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
Similar to claims fraud, money laundering is seen as a victimless crime, and often glamorized in movies and books. Think “The Wolf of Wall Street” and “Scarface”. But money laundering is a SERIOUS problem. According to a 2013 report, the United Nations Office on Drugs and Crime estimates that $1.6
“Garbage in, garbage out” is more than a catchphrase – it’s the unfortunate reality in many analytics initiatives. For most analytical applications, the biggest problem lies not in the predictive modeling, but in gathering and preparing data for analysis. When the analytics seems to be underperforming, the problem almost invariably
A recent study by Bai & Anderson has found that some hospitals charge 10x (ie, 1000%) higher than the standard rates set by Medicare. Many news agencies have posted the list of the 50 US hospitals that have the highest markup. But I am more visually oriented, so of course I used SAS
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
Es war eines dieser Fußballspiele, das man am liebsten vergisst. Zwei Mannschaften spielen Rasenschach ohne erkennbaren Drang zum Tor und ohne erkennbares Konzept. Hätte man den Gegner vorher doch mal studiert, wüsste man, wie man den Abwehrriegel knackt, wie man gnadenloses Pressing betreibt und traumhaft herausgespielte Tore den Zuschauern als
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
According to a 2012 report, it was estimated that over the next five years the US Internal Revenue Service (IRS) will issue more than $20 billion in potentially fraudulent tax refunds. Figures like this do little to boost taxpayers’ confidence in our nation’s tax system. And tax fraud is not
Here’s a great way to kill a conversation at the next cocktail party you attend. Start talking about the US budget deficit. You remember the deficit, right? It’s the difference between what the government collects and what it spends. In 2014, the US federal government spent $488 billion more than
In Part 1 of this blog series, I touched on the problems created by the underground economy, and framed the size and scope. But important questions remain about the types of businesses that are part of the underground economy, how they do it, and what the driving forces behind this
The underground economy is driving a hole in the collection of income taxes, social security, unemployment and Medicare to the tune of hundreds of billions of dollars annually within the United States. Yet significant questions remain about how big the problem is, as well as what should be done about it.
Not all fraud originates from the dark underground of criminal enterprises. In fact, fraud could literally be right under our noses, or in the cubicle next to us. The “Insider Threat” has many names – internal fraud, occupational fraud, even espionage – and uses authorized internal access and knowledge to
Every day there are news stories of fraud perpetrated against federal government programs. Topping the list are Medicaid and Medicare schemes which costs taxpayers an estimated $100 billion a year. Fraud also is rampant in other important federal programs, including unemployment and disability benefits, health care, food stamps, tax collection,
When it comes to fraud detection and risk mitigation, predictive modeling has earned a reputation as the “heavy hitter” in the realm of data analytics. As our celebration of International Fraud Awareness Week continues, I would challenge our readers to ask themselves this question, “Is the reliance upon predictive analytics
On a cold and wet December morning in 2008, at approximately 1:30 AM, I pulled into the parking lot of an abandoned supermarket in Arlington, TX. With sleet pelleting my windshield, I saw three additional sets of headlights enter into the parking lot from different directions. All three cars converged
All of us are familiar with common fraud types. Insurance fraud, credit card fraud, identity theft, and tax evasion are among the most recognized areas. But, there are many other fraud types that have a big impact on our daily lives, yet receive little attention in the media and among
Is fraud like a snowflake, and every one is unique? Not really. There is, however, an increasing number of methods and schemes that show up and expand the range of issues we need to look for every day. To celebrate International Fraud Awareness Week this year, I'm going to spend
For most people, this time of year means celebrating cherished, personal traditions… helping those less fortunate…flocking to stores in droves…the company holiday party… For the SAS Security Intelligence team, it means identity theft…benefits fraud…unemployment insurance fraud...insider threats. Why? Because next week is International Fraud Awareness Week! And we’re celebrating by
You might assume that a battle-tested businessman with a gruff exterior and a taste for salty language lacks an inner child, but you’d be wrong. Exhibit A is this little-known fact: I have a soft spot for animated Disney movies. Now, I could try to bluff a bit and say
Mein Vater hat mir einmal beigebracht, dass der Handel sein Geld im Einkauf verdient. Er muss es wissen, habe ich mir damals gedacht. Schließlich war mein Vater jahrelang bei einem Kölner Handelskonzern als Vorstandsassistent beschäftigt. Besonders in Erinnerung geblieben ist mir die Geschichte, dass der Vorstandsvorsitzende – so wurde erzählt
Wenn der dbb im Rahmen seiner Forderung für die Einkommensrunde 2014 schreibt "Der öffentliche Dienst ist in vielen Ländern Europas angeschlagen. Es sind oftmals genau die Länder, die aktuell die größten ökonomischen und sozialen Probleme haben.", dann mögen das viele in Deutschland nicht wahrhaben wollen. Aber dass Deutschland die letzten Krisen
Wohl jeder hat es sich in seinem Berufsleben schon das ein oder andere Mal gewünscht: etwas weniger Kontrolle und etwas mehr Laissez-Faire. Der bewusste Verzicht auf Grenzen oder Vorgaben unterstützt einerseits den Freiraum, das Vertrauen und die Kreativität, birgt aber andererseits auch viele Risiken.
Zur Jahreswende fragt man sich: Welche Themen waren 2013 wichtig und kommen wahrscheinlich wohl 2014 wieder auf den Tisch? Da denke ich doch an: Compliance. Also die Fähigkeit eines Unternehmens und der Mitarbeiter, Gesetze und Vorschriften zu kennen und einzuhalten, interne Vorgaben zu definieren, zu implementieren und gleichzeitig auch deren
Another day, another scam defrauding insurers and governments. For purposes of full disclosure, the case I'm highlighting today comes from Washington's Labor and Industries (L&I), the agency where I formerly worked and headed up fraud prevention efforts, and the investigation dates back to my time there. During my time there,
Before that headline really scares you, let me clarify - there hasn't been a single fraud scheme that managed to pull off a $2 trillion haul (yet). However, the fact remains that as rising scams, schemes, the gray market, work under the table and good old tax evasion escalate, as
BCBS 239, ORSA, § 32 BDSG: wenn Sie sich hier zu Hause fühlen, besuchen Sie die SAS World Live mit spannenden Beiträgen zu Fraud Detection, Unterstützung von Solvency II – Säule 2, Anforderungen nach BCBS 239. Die aktuellen Regulierungsanstrengungen lassen die Anforderungen an das Risk-Management der Banken sprunghaft ansteigen. Es
