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
Premium Money Receipt Food
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
Premium Insurance Fraud Health care
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
Premium Fraud Embezzlement
Parmalat‚ Europe’s Enron of fraud‚ undermined European accounting and reporting standards. The fraud‚ totaling nearly 18 billion euros‚ brought down the Italian dairy giant and ruined investors across the globe. Such a enormous fraud‚ some would assume‚ would need to be highly complex and fully developed in plan as well as execution. However‚ as Parmalat executives began to cooperate in the investigation‚ it was uncovered how rudimentary their fraud was despite the enormity in which it occurred.
Premium Internal control Auditing Audit
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
Premium Fraud Health care Health economics
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
Premium Decision making
Accounting information systems have been advancing as technology advances. “Advances in technology will put an almost universal demand on CPAs to be more computer-literate than ever before” (HARRINGTON‚ 2005). It is no longer about just keeping a correct balance. People want to be promised privacy and protection. The good and bad problem with the new technology is it causes major changes in how businesses are operated and used. Accounting is not just calculating numbers; it is a people business.
Premium Bookkeeping Accountant Accountancy
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
Premium Fraud Ponzi scheme Bernard Madoff
Ph.D.‚ CPA Professor‚ Accounting & Information Systems Program‚ School of Management University of Alaska Fairbanks 225E Bunnell Hall‚ PO Box 756080‚ Fairbanks‚ AK 99775-6080 Office: 907 474-5872; FAX: 907 474-5767; Cell: 907 978-2094 Email – mldavis@alaska.edu TEACHING INTERESTS‚ RESEARCH INTERESTS Primary teaching interests – graduate or undergraduate – focus on financial‚ intermediate‚ advanced‚ financial statement analysis and accounting theory Research concentrates
Premium Business Financial statements Finance
WEB TECHNOLOGIES Click Fraud Bernard J. Jansen The Pennsylvania State University Unchecked‚ click fraud could undermine the sponsored search business model. T oday‚ Web search engines are the primary method for millions of users throughout the world to access information on a topic‚ navigate to Web sites‚ keep up with the news‚ and shop online. Most major search engines generate revenue via sponsored search‚ a process whereby content providers pay for traffic from specific links
Premium World Wide Web Search engine optimization Pay per click