The main suspects at this time are Ben Hill‚ Michelle Shelton‚ Candie Harris‚ Sam MacCarty‚ and Phil Ackers. The red flags in this case deal primarily with a lack in segregation of duties. These suspects all juggle multiple roles‚ some of which are not listed in their job description. Some of these suspects actively seek out additional responsibilities and place themselves in roles where they probably do not belong. Further rationalization for choosing these suspects is outlined below. BEN HILL
Premium Fraud Accounts receivable Invoice
The Bernie Madoff Scandal is considered to be the largest financial and accounting fraud in American history. The details of the scandal itself are so complicated and unbelievable that it appears to be a work of non-fiction. Many have tried to gather enough evidence to make sense of what happened‚ but there was never enough evidence to prove when the fraud began. Madoff himself said that the scheme began in the late 1980s or early 1990s‚ but then again we cannot be certain of when it really started
Premium Ponzi scheme Bernard Madoff Fraud
Kathleen Sibelius announced “nationwide takedown” by Medicare Fraud Strike Force operations‚ in eight cities that resulted in charges against 89 individuals‚ which included doctors‚ nurses and other licensed medical professionals‚ for their alleged participation in Medicare fraud schemes involving approximately $223 million in false billings. In Chicago‚ seven individuals were charged‚ including two doctors‚ with a variety of health care fraud schemes. This (sixth) nationwide takedown targeted eight cities:
Premium Medicare Health insurance Medicare and Medicaid
1. Identify the fraud risk factors at Peregrine‚ especially control environment factors and the tone at the top‚ using the fraud triangle. The fraud risk factors could be identified as incentives/pressures‚ opportunities‚ and attitudes/rationalization in fraud triangle. According to the case‚ Peregrine’ control environment had an essential issue on separation of duties. In PFG‚ only Russell Wasendorf could open the real bank balance‚ which gave the opportunity to Wasendorf. Peregrine was suffer from
Premium Bank Finance Subprime mortgage crisis
Coding Fraud Michael Anastasio Ultimate Medical Academy Before answering the questions “what are my responsibilities for billing on a procedure that was not performed but asked to do so anyway”‚ Let me explain a little on Medical Billing Fraud? It is an attempt to fraudulently obtain payments from insurance carriers. Fraud in medical billing cost tax payers and medical providers millions of dollars annually (all-things-medical-billing.com). In 1996‚ HIPPA established the Health Care Fraud and
Premium Insurance Fraud
MODULE 3: CIT CASE QUESTIONS 1. The three aspects of fraud - Perceived pressure‚ Rationalization‚ and Opportunity were present in the CIT case as follows: Pressure- Niakan was placed under much pressure to meet monthly targets. The senior VP Ms. Thompson had earlier criticized his performance when it fell below expectations. Niakan had also been warned in his 2002 annual review that his team needed to improve end of lease sales and inventory returns. Apart from this work angle Niakan had personal
Premium Internal control Internal audit Auditing
Question 1: Name two cases in which companies have committed frauds by misstating inventory. Crazy Eddie and Goodner Brothers case are the good example for the inventory fraud cases. Question 2: What makes the intentional misstatement of inventory difficult to detect? When you have the most senior management of the company‚ particularly its financial management‚ consciously setting out to fool the auditors‚ to hide information from them‚ as they testified in the Monus trial‚ it’s very hard to
Premium Auditing Financial audit Audit
Bernard Malamud‚ born April 26‚ 1914‚ Brooklyn‚ N.Y.‚ U.S.‚ American novelist and short-story writer who made parables out of Jewish immigrant life. Malamud’s parents were Russian Jews who had fled tsarist Russia. He was born in Brooklyn‚ where his father owned a small grocery store. The family was poor. Malamud’s mother died when he was 15 years old‚ and he was unhappy when his father remarried. He then assumed responsibility for his handicapped brother. Malamud was educated at the City College
Premium Bernard Malamud
Vermont senator. Democratic socialist. Independent. All used to describe presidential candidate Bernard “Bernie” Sanders. A favorite amongst the youth‚ Bernie Sanders is catching the attention of millions of Americans‚ and is picking up momentum all throughout the United States. With his progressive ideas‚ Sanders is setting himself apart from other democratic candidates of the past. Between all this‚ Bernie Sanders is an excellent candidate for the 2016 presidential election because of his experience
Premium President of the United States United States Democratic Party
Insurance Fraud A gang of Russian crooks ran a record-setting‚ $279 million fraud that exploited New York’s “no-fault” auto –accident law‚ authorities said 2/29/12. The gang worked with corrupt doctors to set up more than 100 phony medical clinics across the city. There‚ they generated fake bills for the treatment of “injuries” that “ranged from wild exaggerations to outright fabrications‚” Manhattan US Attorney Preet Bharara said. The fraudsters took advantage of the “patient-friendly provisions”
Premium Insurance