*  The True Face of Medicare Fraud « Chiropractic Resource Organization - largest Chiropractic News Source
There is fraud, it's true. But it's not nearly large enough to make a dent in the federal budget, and it's not freeloading ... It's hundreds of millions of dollars, but it's also only a fraction of the total estimated fraud, which runs into the tens of ... Medicare's prescription-drug program is a common target for fraud, it turns out. A 2013 investigation by ProPublica and NPR ... fraud, and abuse in the system, and that stronger controls would keep undeserving citizens from bilking the taxpayer. ...
*  Business loan fraud by Richard Frazier - AvoidAClaim
Fraud Fact Sheet More fraud prevention information and resources are available on the practicePRO Fraud page, including the ... How to handle a real or suspected fraud If you have been targeted by any of these frauds, please forward any of the emails and ... This is similar to other frauds of this kind we have seen. For a full description of how this fraud works and to see other ... Categories: Intellectual Property Rights Fraud *. Real estate bad cheque fraud using the name Charles Robertson. Posted October ...
*  Women Against Paternity Fraud - Membership Form
It helps people who are victims of paternity fraud, child support fraud, false paternity claim by women by offering advise, ... media and policy makers on issues relating to paternity fraud, false paternity claims, false presumption of paternity. ... Women Against Paternity Fraud is a 501(c)3 tax exempt non profit organization that educates the public, ... We, the members of Women Against Paternity Fraud believe that laws and policies surrounding paternity establishments must ...
*  Cell Phone Fraud | Federal Communications Commission
Call your carrier if you think you have been a victim of subscriber fraud. What is Cell Phone Cloning Fraud? Every cell phone ... What is Subscriber Fraud? Subscriber fraud occurs when someone signs up for service with fraudulently obtained customer ... A primary type of cell fraud is subscriber fraud. The cellular industry estimated that carriers lose more than $150 million per ... Resolving subscriber fraud could develop into a long and difficult process for victims. It may take time to discover that ...
*  Breach of IP agreement fraud using the names Ng Weng Wei and Santak Metal Manufacturing Ltd - AvoidAClaim
Categories: Fraud Warnings, Intellectual Property Rights Fraud How to Handle a Real or Suspected Fraud. If you have been ... More fraud prevention information and resources are available on the practicePRO Fraud page, including the Fraud Fact Sheet, a ... If the matter you are acting on turns out to be a fraud, we will work with you to prevent the fraud and minimize potential ... See our Confirmed Fraud Page for more of an explanation of how these frauds work and other names associated with it , and our ...
*  Women Against Paternity Fraud - WAPF Login
It helps people who are victims of paternity fraud, child support fraud, false paternity claim by women by offering advise, ... media and policy makers on issues relating to paternity fraud, false paternity claims, false presumption of paternity. ... Women Against Paternity Fraud is a 501(c)3 tax exempt non profit organization that educates the public, ...
*  A review of computer simulation for fraud detection research in financial datasets
Financial Fraud, Financial Simulation, Fraud Detection Research, Electronic money, Finance, Retail stores, Statistical tests, ... The investigation of fraud in the financial domain has been restricted to those who have access to relevant data. However, ... A review of computer simulation for fraud detection research in financial datasets. Lopez-Rojas, Edgar Blekinge Institute of ... which is the generation of a synthetic data set to work on fraud detection research. Some of the domains covered in this review ...
*  Ripoff Report | MORTGAGE FRAUD EXAMINERS complaints, reviews, scams, lawsuits and frauds reported, 126,381 results
MORTGAGE FRAUD EXAMINERS scams, MORTGAGE FRAUD EXAMINERS lawsuits and MORTGAGE FRAUD EXAMINERS frauds reported. Click here and ... See more than 126,381 MORTGAGE FRAUD EXAMINERS complaints, MORTGAGE FRAUD EXAMINERS reviews, ... Computer Fraud: Internet Fraud: fraud: ORGANIZED CRIME: Ripoff: Work Place Bullies: Indiana Department Of WorkForce Development ... MORTGAGE FRAUD EXAMINERS Ripoff Reports, Complaints, Reviews, Scams, Lawsuits and Frauds Reported Your Search: MORTGAGE FRAUD ...
*  Pious fraud - Wikipedia
Pious fraud (Latin: pia fraus) is used to describe fraud in religion or medicine. A pious fraud can be counterfeiting a miracle ... "pious frauds". Faith healing Noble lie Pious fiction Religious fraud William Howells, 1962. The Heathens: Primitive Man and his ... It was certainly a pious fraud. - "Placebo Effects and Science Journalism at the Mind/Body Boundary". Steve Silberman, The ... p. 2. Pious fraud entry at skeptic dictionary. ...
*  FRAUD | EW.com
Fraud. type. Book. Current Status. In Season. author. David Rakoff. publisher. Doubleday. genre. Fiction. We gave it an A ...
*  Securities Fraud
LOS ANGELES - Patrick Flowers, founder and CEO of 808 Renewable Energy Corp., defrauded investors of more than $30 million, the SEC claims in court.. Also charged were COO Peter Kirkbride; sales reps Martin Kinchloe and Thomas Flowers; and three other firms: 808 Investments LLC, West Coast Commodities LLC, and T.A. Flowers LLC.. Flowers and his LLC agreed to disgorge $1.4 million, penny-stock bars, and a $160,000 fine, without admitting that they did anything wrong.. ...
*  Fraud in Communications
In a digital world where everything is available via the web, there's a whole new level of fraud. Today's communications ... This white paper explains how organizations can implement the tools and methods to detect and combat emerging fraud methods. ...
*  Effective Fraud Management
This white paper summarizes a candid discussion with fraud experts from SAS and Bank of America about what it takes to develop ... Traditional modeling and tuning of rules-based systems - while effective at detecting known and recurring patterns of fraud - ... more customer-centric fraud management - factoring in anomaly detection, customer baseline scoring and customer-prescribed risk ...
*  Fighting Customs Fraud
Customs officers have an increasingly difficult job in detecting fraud. The volume of trade is rising, manpower is tight, and ... Fighting Customs Fraud. Using advanced technology to think faster than the fraudsters. ...
*  Fraud detection
... for fraud detection by defining what is fraud detection and analyzing how data science technologies are used to discover fraud ... Jungwoo will compare and contrast the conventional and new, big data-driven fraud detection techniques. In particular, he will ... Big banking companies such as PayPal is actively adopting this approach to more effectively detect fraud cases. ... explain the role of machine learning in the newly emerging fraud detection algorithms. ...
*  MDHHS - Fraud & Abuse
The Program Integrity toll-free hotline and email address to report suspected fraud and abuse by a store or client of your ... Examples of fraud and abuse may include:. Clients who:. *Sell or give away formula or foods purchased with WIC benefits ( ... Fraud may include buy, selling or trading of WIC benefits for cash and non-WIC foods. ... Increase awareness of potential areas of WIC Program fraud/abuse.. *Assume a highly visible and proactive role in preventing ...
*  Fraud by Insurers
However, as the economy becomes weaker and it becomes more difficult for insurers to make a profit, insurance fraud by insurers ... The vast majority of insurance fraud is perpetrated against insurance companies. ... Fraud by Insurers. Culver City CA - The vast majority of insurance fraud is perpetrated against insurance companies. However, ... reports of convictions from the Coalition Against Insurance Fraud; and Reports of convictions for insurance fraud across the ...
*  Consumer Fraud
PHOENIX - Southern California-based UST Development dba US Telecom at al., run by David W. Bell, defrauds businesses by billing them for products they didn't order, the Arizona attorney general claims in Maricopa County Court.. ...
*  Consumer Fraud
OMAHA - Hy-Vee misrepresents by twentyfold the amount of sugar in its "Healthy 100% Whey" protein drink sold as "diabetic-friendly," a class action claims in Federal Court.. ...
*  Corporate Fraud Lawsuits Restricted
The Supreme Court yesterday strictly limited the ability of investors who lost money through corporate fraud to sue other ... Corporate Fraud Lawsuits Restricted. Enron and Other Shareholders Limited by Court. By Robert Barnes and Carrie Johnson. ... The ruling intensifies pressure on regulators and prosecutors to step up their attack on corporate fraud rather than relying on ... The Supreme Court yesterday strictly limited the ability of investors who lost money through corporate fraud to sue other ...
*  Prevent fraud. Achieve compliance.
This e-book explores how SAS solutions for fraud detection and prevention provide an essential layer of protection that helps ... A fragmented approach to dealing with fraud and compliance leaves you vulnerable to criminals who can pinpoint and exploit ...
*  The Insurance Fraud Race
Opportunistic fraud is an ongoing issue for insurers, but the more significant challenge comes in the form of organized fraud. ... The Insurance Fraud Race. Using Information and Analytics to Stay Ahead of Criminals ... enterprisewide fraud prevention and management strategy that capitalizes on advanced technology solutions, including advanced ... which has led the company to conclude that combating organized fraud will require insurers to implement an integrated, ...
*  Combating Health Care Fraud
... State-of-the-art methods for detection and prevention of fraud, waste and abuse in the health care ... The impact of fraud, waste and abuse on payers, whether insurance companies, government agencies, or self-insured employers, is ... The time is right for health payers to invest in technology to prevent claims fraud and abuse and stem the current epidemic of ... This white paper discusses how technology-based tools to fight insurance fraud can be used individually or in combination to ...
*  Fraud Hotline
As part of this commitment, OCTA has established a Fraud Hotline for employees, vendors, and the public at large to report ... the Internal Audit Department will prepare quarterly reports of Fraud Hotline Activity to the Finance and Administration ... concerns about suspected fraud, waste, or abuse. OCTA has contracted with an independent company, Ethicspoint, to accept calls ...
*  Statement on Academic Fraud
Academic fraud includes:' Plagiarism: 'Plagiarism is using someone else's ideas or work without proper or complete ... All students at the University of Virginia are bound by the Honor Code not to commit Academic Fraud, which is a form of ... Plagiarism encompasses many things, and is by far the most common manifestation of academic fraud. For example, copying a ... For example, changing data to get better experimental results is academic and scientific fraud.'. ...

Pious fraud: Pious fraud (Latin: pia fraus) is used to describe fraud in religion or medicine. A pious fraud can be counterfeiting a miracle or falsely attributing a sacred text to a biblical figure due to the belief that the "end justifies the means", in this case the end of increasing faith by whatever means available.Scientific misconduct: Scientific misconduct is the violation of the standard codes of scholarly conduct and ethical behavior in professional scientific research. A Lancet review on Handling of Scientific Misconduct in Scandinavian countries provides the following sample definitions: (reproduced in The COPE report 1999.Quackery: Quackery is the promotion of fraudulent or ignorant medical practices. A "quack" is a "fraudulent or ignorant pretender to medical skill" or "a person who pretends, professionally or publicly, to have skill, knowledge, or qualifications he or she does not possess; a charlatan".Howard Phillips (politician)Razvilka, Moscow Oblast: Razvilka () is a rural locality (a settlement) in Leninsky District of Moscow Oblast, Russia, located in the "green forests and parks space" surrounding the city of Moscow, on the Kashira Highway. Population: Postal code: 142717.Labor Standards Bureau: The is a bureau of the Ministry of Health, labour and Welfare responsible for maintaining work standards in Japan. It is tasked with securing and improving working conditions, ensuring the safety and health of workers, and is also responsible for managing Workers' Accident Compensation Insurance.A Tomb for Boris Davidovich: A Tomb for Boris Davidovich (Serbo-Croatian: Grobnica za Borisa Davidoviča / Гробница за Бориса Давидовича) is a collection of seven short stories by Danilo Kiš written in 1976 (translated into English by Duska Mikic-Mitchell in 1978). The stories are based on historical events and deal with themes of political deception, betrayal, and murder in Eastern Europe during the first half of the 20th century (except for "Dogs and Books" which takes place in 14th century France).Outstanding claims reserves: Outstanding claims reserves in general insurance are a type of technical reserve or accounting provision in the financial statements of an insurer. They seek to quantify the outstanding loss liabilities for insurance claims which have been reported and not yet settled

(1/124) Health care programs: fraud and abuse; revised OIG civil money penalties resulting from public law 104-191. Office of Inspector General (OIG), HHS. Final rule.

This final rule revises the OIG's civil money penalty (CMP) authorities, in conjunction with new and revised provisions set forth in the Health Insurance Portability and Accountability Act of 1996. Among other provisions, this final rulemaking codifies new CMPs for excluded individuals retaining ownership or control interest in an entity; upcoding and claims for medically unnecessary services; offering inducements to beneficiaries; and false certification of eligibility for home health services. This rule also codifies a number of technical corrections to the regulations governing OIG's sanction authorities.  (+info)

(2/124) Privacy Act; implementation. Office of Inspector General (OIG), HHS. Final rule.

This final rule exempts the new system of records, the Healthcare Integrity and Protection Data Bank (HIPDB), from certain provisions of the Privacy Act (5 U.S.C. 552a). The establishment of the HIPDB is required by section 1128E of the Social Security Act (the Act), as added by section 221(a) of the Health Insurance Portability and Accountability Act (HIPAA) of 1996. Section 1128E of the Act directed the Secretary to establish a national health care fraud and abuse data collection program for the reporting and disclosing of certain final adverse actions taken against health care providers, suppliers or practitioners, and to maintain a data base of final adverse actions taken against health care providers, suppliers and practitioners. Regulations implementing the new HIPDB were published in the Federal Register on October 26, 1999 (64 FR 57740). The exemption being set forth in this rule applies to investigative materials compiled for law enforcement purposes.  (+info)

(3/124) Unconventional dentistry: Part III. Legal and regulatory issues.

This is the third in a series of 5 articles providing a contemporary overview and introduction to unconventional dentistry (UD) and its correlation to unconventional medicine (UM). UD presents issues of dental quackery, fraud and malpractice, and it also engenders professional concerns about public protection and professional risks. Case reports illustrate numerous issues. The reader is encouraged to evaluate the cases for problems related to malpractice, fraud, ethics, behaviours and professionalism. A discussion of ethical issues is beyond the scope of this paper.  (+info)

(4/124) An on-site audit of the South African trial of high-dose chemotherapy for metastatic breast cancer and associated publications.

PURPOSE: The randomized study reported by Bezwoda et al of high-dose chemotherapy (HDC) for treatment of metastatic breast cancer was audited on site to verify the study results. Additional published studies were reviewed to determine whether they had been subject to the required institutional oversight. PATIENTS AND METHODS: Ninety patients were reported to have been randomized and treated on this trial. A log of the names, hospital numbers, entry dates, and regimen received had been provided by the principal investigator. A search of more than 15,000 sets of medical records available from two Johannesburg hospitals was performed to locate records for as many of these 90 patients as possible. Standard auditing techniques were used. Additional clinical trials published by Bezwoda were compared against the minutes of the University of the Witwatersrand Committee for Research on Human Subjects to verify review and approval. RESULTS: Records for only 61 of the 90 patients could be found. Of these 61, only 27 had sufficient records to verify eligibility for the trial by the published criteria. Of these 27, 18 did not meet one or more eligibility criteria. Only 25 patients appeared to have received their assigned therapy temporally associated with their enrollment date, and all but three of these 25 received HDC. The treatment details of individual patients were at great variance from the published data. Nine other trials reported by Bezwoda were not reviewed or approved by the appropriate institutional committee despite statements to the contrary in the publications. CONCLUSION: The multiple publications of this study do not report verifiable data, and nine other publications coauthored by the principal investigator contain at least one major untrue statement.  (+info)

(5/124) Fraud-and-abuse enforcement in Medicare: finding middle ground.

Medicare fraud and abuse cost billions of dollars each year. Yet Congress is considering legislation to hamper enforcement. Providers' anger over enforcement led to a congressional compromise several years ago to limit excesses. If providers and their advocates were to hobble enforcement, this could provoke a backlash. Instead, the existing compromise should be strengthened to accommodate legitimate provider concerns while allowing enforcement against major fraud and abuse. Government should further confine, structure, and check its discretion in applying the False Claims Act. Enhancing the Health Care Financing Administration's capacity to ensure that contractors pay claims properly would remove additional points of friction.  (+info)

(6/124) Consumers versus managed care: the new class actions.

The plaintiffs in pending consumer class-action lawsuits against health maintenance organizations (HMOs) should fail in their claims for damages for fraud under federal anti-racketeering legislation. Although HMOs have regularly failed to disclose their business methods and have not strictly honored their contractual coverage promises, the circumstances in which they introduced cost controls into a market sadly lacking them suggest motives not deserving punitive sanctions. Courts could easily find that HMOs violated the Employee Retirement Income Security Act (ERISA), however. Injunctive relief compelling more extensive disclosures and clearer contracts might well legitimize HMOs' methods and generally improve the performance of the health care marketplace.  (+info)

(7/124) Medicare program; civil money penalties, assessments, and revised sanction authorities. Final rule with comment period.

This final rule with comment period is a technical rule that updates our civil money penalty (CMP) regulations to add CMP authorities already enacted as part of the Balanced Budget Act of 1997 (BBA) and delegated to us. The rule delineates our authority to assess penalties for: failure to bill outpatient therapy services or comprehensive outpatient rehabilitation services (CORS) on an assignment-related basis, failure to bill ambulance services on an assignment-related basis, failure to provide an itemized statement for Medicare items and services to a Medicare beneficiary upon his/her request, and failure of physicians or nonphysician practitioners to provide diagnostic codes for items or services they furnish or failure to provide this information to the entity furnishing the item or service ordered by the practitioner. The rule also contains technical changes to further conform our current CMP rules to changes in the statute enacted by the BBA.  (+info)

(8/124) Providing long-term care benefits in cash: moving to a disability model.

This paper examines the role of a disability approach to the allocation of long-term care benefits. It first highlights the important elements of long-term care that support a disability model. It then reviews the advantages and disadvantages of this approach relative to the traditional indemnity model and summarizes key features of selected domestic and international programs that offer a disability-type benefit. The paper identifies and elaborates on the major implementation challenges and concludes with a recommendation for further examination of the costs and benefits of this approach to the public coffers, the private market, and long-term care consumers.  (+info)