"What are ethical implications in detecting fraud and abuse" Essays and Research Papers

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    What Is Ethical Dilemmas?

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    Ethical dilemma happens every single day; some people may recognize it‚ while others do not. Although ethical dilemma can happen to anyone or anywhere‚ nurses and health care professionals are the ones who face more ethical dilemmas on a daily basis. Whether it’s about medication administration‚ patient safety‚ patient rights‚ patient care‚ delegation etc.‚ nurses always face ethical dilemma. While you may not think promoting self management in depressed old patient does not seem to have any ethical

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    Fraud Detection

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    1 Fraud Fraud can be defined as any activity that leads to the obtaining of financial advantage of causing of loss by implicit or explicit deception. It is the mechanism through which the fraudster gains an unlawful advantage or causes unlawful loss. There are many different types of fraud‚ I would like to mention some of the well known fraud types in the area of the Internet‚ which is an area where more than one billion peole are in touch with everyday. Fraud Terminology • Auction Fraud : involves

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    Corporate Fraud

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    Corporate Fraud I. Introductions a. Fraud in the accounting environment is on the increase. b. Fraud takes place in different forms in the accounting environment. II. The growing risk of fraud and corruption a. Local problems‚ global pain b. Awareness is crucial c. Tailoring efforts to avert damage III. Preventing Fraud a. Background checks and enhanced due diligence b. Monitoring and evaluating preventive controls c. Continuous controls monitoring IV. Can we eliminate fraud and corruption

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    Fraud Conclusion

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    approach of detecting fraud is anonymous tips and complaints. An organization like business entity should guide employees to provide useful information and to provide various ways and methods for individuals to contribute such kind of information. On the other hand‚ when the organization received the information provided‚ it should have an effective and efficient way to collect and process these complaints‚ dissatisfaction and information. 2. One of the important thing in fraud investigation

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    ABC never planned to keep that promise and brought in BVT‚ which is owned by ABC‚ in order to keep all the revenue within the corporation. Because of this misrepresentation‚ Celador received nothing from the profits of the show. Constructive fraud: ABC misrepresented the truth regarding how theprofits from the show were to be divided in order to induce Celador to sign the contract. Celador relied on ABC’s promises‚ which resulted in damages to Celador. Unfair competition under California Business

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    Parmalat Fraud

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    What specific audit procedures might have uncovered the Parmalat fraud earlier? Parmalat went from recording annual sales of 7.6 billion euros in 2002 to being declared insolvent a year later. The collusion at Europe’s Enron made it possible for Parmalat to defraud its investors of billions. The auditing procedures used by Grant Thornton and Deloitte were inadequate. Many of Parmalat’s assets were overstated and its liabilities understated. The auditors did not adequately test the Special Purpose

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    Fraud

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    According to the COSO framework‚ there are five elements can be applied to analyze companies’ internal control systems. They are control environment‚ risk assessment‚ control activities‚ information and communication and monitoring. Here is my research of what went wrong in internal controls during the 2008 financial crisis using exhibit 6-6 with Lehman Brothers. Control Environment Lehman Brothers has a long history. Fuld led the company tide over the difficulties several times and achieve remarkable

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    Billing Fraud

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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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    Fraud

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    hypothesis. Your deduction should include a table with three columns stating the information you propose to review‚ where the data would be found and what you are specifically looking for in analysing the data. Information – what information do you need to prove/deny hypothesis? | Data – where is that data collected/stored/available? | Knowledge/evidence – what knowledge/evidence do I want to get from analysing this data with respect to the hypothesis? | | | | Details: Note the predication ‘dob-in’

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    Healthcare Fraud

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    Health Care Fraud 1. Types of Health Care Fraud A. Health insurance B. Drug Fraud C. Punishment 2. Entities involved in Health care fraud A. Social a. Individuals B. Political a. Oversight b. Supreme Court input C. Cultural 3. Technology and health Care Fraud A. Billing Procedures B. Unbundling 4. Ethics involved with Fraud/Economic Impact a. Effects on Health Care b. Monitor outgoing monies

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