On June 22nd, the U.S. Department of Justice announced the largest Medicaid fraud bust in history. The National Health Care Fraud Takedown included 301 defendants charged, $900 million in false billings, 61 medical professionals and 29 doctors, across 36 states. In another case, investigators in New York uncovered more than
Welcome to the dreaded week when procrastinators embrace their fates as responsible taxpayers. While you and I may be paying our taxes, to no surprise, as much as $2 trillion in the underground economy will go unreported this year in the U.S. While that number may seem shocking, and the percentage is higher than
John Beale was one of the highest paid government employees. A 10-year veteran of the Environmental Protection Agency (EPA), Beale defrauded the Federal Government of nearly $1M in employment wages and fraudulent travel. Beale came under suspicion after it was noticed that the he was still being paid wages 19
Barbarians are relentless, and they are inside the gates! That didn't go well for the Romans, and they had the most advanced technologies of their day. So how do we do better against the relentless waves of cyber barbarians attacking virtually everywhere? The answer to that is analytics, which offers early
Identity fraud typically conjures thoughts of credit card scams or stolen Social Security numbers. Medical identity fraud is often overlooked, but can be a crime that kills. On the black market your medical identity can be worth as much as $50 per person versus $1 for a Social Security Number.
To prepare for the data challenges of 2015 and beyond, health care fraud, waste and abuse investigative units (government funded and commercial insurance plans, alike) need a data management infrastructure that provides access to data across programs, products and channels. This goes well beyond sorting and filtering small sets of
International Fraud Awareness Week begins on Monday, and you know what that means. Our intrepid team of fraud experts is taking over the State and Local Connection blog! Fellow bloggers, get ready. Each day next week one member of the SAS Fraud and Security Intelligence team will post on a
According to Time Magazine, the next Ebola outbreak will cost the World Bank in excess of $30 billion dollars. In 2014, America spent in excess of $1.16 million dollars to treat two victims of the dreaded disease. While Ebola and other microorganisms of the deadly variety are scary creatures there
Tax fraud…5-7 years in prison. I thought I had it all figured out. The government wades through millions of returns and tries to issue refunds quickly. Sure, I filed over a thousand for my clients, but that’s just a blip on their radar. I never thought I’d get caught. But
For Parent’s Weekend this year, I needed to choose a restaurant for dinner in my son’s college town. Our extended family was attending the college football game and spending the weekend with our son. Before making my decision, I searched the internet for all the restaurants located within a reasonable
