PPT-FRAUD IN HEALTHCARE

ORGANIZATIONS A different context for teaching about fraud Mary Anne Atkinson Cheryl Prachyl Carol Sullivan American Accounting Association Annual Meeting Atlanta Georgia August 2014. Principles and . Practices. . Edited slide-set. by . Volonino. , Anzaldua. , and Godwin. Chapter 11: Fraud and Forensic . Accounting Investigation. © Pearson Education Computer Forensics: Principles and Practices. “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. Today’s speakers. Sean McKenna. Shareholder, Greenberg Traurig, LLP (Dallas, . Texas). Sarah Frazier. Partner, Berg & . Androphy. (Houston, Texas). Jessica Parker-Battle. Compliance Officer, . Annual Conference. December 9, 2015. Nick Henry, CPA. Horton, McFarland & Veysey, LLC. PO Box 543. Ellsworth, ME 04605. 207-667-5529. nick@hmvcpas.com. Presentation Outline. Fraud Definition. Abuse. California Connection. Presented to:. California Association of State Auditors (CASA. ). International Terrorism Case . Study/Overview. What is Data Mining and how to use it.. Other Resources. FBI - Law Enforcement . Fraudsters . and Current . Fraud Schemes. Brian . Lopez, CFE, MBA, CIDA. Zach Snickles, CPA, CFF, CITP. What is Fraud?. 2. Definitions of “Fraud”. Black’s Law Dictionary. . (8. th. Ed. 2004) - “A knowing misrepresentation of the truth or concealment of a material fact to induce another to act to his or her detriment. A misrepresentation made recklessly without belief in its truth to induce another person to act. A tort arising from a knowing misrepresentation made to induce another to act to his or her detriment.” . Auditing Acquisitions. For Fraud. 2. O. verview of the (DHS) acquisition process. Identify fraud schemes and their various indicators. Note where these occur within federal acquisitions. Discuss how we audit for them. Physician Education. Every . year billions of dollars are improperly spent because of Fraud, Waste, and Abuse (FWA). It affects everyone – including you. This training helps you detect, correct, and prevent FWA. You are part of the solution. Compliance is everyone’s responsibility. As an individual who provides health or administrative services for Medicare enrollees, your every action potentially affects Medicare enrollees, the Medicare Program, or the Medicare . NIDHI RAO, CPA, CFE, CFF, CIA. OCTOBER 12, 2017. FRAUD DETECTION IS AS SIMPLE AS…. DISCUSSION THEMES. Tales. Risk Assessment. Cost. Fraud Myths. It couldn’t happen to us. . If something happened, it would be discovered quickly.. The Pennsylvania State University. Dongwon. Lee, Ph.D.. dongwon@psu.edu. February 21, 2018 @ IST Teaching Luncheon . Summary of IST 402. Offered in Fall 2017. 30 . students. 2 . projects. , 1 . presentation. Canada\'s 10 Most Valuable Healthcare Solution Providers July 2021 features some exceptional Canadian healthcare solution providers According to private and public estimates, approximately $24 million is lost per hour to healthcare waste, fraud, and abuse. A must-have reference for auditors, fraud investigators, and healthcare managers, Healthcare Fraud: Auditing and Detection Guide 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. Setting. Shauna B. Itri, ESQ. . 267-973-4265. www.linkedin.com/in/shaunaitri/ . Speaker . Biography: . Shauna Itri . Shauna . represents whistleblowers in False Claims . Act law suits in state and federal courts throughout the United States, and tax and securities whistleblowers with claims under the IRS and SEC whistleblower programs. Ms. Itri received a B.A. and an M.A. from Stanford University, where she . September 17, 2015. Ad fraud is (at least) a $6billion per year problem.. 2. Not all of that money goes to the bad guys.. 3. But advertisers probably shouldn’t be sending a billion dollars a year to organized criminals. .