"Medicare fraud" Essays and Research Papers

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    Anti Fraud Professions

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    types of fraud have occurred since the 1800s. As the economy fluctuates‚ many people and organizations believe they must commit fraud in order to have financial gain. Organizations and individuals must understand fraud and the types of fraud‚ in order to protect themselves. There are professionals trained that have received anti-fraud certification in order to fight against fraud. The anti-fraud professional assist companies and individuals in order to detect fraud. Theses anti-fraud specialists

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    Nigerian Fraud

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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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    Inventory-Related Fraud Detection: • Beside revenue related fraud‚ the Antars also overstated their inventory. If inventory is overstated‚ the cost of goods sold is understated‚ and gross margins and net incomes are overstated. o Crazy Eddie had a close relationship with one of their vendors known as Wren Distributors. Crazy Eddie was Wren’s largest customer‚ accounting for 35% of their revenues. o Crazy Eddie ordered 10% of their total inventory from Wren so Sam Antar asked Wren to ship $3

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    The Fraud Triangle

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    more basic concepts in fraud deterrence and detection is the fraud triangle. The fraud triangle is also known as Cressey’s Triangle‚ or Cressey’s Fraud Triangle. Cressey’s Fraud Triangle gets its name from Donald Cressey. Cressey was one of the “nations leading experts on the sociology of crime”. He authored a few books including Other People’s Money‚ Theft of the Nation‚ and co-authored Principles of Criminology with Edwin H. Sutherland. Cressey is honored by many anti-fraud organizations‚ including

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    Health Care Fraud Management

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    The Health Care Fraud Prevention and Enforcement Action Team (HEAT) And Its Effect on Health Care Compliance and Law Enforcement Thaedra Frangos ECM 627-Z1 Fraud Management: Risk and Compliance Professor Gary Reynolds Abstract The Health Care Fraud Prevention and Enforcement Action Team (HEAT) was created in 2009 in response to nothing short of an egregious and systemic theft problem bleeding our health care system and the American taxpayers near dry

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    Medicare Funding Crisis

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    reducing Medicare expenditures by enrolling participants in HMO. I understand that we have some key questions must be addressed and that we must justify our position on either economic efficiency or equity grounds. Outlined below are some of the questions that must be answered in order address this issue properly. Is Medicare in a state of crisis? Are you aware of the various policies that are being enacted from each state to state regarding the qualification of Medicare? Medicare is funded

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    Fraud Accounting Memo

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    SUBJECT:     Forensic Accounting Introduction In this memorandum‚ I will explain the reasons as to why managers feel more pressure than in past years. Also‚ I will discuss several ways that managers can commit fraud for personal gain‚ and how these schemes are eventually caught by forensic accountants. Rising Pressure There has been a growing trend to hold managers accountable for their company’s performance. Wall Street analysts have become enemies of CEOs. These analysts set target quarterly

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    SUBJECT: Accounting fraud at WorldCom Problem Statement WorldCom penetrated the largest accounting fraud in U.S history by overstating its tax income between 1999 and 2002. The main players in WorldCom’s accounting fraud included CFO Scott Sullivan‚ the General Accounting and Internal Audit departments‚ external auditor Arthur Andersen‚ and the board of directors. While individuals did have their own sins‚ employees cowardice and self-interested‚ the board passive and ineffective‚ external auditors

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    Computer Fraud and Crimes

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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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    Red Flags Of Fraud

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    Abstract A fraud is an act of deceiving others for personal gain but is not usually followed by a crime. The symptoms of fraud or the red flags help understand the slight difference between a corporate fraud and a corporate crime. The continual financial frauds leading to corporate collapse and the failure of the statutory audit to detect and prevent fraudulent activities of the perpetrators lead investors and the firms and individuals to suffer. This contributed to the increased need for investigating

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