HealthSouth Fraud Investigation Table of Contents Table of Contents i Introduction and Background 1 Analysis 1 Why it occurred 2 Fraud Triangle 2 How it occurred 3 Red Flags of the Fraud 5 Why the Fraud Continued Undetected 6 The Auditors Roles and Responsibilities 7 Fate of Parties Involved 8 Effect of Fraud on HealthSouth 9 Conclusion 10 Appendix A 11 Appendix B 12 Appendix C 13 Appendix D 14 Appendix E 15 Appendix F 16 Works Cited 17 Introduction and
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FRAUD In criminal law‚ fraud is the crime of deliberately deceiving another person or company in order to damage them‚ usually for personal gain. Defrauding people of money is the money is the most common type of fraud. Some types of fraud include false accounting‚ check fraud‚ and Internet fraud. Accounting fraud or scandals are business scandals that come from the tampered reports‚ usually by long time employees or trusted executives in either a large corporation or small business. In order
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Fraud is a serious crime that should concern all parties of the U.S. health care system and is a costly reality that the government cannot overlook. While not all fraud can be prevented‚ by learning about the many different types of fraud‚ patients can be educated on how to protect themselves from fraud. If we use government programs to inform the public that they can be targeted‚ the dollar amount for these cases for fraud can be reduced. An informed public and a properly funded FBI will go a
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Medicare Fraud | Ms. Iris Hobson- Introduction to Logic | Atinuke Adumatioge | Medicare Fraud Healthcare today is one of the most lucrative businesses in America and many people are trying to take advantage of that. One of the reasons in the transition of street crimes is how much safer it is compared to the drug business. If we take a look at South Florida‚ we can see hundreds of people living the “high life”. The truth is rarely anybody sells drugs and more than half of those people
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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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|PROJECT ON | | | |BANKING FRAUDS | | | SUBMITTED BY: • PRAJAKTA JADHAV - 9
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11/28/10 Business 210 Investment Fraud Charles Ponzi will forever infamously known as the con man of the 1920’s. Ponzi dealt with numerous amounts of investors who all trusted him to make them a profit on their investments. Unfortunately‚ Charles Ponzi was a crook from the start. He bought a total of $30 dollars in IPRC’s and stole about $30 million of his investor’s money. His brilliant idea that landed him in jail was to not buy IRPC’s at all‚ but to give people
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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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Welfare fraud refers to various intentional misuses of state welfare systems by withholding information or giving false or inaccurate information. Some common types of welfare fraud are failing to report a household member‚ claiming one or more imaginary dependents‚ failure to report income‚ or providing false information about not being able to work. There have been cases of people feigning illness in conjunction with welfare fraud. Welfare fraud seems to be a big and expensive problem
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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 is timing
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