PPT-Understanding Risks of Fraud and Abuse in Research

September 16 2011 Judy Mudgett Nathan Cooke Overview Background on FraudAbuse FraudAbuse by Phase of Research Real Examples of Fraud Available Resources Why Important Why Important Why Important. Developed by the Centers for Medicare & Medicaid Services . Issued. : February, 2013. This training module consists of two parts: (1) Medicare Parts C & D Fraud,. Waste, and Abuse (FWA) Training and (2) Medicare Parts C & D General . Introduction. General financial risks. Licensing commercial gambling. Fraud. NYC. Introduction: I-gaming . Industry. One of the fastest growing and dynamic sectors over the past few years. The global casinos & gaming sector. Medicare Fraud & Abuse: . Prevention, Detection, and Reporting. 2. Disclaimers. . This presentation was current at the time it was published or uploaded onto the web. Medicare policy changes frequently so links to the source documents have been provided within the document for your reference.. Fraud in a Financial Statement. Audit. Why a New Standard?. Provide CPAs with clarified and focused auditing guidance on fraud. Re-emphasize the role of entity management and boards in preventing and detecting fraud. “Are the . fraudsters all . reading the same . fraud manual. ?”. Paul Crowder. Pre Sales Consulting. FICO. 08 May 2014. The International Healthcare Landscape. The Blessing & the Curse of Auto-Adjudication. Julie Flaherty, Esq. - Assistant Inspector General & Director of the Bureau of Program Integrity. 1. Why is this training important now? . This training reflects the role of the Self-Determination Advisory Board to help “implement, publicize, evaluate, improve and develop information regarding self-determination”. , . Waste & Abuse. New River Valley Community Services. Orientation and Annual Training. Why does NRVCS need a Code of Conduct?. We are a business and want to maintain ethical business practices.. Fraud in a Financial Statement. Audit. Why a New Standard?. Provide CPAs with clarified and focused auditing guidance on fraud. Re-emphasize the role of entity management and boards in preventing and detecting fraud. 2016 National Training Program. Session Objectives. This session should help you . Define fraud and abuse . Identify causes of improper payments. Discuss how CMS. fights fraud and abuse. Explain how you can fight fraud and abuse. 2016 National Training Program. Session Objectives. This session should help you . Define fraud and abuse . Identify causes of improper payments. Discuss how CMS. fights fraud and abuse. Explain how you can fight fraud and abuse. 2020. Please review the notes section of each slide for additional information and details.. Publicly-funded insurance program. Americans age 65 and over. Disabled Americans. A Medicare plan may include:. Anti-Fraud Awareness. Audit and Risk Division. 14. th. September 2016. Outline. Definition of Fraud Risks. Role of Audit and Risk Function. The fraud triangle. Trends . within . NLC. NLC Fraud Prevention Policy and Strategy. EXCEL MSO seeks to uphold the highest ethical standards for the provision of health care benefits and services to its members and supports the efforts of health plans, federal, and state authorities in their enforcement of prohibitions of fraudulent practices by providers, members, or other entities dealing with the provision of health care services.. Why a New Standard? . Provide CPAs with . Clarified and Focused Auditing Guidance . on . Fraud. Re-emphasize the role of . entity management . and boards . in preventing . and detecting fraud. This Presentation .