Healthcare fraud is alive and well. Honesty is dead and gone. There, I’ve said it. What else are we to take from surveys that find that 27% of people would sell their work passwords...44% of them for less than $1,000?* What does it mean that 37% of survey respondents think
Tag: international fraud awareness week
In many grocery stores throughout the country, the acronym “WIC” accompanies a number of the food items on the shelves. The letters stand for the federal “Women, Infants and Children” program that provides nutritional food to pregnant women and their young children who are in need. While this is a
Anyone know what's the number two form of economic crime, in terms of losses? Believe it or not, it's procurement fraud. I grew up in a small town south of “Big D” and in my neck of the woods having two first names is, well, normal. So, when Will Farrell’s character,
There are several ways to buy data, and even more companies who are willing to sell it. By annual subscription or by the drink, third-party data vendors promise they can solve your identity theft and non-compliance problems. It’s as simple as signing a contract, and letting the data tap begin
A hot button issue this election season was the need to determine the eligibility of people for various government programs like the Affordable Care Act (ACA), Medicare and Medicaid, or entry into the United States as a migrant refugee. “Look, we’re facing the worst refugee crisis since the end of
International Fraud Awareness Week is here! I know, I know… Fraud Week is not quite as exciting as Shark Week. It doesn’t appeal to your taste buds like Restaurant Week. Nor does it have the quirky feel of Brain Awareness Week (nope… I’m not making that one up!!). Nevertheless, Fraud Week is
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
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
Identity quizzes are a hot topic among fraud fighters, and particularly so among tax administrators. A quick web search finds that a lot of state tax agencies use quizzes to fight refund fraud, including Indiana, Louisiana, and Ohio. Even the IRS has gotten into the game. In reading the press
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