Fraud-magazine.com

Treating fraud in independent pharmacies

WebTreating fraud in independent pharmacies. Fraud in independent pharmacies has proliferated in recent years, especially during the pandemic. Here we discuss the …

Actived: 7 days ago

URL: https://www.fraud-magazine.com/article.aspx?id=4295020634

The Medicare disadvantage

WebUnder Medicare Advantage programs, insurers (or plans) agree to assume the liability and risks of beneficiaries’ health expenses and in exchange the CMS pays …

Category: Health Go Health

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 …

Category: Health Go Health

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

Living Longer, Dying Slower

WebAll fraud examiners must know about this impending assault on both the global health care sector and the public’s financial reserves. FACT: People are living longer and are dying …

Category: Health Go Health

Fraud Against Government Health Care Programs (Online …

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 …

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.

Category: Health Go Health

Healthcare Fraud Investigation Guidebook

WebContract and Procurement Fraud Investigation Guidebook (Paperback) In the Contract and Procurement Fraud Investigation Guidebook, you will learn about fraud and corruption …

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 …

Category: Health 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 …

Category: Health Go Health

Billing fraud — a bird’s-eye view

WebMorgan Stanley’s cybersecurity expert Rachel Wilson explains how cybercriminals infiltrate mobile devices with malware Watch Rachel Wilson, head of cybersecurity at Morgan …

Category: Health Go Health

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 …

Category: Health Go Health

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

Whistleblower helped dismantle biotech juggernaut Theranos in …

WebA wunderkind’s vision. Founded in 2003 by then-19-year-old Holmes, Theranos quickly rose to prominence after raising more than $900 million from venture capitalists and private …

Category: Health Go Health

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 …

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

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

Soft fraud's hard-dollar impact in workers' compensation

WebSoft fraud comprises a material portion of the approximately $3 billion workers’ compensation fraud committed annually in the U.S. This figure expands when you …

Category: Health Go Health

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

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