"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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    Logistical Concerns

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    Logistical Concerns: Community/ provider attitudes Understanding Substance Abuse: “Substance abuse refers to a set of related conditions that are associated with consumption of mind-behavior-altering drugs‚ which have negative behavioral and health concerns” HHS (2010). Social and community attitudes towards consumption of illicit drugs make substance abuse a complex issue with public health. In addition‚ substance abuse has been a flash-point within the criminal justice system with a major focal

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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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    Fraud

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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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    Tax Fraud

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    topic of tax fraud. We will begin by introducing the basic concepts of tax fraud. Secondly‚ this paper will also delve into some of the laws that have been passed as punishment for those parties that decide to commit tax fraud. We will also highlight some of the more current examples of tax fraud that have been committed and the details that lead to the perpetrators being caught. Lastly we will discuss the role that criminal investigators have in the realm of tax fraud. Tax fraud can be stated

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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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    Internet Fraud

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    Internet fraud is a problem that has become very widespread in recent years. Internet fraud was first monitored by the Internet Fraud Watch organization in 1996. The Fraud Watch has stated that each year after its inception internet fraud has increased. In 1998‚ the Securities and Exchange Commission established the Office of Internet Enforcement to fight online securities fraud which was another sign of how large the problem is becoming (Clausing). Despite the SEC¡¦s efforts this problem has

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    Fraud Prevention

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    talking about a fraud hotline program to help detect fraud and also preventing fraud. Fraud Prevention Management is aware of the increased requirements for a public company to maintain a system of internal control to help prevent and detect fraud. The CEO‚ Mary Moore‚ is also interested in using a proactive posture toward building an antifraud prevention program‚ including exploring using a proactive auditing approach to fraud discovery. The internal auditor and the external fraud investigator

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    Consumer Fraud

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    Consumer Fraud Yolanda Garnett Wilmington University Consumer Fraud Introduction Consumer fraud is a purposeful‚ unlawful act that deceives‚ manipulates‚ or provides false statements to damage others. Fraud is described in the dictionary as “deceit‚ trickery‚ sharp practice‚ or breach of confidence‚ perpetrated for profit or to gain some unfair or dishonest advantage (fraud). Consumer fraud is usually associated with a person or group of people manipulating something to deceive others

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    The Worldcom Fraud

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    COMPANIES: THE WORLDCOM FRAUD Introduction The purpose of this report is to investigate and discuss the accounting fraud that occurred at WorldCom in order to recommend improved strategies to Berkshire Hathaway’s management for avoiding investments in companies with fraudulent financials. Accounting fraud is a crime committed by high level employees at an organization to manipulate the organization’s financial statements and intentionally disguise company performance. The fraud is committed without

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    Fraud Triangle

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    AC572 You Decide Jan. 24‚ 2011 When evaluating this case using the three elements of the fraud triangle I have concluded that the potential pressures for Chris to commit fraud are greater than for others. The pressure is from Chris himself because he wants what others have or what he doesn’t have. This is due to the fact that Chris is young and impressionable may feel as though he doesn’t make enough money to obtain the material possession he desires or see others with. He may also be of

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