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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MODULE 3: CIT CASE QUESTIONS 1. The three aspects of fraud - Perceived pressure‚ Rationalization‚ and Opportunity were present in the CIT case as follows: Pressure- Niakan was placed under much pressure to meet monthly targets. The senior VP Ms. Thompson had earlier criticized his performance when it fell below expectations. Niakan had also been warned in his 2002 annual review that his team needed to improve end of lease sales and inventory returns. Apart from this work angle Niakan had personal
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Chapter 3 FIGHTING FRAUD: AN OVERVIEW Discussion Questions 1. Fraud prevention is important because it is the most cost-effective way to reduce losses from fraud. Once fraud occurs‚ there are no winners. 2. Creating a culture of honesty and high ethics helps to reduce fraud in various ways. Management through its own actions can show that dishonest‚ questionable‚ or unethical behavior will not be tolerated. By hiring the right kind of employees‚ management can select people who are
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misappropriation fraud happens when people who are entrusted to manage the assets of an organization steal from it. Asset misappropriation fraud involves third parties or employees in an organization who abuse their position to steal from it through fraudulent activity. It can also be known as insider fraud. This type of fraud can be committed by company directors‚ or its employees‚ or anyone else entrusted to hold and manage the assets and interests of an organization. Asset misappropriation fraud could include
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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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What Is Involved In Identity Theft Fraud? “Identity Theft” is a term that you have probably heard a lot in recent years. As things become increasingly automated and electronic‚ your personal data is at a higher risk of being stolen or compromised‚ resulting in a loss of money‚ credit‚ and time. And although most people have heard of identity theft fraud at some point‚ lots of people still don’t understand exactly how it works. First‚ the thief has to obtain information about the victim. There
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Director Seminar 7.1: Ethics‚ Fraud Risk and Communication Libby Jones – Chief Accountant Group 6 Marsee Weston – Fixed Asset Manager Overview Scott Smyth – Cash/Debt & Investment Manager Scenario 1 Cathy Elgin – Accounting Assistant (A/R) Scenario 2 Bob Thomas – Accounting Assistant (A/P) Scenario 3 Nora Stewart – Accounting Assistant (A/P) Scenario 4 Scenario 5 Chuck Sanchez – Accounting Assistant (Payroll) Past Fraud Cases 3 4 Combining
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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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COVENANT UNIVERSITY‚ COLLEGE OF DEVELOPMENT STUDIES‚ SCHOOL OF BUSINESS‚ DEPARTMENT OF ACCOUNTING COURSE: FORENSIC ACCOUNTING COURSE CODE: ACC 416 WEEK: 10 TOPIC: FORENSIC ACCOUNTING AND FRAUD AUDITING OBJECTIVE: To acquire the knowledge and skills about forensic audit‚ its reporting and documentation. THE CONTEXT OF FORENSIC AUDITING Forensic audit encompasses the examination of evidence regarding an assertion to determine its correspondence to establish criteria carried out in a manner
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The statute of fraud is defined as‚ “a law that requires that certain contracts be in writing‚ and that those contracts be signed by the parties who are to be bound by the contract”. [1] The policy that underpins the Statue of Frauds was established during the reign of King Charles II through a statutory enactment requiring a written record for specified types of contracts. [2] These specified types of contracts could not be enforced unless a memorandum of it is written and signed by the party to
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