Fraud-magazine.com

10 popular health care provider fraud schemes

WEBCorruption (kickbacks and bribery). False or unnecessary issuance of prescription drugs. 1. Billing for services not rendered. In almost every health care fraud examination I've …

Actived: 7 days ago

URL: https://www.fraud-magazine.com/article.aspx?id=4294976280

Growing health care fraud drastically affects all of us

WEBIt's estimated that the economic cost of fraud related to health care in the U.S. is 3 percent to 10 percent of all healthcare spending — an estimated $68 billion to $260 billion …

Category: Health Go Health

The Rewards of Dishonesty

WEBLies told in a heartbeat can have permanent and irreversible consequences. One instance of rationalized dishonesty can lead to a pattern of fraud.

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Managing insider-fraud risks in a pandemic

WEBManaging insider-fraud risks in a pandemic. Insider-fraud risks are on the rise as the economic and psychological fallout from the COVID-19 pandemic takes its toll on …

Category: Health Go Health

Preparing for a post-pandemic fraud landscape

WEBThe COVID-19 pandemic has created a host of public health crises — and unearthed more opportunities for fraud. Scammers and fraudsters are waiting in the wings to capitalize …

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Emerging health care fraud: Schemes go beyond …

WEBRx for fraud: Health care fraud issues In part 1 of 2 parts, Al Scott, CFE, principal for NSD Bio Group LLC in Philadelphia, Pa., describes lesser-known but emerging health care …

Category: Health Go Health

Catching health care fraud with statistical graphics

WEBInflating codes that determine how much Medicare and Medicaid pay to health care providers is common practice among fraudsters. Now they’re doing it in increasingly …

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Phony drug rehab facilities addicted to fraud

WEBOn July 14, 2020, in a Los Angeles courthouse, Christopher Bathum, the enigmatic founder of a well-known drug and alcohol treatment center, was sentenced to 20 years in prison …

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Fraud Against Government Health Care Programs (Online Self-Study)

WEBDescription: In this course, you will learn how to combat costly health care fraud. You will examine common fraud schemes against government programs, legal initiatives …

Category: Course Go Health

Vindication at a high price

WEBAnd finally on March 1, 2005, Northrop Grumman settled with the U.S. government for $134 million, which included portions for Holzrichter and another whistleblower plus attorney …

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Telemedicine fraud ripe during COVID-19 pandemic

WEBTelemedicine fraud. Of course, during the COVID-19 crisis, many small businesses, including doctors, dentists, chiropractors and other health care providers, have been …

Category: Medicine, Course Go Health

For and about fraud-fighting students & new grads

WEBStarting Out is a column for and about higher-education students and new graduates who are learning fraud examination principles. This column is a revised version of a paper on …

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5 most scandalous fraud cases of 2022

WEBWarren’s report also found that PNC Bank had 8,848 cases on Zelle in 2020 and will have about 12,300 cases in 2022. US Bank had 14,886 cases in 2020 and had 27,702 cases …

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Sniffing for Cooked Books

WEBSeptember 2010. By BY ROBERT TIE. In June, Alton Sizemore Jr., CFE, CPA, sat down for a conversation with someone he had met before – one of the primary architects of the …

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5 most scandalous fraud cases of 2021

WEBEnron. Bernie Madoff. 1MDB. Some frauds are so notorious they only need to be mentioned by name. Since 2018, the ACFE, along with the invaluable input of our Advisory Council, …

Category: Health Go Health

Billing fraud — a bird’s-eye view

WEBFraud scheme targets families of missing migrants and more. The Spanish Civil Guard arrest 14 people led by a man in Morocco for conducting a scheme targeting families of …

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Environmental Fraud

WEBBut environmental fraud goes well beyond disregarding environmental laws. It includes schemes such as falsification of data, inflation of invoices, and fraudulent insurance …

Category: Health Go Health

Statistical sampling

WEBAt the time of the investigation, Home Care was billing the state Medicaid program about $100,000 a month — totaling more than $10 million since its start of business. We've …

Category: Health Go Health

Spear-phishing scam targets teacher identities

WEB30-Day Fraud-Magazine.com Trial. Devoted to timely, insightful articles on white-collar crime and fraud examination techniques, Fraud Magazine ® is a bimonthly publication …

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