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Book Prevention and Detection of Fraud  Waste  and Abuse

Download or read book Prevention and Detection of Fraud Waste and Abuse written by Government Audit Training Institute and published by . This book was released on 1991 with total page 166 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book Prevention and Detection of Fraud  Waste  and Abuse of Public Funds

Download or read book Prevention and Detection of Fraud Waste and Abuse of Public Funds written by United States. Law Enforcement Assistance Administration and published by . This book was released on 1979 with total page 71 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book Ohio Health Plan s Procedures for Detecting Fraud  Waste and Abuse

Download or read book Ohio Health Plan s Procedures for Detecting Fraud Waste and Abuse written by and published by . This book was released on 2006 with total page 10 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Ohio Department of Job and Family Services (ODJFS), as the Single State Medicaid Agency, has numerous processes to prevent and detect fraud, waste, and abuse in the Medicaid program. Various areas of ODJFS, the Ohio Attorney General's Office (AG), the Ohio Auditor of State (AOS), the United States Department of Justice, and the Department of Health and Human Services (HHS) each contribute to the oversight, detection and prevention of fraud, waste, and abuse for the ODJFS's, Office of Health Plans (OHP). ODJFS has dual overall purposes for program integrity of Medicaid: pre-payment education; and prevention of provider fraud waste, and abuse.

Book Fraud Prevention and Detection

Download or read book Fraud Prevention and Detection written by Rodney T. Stamler and published by CRC Press. This book was released on 2014-03-12 with total page 316 pages. Available in PDF, EPUB and Kindle. Book excerpt: Lessons can be learned from major fraud cases. Whether the victim is a company, public agency, nonprofit, foundation, or charity, there is a high likelihood that many of these frauds could have been prevented or detected sooner if early Red Flag warning signs had been identified and acted upon. Fraud Prevention and Detection: Warning Signs and the

Book Workshop Proceedings

Download or read book Workshop Proceedings written by and published by . This book was released on 1980 with total page 84 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book Forum Session Announcement   Prevention and Early Detection of Health Care Fraud  Abuse  and Waste

Download or read book Forum Session Announcement Prevention and Early Detection of Health Care Fraud Abuse and Waste written by and published by . This book was released on with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Forum Session Announcement - Prevention and Early Detection of Health Care Fraud, Abuse, and Waste F O R U M S E S S I O NPrevention and Early Detection of Health Care Fraud, Abuse, and Waste A N N O U N C E M E N T A DISCUSSION FEATURING: Kimberly Brandt Director Program Integrity Group Centers for Medicare & Medicaid Services U. [...] health care system is "full of waste and abuse" and that his preferred health reform ap- proach would eliminate "hundreds of billions of dollars in waste and fraud."1 While the dollar amounts lost to fraud, abuse, and waste are not known for sure, the National Health Care Anti-Fraud As- sociation "estimates conservatively that 3% of all health care spend- ing-or $68 billion-is lost to health care. [...] The ex- tent to which significant program savings are achievable depends on the effectiveness of the tools used to detect fraud and abuse. [...] KEY QUESTIONS • What factors contribute to the prevalence of fraud, waste, and abuse in health care, and in Medicare in particular? Are there char- acteristics unique to Medicare's payment practices or beneficiaries that make the program vulnerable? • What is Medicare doing to prevent fraud and abuse and to mini- mize waste? How successful have these efforts been? • What are most effective anti-fr. [...] Arias will discuss common health care fraud schemes, the reasons he believes health care fraud is relatively easy to commit, and what actions Medicare and private insurers could take to better prevent and detect fraud.

Book Healthcare Fraud

Download or read book Healthcare Fraud written by Rebecca S. Busch and published by John Wiley & Sons. This book was released on 2012-03-23 with total page 374 pages. Available in PDF, EPUB and Kindle. Book excerpt: An invaluable tool equipping healthcare professionals, auditors, and investigators to detect every kind of healthcare fraud According to private and public estimates, billions of dollars are lost per hour to healthcare waste, fraud, and abuse. A must-have reference for auditors, fraud investigators, and healthcare managers, Healthcare Fraud, Second Edition provides tips and techniques to help you spot—and prevent—the "red flags" of fraudulent activity within your organization. Eminently readable, it is your "go-to" resource, equipping you with the necessary skills to look for and deal with potential fraudulent situations. Includes new chapters on primary healthcare, secondary healthcare, information/data management and privacy, damages/risk management, and transparency Offers comprehensive guidance on auditing and fraud detection for healthcare providers and company healthcare plans Examines the necessary background that internal auditors should have when auditing healthcare activities Managing the risks in healthcare fraud requires an understanding of how the healthcare system works and where the key risk areas are. With health records now all being converted to electronic form, the key risk areas and audit process are changing. Read Healthcare Fraud, Second Edition and get the valuable guidance you need to help combat this critical problem.

Book Health Care Fraud and Abuse

Download or read book Health Care Fraud and Abuse written by Aspen Health Law Center and published by . This book was released on 1998 with total page 156 pages. Available in PDF, EPUB and Kindle. Book excerpt: Stepped-up efforts to ferret out health care fraud have put every provider on the alert. The HHS, DOJ, state Medicaid Fraud Control Units, even the FBI is on the case -- and providers are in the hot seat! in this timely volume, you'll learn about the types of provider activities that fall under federal fraud and abuse prohibitions as defined in the Medicaid statute and Stark legislation. And you'll discover what goes into an effective corporate compliance program. With a growing number of restrictions, it's critical to know how you can and cannot conduct business and structure your relationships -- and what the consequences will be if you don't comply.

Book Financial Fraud Prevention and Detection

Download or read book Financial Fraud Prevention and Detection written by Michael R. Young and published by John Wiley & Sons. This book was released on 2013-10-07 with total page 325 pages. Available in PDF, EPUB and Kindle. Book excerpt: Step-by-step guidance for board members and executives on preventing and detecting accounting fraud In the wake of highly publicized allegations of accounting irregularities and fraudulent financial reporting that are shaking up today's corporate community, Financial Fraud Prevention and Detection provides a step-by-step guide to how these crises can envelop a company and how to prevent them from happening in the first place. It is written for almost everyone involved: outside directors, audit committee members, senior executives, CFOs, CPAs, in-house lawyers, and outside law firms. Provides a blueprint for Fraud Prevention and Detection for corporate executives Presents step-by-step guidance to corporate boards and C-suite executives on managing the threat of accounting fraud Prepares directors and executives for the possibility of accounting irregularities Answers the question of how accounting fraud starts—and grows With solid strategies for prevention of accounting fraud as well as a process to follow when fraud has been discovered, Financial Fraud Prevention and Detection vividly explores the corporate environment that causes fraud, how it spreads, the kind of crises it can create for a company, and the best ways to deal with it.

Book Corporate Fraud Handbook

Download or read book Corporate Fraud Handbook written by Joseph T. Wells and published by John Wiley & Sons. This book was released on 2007-04-20 with total page 460 pages. Available in PDF, EPUB and Kindle. Book excerpt: Learn how to spot the "red flags" of fraud, how to comply with recent regulations including Sarbanes-Oxley, and how to develop and implement effective preventative measures. Emphasizing that it is much more cost effective to prevent fraud than to punish it, Corporate Fraud Handbook: Prevention and Detection, Second Edition gives you practical insight into fraud schemes used by employees, owners, managers, and executives to defraud their customers. This new edition also gives you access to all new statistics from the ACFE 2006 Report to the Nation as well as new cases.

Book Fraud and Corruption

Download or read book Fraud and Corruption written by Nigel Iyer and published by CRC Press. This book was released on 2016-12-05 with total page 319 pages. Available in PDF, EPUB and Kindle. Book excerpt: Executives are under enormous pressure to meet stakeholder expectations regarding the prevention of fraud and corruption. However, the drive to demonstrate that they are complying with legislative requirements and high principles has, in many cases, overshadowed the need to deal with the problem itself. As a result, fraud and corruption remain a significant unmanaged source of risk for many organizations. Drawing on experiences across Europe, America and Australia, Iyer and Samociuk give you the tools to establish an effective and far-reaching anti-fraud and corruption programme. Included is a compendium of techniques for assessing the true risk of fraud and corruption, reducing those risks and using health checks to provide early warnings. Also included is The Tightrope, A Story of Fraud and Corruption...which takes the reader from first suspicions through crisis and finally recovery in a vivid and instructive style, covering the lessons in the main text. This new book is a must-read for all those responsible for the prevention of fraud and corruption, risk management, corporate compliance, corporate responsibility and governance.

Book Data Analysis for Oversight   Law Enforcement

    Book Details:
  • Author : U.s. Government Accountability Office
  • Publisher : Createspace Independent Publishing Platform
  • Release : 2017-08-05
  • ISBN : 9781974267439
  • Pages : 32 pages

Download or read book Data Analysis for Oversight Law Enforcement written by U.s. Government Accountability Office and published by Createspace Independent Publishing Platform. This book was released on 2017-08-05 with total page 32 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Why This Forum Was Convened Oversight and law enforcement agencies play an important role in eliminating fraud, waste, and abuse. Sharing data, knowledge, and analytic tools can assist government agencies in this effort. However, while there is a tremendous amount of information the government can use in preventing and detecting fraud, waste, and abuse, using and leveraging these data can be challenging. In January 2013, GAO, the Council of the Inspectors General on Integrity and Efficiency, and the Recovery Accountability and Transparency Board convened a forum with the purpose of exploring ways in which oversight and law enforcement agencies use data analytics to assist in the prevention and detection of fraud, waste, and abuse, as well as identifying the most-significant challenges to realizing the potential of data analytics and actions that the government can take to address these challenges. This report summarizes the key themes that emerged from the discussion in the forum. Specifically, the report discusses the challenges and opportunities in (1) accessing and using data and (2) sharing data. In addition, participants identified next steps to address these challenges and capitalize on opportunities. Forum participants included representatives from federal, state,"

Book Guide to Grant Oversight and Best Practices for Combating Grant Fraud

Download or read book Guide to Grant Oversight and Best Practices for Combating Grant Fraud written by Barry Leonard and published by DIANE Publishing. This book was released on 2009-09 with total page 16 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Nat. Procurement Fraud Task Force (NPFTF) was created on Oct. 10, 2006, to promote the prevention, early detection, and prosecution of procurement fraud. The NPFTF recognizes that a large part of gov¿t. dollars lost to fraud, waste, and abuse includes dollars lost to grant fraud. As a result, the NPFTF includes preventing, detecting and prosecuting grant fraud as part of its focus. The NPFTF¿s goal is to detect, investigate, and prosecute procurement fraud, grant fraud, and associated corruption. This White Paper is written in support of the NPFTF¿s Grant Fraud Comm¿s. outreach efforts. Its goal is to provide recommendations for enhancing the grant oversight process and identifying best practices for combating grant fraud. Table.

Book Standards for Internal Control in the Federal Government

Download or read book Standards for Internal Control in the Federal Government written by United States Government Accountability Office and published by Lulu.com. This book was released on 2019-03-24 with total page 88 pages. Available in PDF, EPUB and Kindle. Book excerpt: Policymakers and program managers are continually seeking ways to improve accountability in achieving an entity's mission. A key factor in improving accountability in achieving an entity's mission is to implement an effective internal control system. An effective internal control system helps an entity adapt to shifting environments, evolving demands, changing risks, and new priorities. As programs change and entities strive to improve operational processes and implement new technology, management continually evaluates its internal control system so that it is effective and updated when necessary. Section 3512 (c) and (d) of Title 31 of the United States Code (commonly known as the Federal Managers? Financial Integrity Act (FMFIA)) requires the Comptroller General to issue standards for internal control in the federal government.

Book Occupational Fraud and Abuse

Download or read book Occupational Fraud and Abuse written by Joseph T. Wells and published by . This book was released on 1997-01-01 with total page 564 pages. Available in PDF, EPUB and Kindle. Book excerpt: