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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COVER STORY: INTERNAL FRAUD CASE STUDY Prepare a two-to-three page case study report on the following case: COVER STORY: INTERNAL FRAUD on pages 104-106 in Chapter 4: Billing Schemes of the Fraud Examination text by Wells. Discuss the coincidences involved in this case study. Use the 2009 Global Fraud Survey (also located in Doc Sharing) for references concerning perpetrator‚ size of fraud‚ detection‚ and controls. This case is about the $4 million embezzlement fraud by an employee of a magazine
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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
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Forensic Accounting in New Zealand: Exploring the gap between education and practice. Jennette Boys Auckland University of Technology‚ New Zealand Abstract ‘Accounting practice has always been concerned with fraud’ (Lehman & Okcabol‚ 2005) The global business environment is rapidly changing and this has resulted in evolutionary changes in the skills accountants need to meet the requirements of their clients so they can continue to add value to their businesses
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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:
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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
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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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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
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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
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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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