will discuss why fraud occurs and discuss policies and actions at my hospital to prevent fraud‚ acting as a CEO of a hospital. No research is needed to tell anyone that the greed of money is the major reason why any sort of fraud occurs. In the healthcare industry‚ physicians‚ hospital administrators‚ and other healthcare professionals commit fraud by receiving kickbacks for unprovided goods and services. According to the Centers for Disease Control and Prevention (CDC)‚ “health care fraud perpetrators
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Accounting Fraud at WorldCom 1) What are the pressures that lead executives and managers to “cook the books?” After the rapid evolution of the telecommunication industry in the 1990s‚ WorldCom shifted its strategy to focus on building revenues and acquiring capacity sufficient to handle expected growth. Their biggest goal was to be the No. 1 stock on Wall Street rather than capturing the market share. As a result‚ their Expense-to-Revenue (E/R) Ratio was their measurement for their main objective
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A How to Manual to Commit Medicare Fraud “Biggest Medicare Fraud in History Busted.” “Dallas Doctor Arrested for Alleged Role in Nearly $375 Million Health Care Fraud Scheme.” These are headlines from www.abcnews.com and a press release from the US Department of Health and Social Services from February 28‚ 2012. The press release continues‚ “The FBI views health care fraud as a severe crime problem. It causes increased costs for consumers‚ tax payers and health insurance plans‚ and degrades
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Dealing with Fraud Joseph B. Amah Professor Dr. Wanda E. Allen HSA 515 Law and Health Care System Strayer University Delaware County Campus June 18‚ 2013 Abstract Fraudulent behaviors have deep rooted history in most American organizations‚ including medical institutions. There is no doubt‚ therefore‚ that one of several ways an administrator can succeed as a Chief Nursing Officer (in a facility wrecked by news of abject corruption
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Chapter 1 | | Association of Certified Fraud Examiners (ACFE) | An international organization of approximately 50‚000 members based in Austin‚ Texas‚ dedicated to fighting fraud and white-collar crime. | Civil law | The body of law that provides remedies for violation of private rights—deals with rights and duties between individuals. | Criminal law | The branch of law that deals with offenses of a public nature or against society. | Customer fraud | Customers not paying for goods purchased
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Financial Fraud- Qwest Communications Introduction In the late 90’s‚ early 2000’s‚ Qwest Communications International Inc. (Qwest) was a rapidly growing telecommunications company that provided global internet and telephone services. At their pinnacle‚ Qwest was one of their industry’s top leaders‚ reporting revenues of $16.7 billion in 2001 (Anonymous‚ 2013). Through continued expansion and acquisitions of other large telecommunications companies‚ it seemed things were only headed in a positive
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Kathleen Sibelius announced “nationwide takedown” by Medicare Fraud Strike Force operations‚ in eight cities that resulted in charges against 89 individuals‚ which included doctors‚ nurses and other licensed medical professionals‚ for their alleged participation in Medicare fraud schemes involving approximately $223 million in false billings. In Chicago‚ seven individuals were charged‚ including two doctors‚ with a variety of health care fraud schemes. This (sixth) nationwide takedown targeted eight cities:
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1. Identify the fraud risk factors at Peregrine‚ especially control environment factors and the tone at the top‚ using the fraud triangle. The fraud risk factors could be identified as incentives/pressures‚ opportunities‚ and attitudes/rationalization in fraud triangle. According to the case‚ Peregrine’ control environment had an essential issue on separation of duties. In PFG‚ only Russell Wasendorf could open the real bank balance‚ which gave the opportunity to Wasendorf. Peregrine was suffer from
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NATIONAL OPEN UNIVERSITY OF NIGERIA COURSE CODE :MBA 754 COURSE TITLE: FRAUD DETECTION AND ELECTRONIC BANKING MBA 754 COURSE GUIDE COURSE GUIDE MBA 754 FRAUD DETECTION AND ELECTRONIC BANKING Course Developer/Writer Programme Leader Gerald C. Okereke National Open University of Nigeria Dr. O.J. Onwe National Open University of Nigeria Abdullahi .S. Araga National Open University of Nigeria Course Coordinator NATIONAL OPEN UNIVERSITY OF NIGERIA ii MBA 754 COURSE GUIDE
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Starbucks Coffee Company Stephanie Deacon Colorado Technical University Online: ACCT 320-1203A-01 Professor White 6 August 2012 Abstract This paper will provide an overview of Starbucks Coffee Company and identify seven red flags of possible fraudulent behavior within the organization. Steps to design a fraud prevention program will also be discussed based on the identified red flags. Starbucks Coffee Company opened its first store in Seattle‚ Washington in 1971 offering fresh-roasted
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