make his major customer happy Pomerantz had to approve significant markdowns in Leslie Fay’s wholesale prices and grant those customers large rebate. In 1993‚ Donald Kenia‚ the company’s controller‚ took full responsibility for a large accounting fraud revealed to the press by John Pomerantz. Leslie Fay’s earnings had been overstated by approximately $80 million from 1990-1992 and about $130 million entries were fake. Upon the investigation of the Audit committee it was found out some audit tricks
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Group Inc. is a full service investment bank and security firm. Rajat Gupta was found guilty of leaking inside information to the outside‚ and was sentenced to two years in prison‚ and some pretty hefty fines. Rajat Gupta was not the average fraud perpetrator he was total opposite at least from the articles description of him. The article states‚ “Mr. Gupta’s was a classic American success story. He grew up in New Delhi‚ excelling academically despite the death of both of his parents when
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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
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Proactive Fraud Auditing End of Chapter 4 in Albrecht FRAUD DETECTION Recognizing the Symptoms of Fraud Identify Risk Exposures Proactively Look for Symptoms & Exposures 1 2 Actg 537 Identify Fraud Symptoms for Each Exposure 3 4 Investigate Identified Symptoms Symptoms of Fraud What are some irregularities in source documents to look for? Missing Documents Payee Names & Addresses = Employee “Stale Items” on Bank Items” Reconciliation Excessive Voids or Credits
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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”
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was heard stating that if he was out of the picture‚ the team would fail. Hill’s micromanaging style shows a need to have control over every detail of the business. This type of management is a huge red flag pointing towards financial statement fraud (ACFE‚ 2012‚ p.1.238).One of the employees‚ Sam MacCarty‚ pointed out that though Ackers is the President of the team‚ Hill is seen as the one in control. This could lead to a possible resentment of Ackers and the team as a whole. Hill is pulling all
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HealthSouth Corporation Case Study By Robert H. Barr‚ Jr. - © 2012 In 2002‚ HealthSouth Corporation was one of North America’s largest outpatient surgery‚ rehabilitation and diagnostic imaging companies. HealthSouth had over 1800 facilities in all 50 states plus the United Kingdom‚ Australia‚ Puerto Rico‚ Canada and Saudi Arabia. In 2002 HealthSouth had over 50‚000 people on staff in sales revenues in excess of $4 billion per year. HealthSouth worked with more than 85‚000 referring physicians
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Web Mining Data mining is the nontrivial process of identifying valid novel‚ potentially useful‚ and ultimately understandable patterns in data – Fayyad. The most commonly used techniques in data mining is artificial neural networks‚ decision trees‚ genetic algorithm‚ nearest_neighbour method‚ and rule induction. Data mining research has drawn on a number of other fields such as inductive learning‚ machine learning and statistics etc. Machine learning – is the automation of a learning process
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WEB MINING: AN INTRODUCTORY APPROACH Lavalee Singh1 Arun Singh2 1 M.Tech (C.S.) Student IIMT Engineering College Meerut (U.P.) India lovely_198631@rediffmail.com 2Associate Professor IIMT Engineering College Meerut (U.P.) India
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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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