Introduction Occupational fraud is said to be that fraud perpetrated by an employee of an organization against his organization. According to the Association of Certified Fraud Examiners (ACFE)‚ “occupational fraud is the use of one’s occupation for personal enrichment through the deliberate misuse or misapplication of the employing organization’s resources or assets.” (ACFE‚ 2006). These perpetrators use deceit and or trickery to misuse and or steal the resources of the organization for their
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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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Revenue Cycle Education Improvement Strategies Presented by: Colleen Malmgren‚ MS‚ RHIA Fairview Health Services cmalmgrl @fairview.org Definition of Revenue Cycle All administrative and clinical functions that contribute to the capture‚ management and collection of patient service revenue *HFMA Scheduling/Registration Health Info Mgmt Case Management Pt Financial Srvcs Charge Capture Revenue Audit Chargemaster Establish Performance Indicators Establish measures that go beyond Accounts receivable
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Mortgage Fraud Table of Contents Abstract 3 Mortgage Fraud 4 Mortgage Fraud Statistics 4 Reports of Fraud 5 Key players in a real estate & mortgage transaction 5-6 Factors for Mortgage Fraud 7 The Fraud Triangle 7 Common Mortgage Fraud Schemes 8 Who are victims of mortgage fraud? 9 How to avoid becoming a victim of Mortgage Fraud 10 How to report fraud 11 Mortgage Fraud Indictment 11-12
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commit fraud because of financial pressures‚ vices‚ or because of work-related pressures. As well‚ perpetrators of fraud can be motivated by a perceived opportunity to commit fraud and the ability to rationalize that what they are doing is not wrong. Their motivations are usually combined into the fraud triangle of perceived pressure‚ perceived opportunity‚ and rationalization. 3. The fraud triangle includes three elements that almost always must be present in order for someone to commit fraud: a
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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
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ABSTARCT: Fraud is defined as "any action‚ which deprives a carrier of the reveneu to which it is entitled‚ undertaken without the carrier’s knowledge or consent." by IATA (International Air Trasportation Association) and the cost of fraud to the commercial aviation industry is estimated around 1‚5 billion USD every year. This estimation comes from IATA Fraud Prevention Group’s (FPSG) The Annual Fraud Loss Survey among airlines. Airline industry is a labor intensive service sector as much as
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Applied Mechanics and Materials Vols. 229-231 (2012) pp 2775-2778 © (2012) Trans Tech Publications‚ Switzerland doi:10.4028/www.scientific.net/AMM.229-231.2775 Airline Revenue Management: Optimization Using Origin-Destination Strategy Controlled by Nested Heuristics Ajyuk J. Raj1‚ a‚ N. Ganesh Kumar2‚ b‚ S. Jayaraj3‚ c 1 M.E.‚ Department of Mechanical Engineering‚ PSG College of Technology‚ Coimbatore-641004‚ Tamil Nadu‚ India. 2 Assistant Professor‚ Department of Mechanical Engineering
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The accounting fraud is frequent‚ widespread and familiar in many countries and organization. It brings a loss to firms and investors. But there is no research trying to explain factors comprehensively influencing it. The obyectives of the research are to test and explain the effect of the internal control effectiveness‚ suitability of reward‚ compliance to accounting rules‚ information asymmetry‚ management morality toward unethical behavior and intention to accounting fraud. More particularly
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What Is Revenue Management? The science and expertise of forecasting immediate consumer demand at the micro-market stage when optimizing cost and accessibility of your goods is called as revenue Management. The implementation of RM philosophy is indefinite‚ and has the prospective to yield remarkable stages of revenue. Enterprises that have used RM procedures have seen profits rising greatly by 7 percent exclusive of incorporating considerable sum of capital overheads‚ providing outcome in a revenue
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