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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Association of Certified Fraud Examiners; conducts comprehensive fraud studies; Report to the Nation on Occupational Fraud & Abuse * Fraud - deception that includes: a representation‚ about a material point‚ which is false‚ and intentionally or recklessly so‚ which is believed‚ and acted upon by the victim to the victim’s damage. Fraud is an act of dishonesty with the intention to deceive or cover the truth to gain an advantage. Most critical element: confidence. Fraud can be classified as (in
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Computer Fraud and Crimes In the world of computers‚ computer fraud and computer crime are very prevalent issues facing every computer user. This ranges from system administrators to personal computer users who do work in the office or at home. Computers without any means of security are vulnerable to attacks from viruses‚ worms‚ and illegal computer hackers. If the proper steps are not taken‚ safe computing may become a thing of the past. Many security measures are being implemented to protect
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Fraud in the Business World Sean P. Dixon Business 670: Legal Environment Instructor: Jennifer Stephens April 4‚ 2011 Abstract Americans lose hundreds of millions of dollars each year to fraud. Billions more are lost world-wide to con artists touting the next great investment idea‚ guaranteed loans and diets that can ’t fail. These con artists do not discriminate between the rich and poor‚ the young and old‚ nationality or race. They target the well-educated‚ so-called smart individuals
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| Other available formats: Abstract Full Text - PDF (90 K) Credit card fraud: awareness and prevention Katherine J. Barker‚ Jackie D’Amato‚ Paul Sheridon. Journal of Financial Crime. London: 2008. Vol. 15‚ Iss. 4; pg. 398 Abstract (Summary) To make readers aware of the pervasiveness of credit card fraud and how it affects credit card companies‚ merchants and consumers. A range of recent publications in journals and information from internet
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Nigerian‚ or "419"‚ scams are one of the most common types of fraudulent email currently hitting inboxes. Nigerian scam messages can also arrive via fax or letter. The messages claim that your help is needed to access a large sum of money‚ usually many millions of dollars. The money that the message claims does not exist. Those who initiate a dialogue with the scammers by replying to a Nigerian scam message will eventually be asked for advance fees supposedly required to allow the deal to proceed
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Accounting Fraud at WorldCom LDDS began operations in 1984 offering services to local retail and commercial customers in the southern states. It was initially a loss making enterprise‚ and thus hired Bernie J. (Bernie) Ebbers to run things. It took him less than a year to make the company profitable. By the end of 1993‚ LDDS was the fourth largest long distance carrier in the United States. After a shareholder vote in May 1995‚ the company officially came to be known as WorldCom. WorldCom culture
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Healthcare fraud is a major issue in our Healthcare system. It affects our overall economy and well-being of our citizens. There are many different types of healthcare frauds such as insurance fraud‚ drug fraud and billing fraud. Insurance fraud occurs when the insurance provider is given false insurance claims with the intent to defraud. As a result of frequent false insurance claims‚ the inspection procedure uses the best available experts and verification process to check the false claims
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Motives for the cheats The motives for fraud are clear‚ it’s a financial crime. People can not pay the bills. They figure stealing from an insurance company which is big and greedy is no great moral wrong and no one will miss the money. However‚ even if the company is big and greedy it is still wrong. How people get caught by an insurance company Fraud units at insurance companies are experts. But the reason people get caught are for obvious reason. People make stupid mistakes. However‚ as a word
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Introduction By June 2002‚ it had become evident to the SEC that WorldCom had engaged in a significant corporate accounting fraud scheme which had overstated pretax income by about $7 billion since 1999. At the time‚ this was the largest deliberate misstatement in US corporate history. Although there are many interesting elements and players involved with this incident‚ for the purpose of this case study I will focus on the role played by Betty Vinson‚ the Director of Management Reporting and
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