Medicaid Fraud HCS/545 July 9‚ 2012 Medicaid fraud comes in many forms. A provider who bills Medicaid for services that he or she does not provide is committing fraud. Overstating the level of care provided to patients and altering patient records to conceal the deception is fraud. Recipients also commit fraud by failing to report or misrepresenting income‚ household members‚ residence‚ or private health insurance. Facilities have also been known to commit Medicaid fraud through false billing
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Proactive Fraud Auditing End of Chapter 4 in Albrecht FRAUD DETECTION Recognizing the Symptoms of Fraud Identify Risk Exposures Proactively Look for Symptoms & Exposures 1 2 Actg 537 Identify Fraud Symptoms for Each Exposure 3 4 Investigate Identified Symptoms Symptoms of Fraud What are some irregularities in source documents to look for? Missing Documents Payee Names & Addresses = Employee “Stale Items” on Bank Items” Reconciliation Excessive Voids or Credits
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How To Write An Executive Summary An executive summary previews the main points of an in-depth report; it is written for nontechnical people who don’t have time to read the main report. The executive report contains enough information for a reader to get familiarized with what is discussed in the full report without having to read it. Here is how you write an executive report. Things you’ll need: • Word-processing Software • Printer Paper • Computers • Printers • Thesaurus • Report
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BABUSIN :Business Information Systems CASE STUDY NO. 2 How Executives use an Information System Submitted to: Jefferson A. Costales‚ MIT‚ IBM-CDA‚ MCTS‚ ZCE‚ OCE Professor Submitted by: Group No. 1 Aguilar‚ Jr. Carlos T. - Leader Amable‚ Meriam M. Antazo‚ Eralyn Mae M. Bagtas‚ Lou Monica A. Balingit‚ Catherine A. Course/Year/Section BSBM / 3/B Date: December 15‚ 2014 Hands-On Guide: 1. Identify the most important facts surrounding the case. 2. Identify the key issue or issues
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The review of the Social Performance of Coca Cola Coca Cola is the world largest beverage company at the moment (Food and Beverage Close-Up 2010). Being a large and well known company‚ They have several responsibilities and obligations to both the society and stakeholders. Social responsibilities means that business should oversee the operations of the economy which fulfill the public expectation (Steiner 1971). Most businesses primary focus is to make profits and staying ahead of their competitiors
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ISSN 1045-6333 HARVARD JOHN M. OLIN CENTER FOR LAW‚ ECONOMICS‚ AND BUSINESS EXECUTIVE COMPENSATION AS AN AGENCY PROBLEM Lucian Arye Bebchuk and Jesse M. Fried Discussion Paper No. 421 04/2003 Harvard Law School Cambridge‚ MA 02138 The Center for Law‚ Economics‚ and Business is supported by a grant from the John M. Olin Foundation. This paper can be downloaded without charge from: The Harvard John M. Olin Discussion Paper Series: http://www.law.harvard.edu/programs/olin_center/ The
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The Energy and Commerce Committee‚ established by the House of Representatives in 1795‚ and the Senate Committee on Commerce‚ Science‚ and Transportation‚ established as we know it today in 1977‚ host a multitude of functions. The Energy and Commerce Committee is one of America’s oldest and most powerful congressional committees. This committee oversees general national energy policies‚ public health‚ general interstate and foreign commerce‚ consumer affairs and consumer protection‚ and regulation
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The modern committee structure stems from the Legislative Reorganization Act of 1946‚ the first and most ambitious restructuring of the standing committee system since the committee system was first developed. A congressional committee is a legislative sub-organization in the United States Congress that handles a specific duty. Congress divides its legislative‚ oversight‚ and internal administrative tasks among approximately 200 committees and subcommittees. Specifically‚ there are 20 committees
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Corporate Fraud Foxconn Technology Group Background Foxconn Technology Group‚ subsidiary of Hon Hai Precision Industry Co.‚ Ltd.‚ which is the manufacturer targeting on electronic products like PC components‚ is founded by Terry Gou. First founded in Taiwan‚ Foxconn started to establish factory in Mainland China in 1988 and then expands its business very quickly. As the world’s largest manufacturer targeting on contract electronics‚ its clients are all over the world‚ including American‚ European
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Enron and WorldCom Scandals Matthew Morrison ACC/260 8/18/12 Enron and WorldCom Scandals Question number one of the Enron case focuses on the corporations that got Enron into its difficulties these were the special purpose entities for joint partnerships including Chewco‚ LJM1‚ LMJ2 and the Raptors. Number three of the Enron case shows us that the board was divided into five divisions‚ all of which were full of well-educated financial employees who
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