The economists who designed the systems had no experience in fraud
prevention and seem to have assumed that the necessary control mechanisms would develop spontaneously Instead, without a rule of law, honest courts, real banks or effective secured transactions, the result too often was endemic fraud
As recently as March 28, 2006, CMS alone requested an additional $5 million for fiscal year 2006, $50 million for 2007 and 2008, and $75 million for each year thereafter to support its efforts to establish a Medicaid Integrity Unit to combat health care fraud
and abuse in the Medicaid program.
In addition to inquiring about how management prevents fraud
as prescribed by the Auditing Standards Board's Statement on Auditing Standards (SAS) No.
Another particularly distressing survey finding is that nearly one-half of the respondents who knew someone submitting a claim for an amount higher than the actual loss said that a doctor, auto body shop, insurance appraiser or other third party was involved in the fraud
This guide provides illustrations and examples of fraud
concepts in addition to referencing research findings and authoritative literature.
The measure aims to prevent corporate fraud
, protect corporate fraud
victims, preserve material evidence related to a corporate fraud
incident, and hold corporate fraud
scofflaws accountable for their criminal wrongdoing.
The failure of the Penn square Bank of Oklahoma City in 1982 marked a new era in financial institution fraud
Both claimant fraud
and provider fraud
helped inflate the cost of workers comp insurance premiums in the late 1980s and early 1990s, says insurance fraud
expert Dennis Jay.
This article will discuss the daunting tax fraud
situation commonly confronted by corporate taxpayers.
JofA: Since MMC is a global entity, what fraud
issues concern you the most?
99, Consideration of Fraud
in a Financial Statement Audit, carries the same title as its predecessor but is clearly more far-reaching than SAS No.
Although these types of occurrences have an enormous impact on insurers, another type of fraud
significantly affects insurers' operations: internal fraud