herself and others.

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