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    Essay On Healthcare Fraud

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    available I elected to research and write about the subject of healthcare fraud because I feel very strongly about our healthcare system as a citizen and as an individual with regular health needs. If the current system continues to experience negative repercussions due to the immoral, selfish and illegal actions of others then I believe it will surely diminish the already unsteady structure. The definition of healthcare fraud is the deceptive, dishonest and unlawful misrepresentations…

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    White Collar Crime: Bernard Madoff’s Ponzi Scheme We have all heard of a Ponzi scheme and may know of someone who has fallen victim to this type of fraud but we may not all be familiar with the definition of a Ponzi scheme. A Ponzi scheme is an investment fraud in which funds from a new investor are taken to pay an existing investor an alleged return on their investments. New investors are recruited by being guaranteed high return rates with little to no risk for loss. The organizer of the…

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    Over the past decade, the term fraud has been brought to the forefront of coding and billing practices. Upcoding, unbundling or billing for services that are not documented are serious concerns for practices and payers. In a release from the Centers for Medicaid and Medicare Services, it was revealed that up to 30% of claims paid contained errors. Almost half of these were due to insufficient documentation (Prophet & Hammen, 1998). Ethics plays a big role in every aspect of health care,…

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    The fraudulent practice of civil asset forfeiture is a slap in the face to the principles of American democracy. Civil asset forfeiture is a legal process in which police officers can seize a civilian’s property if they believe those assets can be connected to a crime. Civil asset forfeiture originated during the Colonial era as an initiative to prevent foreign ships from illegally transporting goods, but required a criminal conviction in order to do so. However, the policy was revitalized…

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    Professor Rose and Fellow Blackboard Students, We learned from Lau and Johnson (2014) text “fraud is closely related concept (misrepresentation), and it simply means that one party has used deception to acquire money or property (p. 125).” In this Blackboard scenario, in my opinion, I feel that the car dealer misrepresented the car’s condition to the young buyer. In this week’s lesson, we learned about fraud and misrepresentation. Let’s analysis the four questions for the discussion. Do you…

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    Certified Fraud Examiner

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    What is a Certified Fraud Examiner? These are people who put many hours of hard work into finding any fraudulent acts that a company may be causing. The adventures but, nevertheless, important, relationship between investigators and clients is something that needs to be understood. While some have been captivated by fraudulent acts people portray, some don’t find it as interesting as others do. Although it is a very interesting topic, the certified fraud examiners have skills and training that…

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    The famous case of twenty two year old David Camez was one of many that violated cybercrime not only in the United States, but globally as well. Camez was found guilty of committing racketeering crimes along with committing fraud across the globe through an international website called Carder.su. Though the website was not only David Camez’ investment but also fifty other members, who were not found guilt or sent on trial. The members of the website were basically giving money to hack into other…

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    Holden is afraid to grow up is because he is scared that he will become a phony. When Phoebe asks Holden why he is so scared to be grown up, Holden exclaims, “How would you know you weren’t being a phony? The trouble is, you wouldn’t” (172). Because Holden strongly considers himself as ostracized by society for the reason being that he is a non phony, he believes that when he gets older, it is certain he will become a kind of person that is fake, or somebody that in his eyes doesn’t live a…

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    Craig Newmark launched the website that bears his name in 1995. Since then, Craigslist has turned the classified ad market upside down, draining billions of dollars from newspaper coffers while saving consumers a mint. However, consumers have also lost plenty of money through Craigslist, typically falling for one scam or another that has extracted hundreds, sometimes thousands of dollars from them. Here’s a sample of the Craigslist car scams that have been perpetuated and how best to avoid each…

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    International Cyber Crime It is not in disputed that technology has transformed the world into a global village. According to Okeshola and Adeta (2011), technological advancements have made it possible for nations to develop and boost their networks of communication, allowing faster and reliable networking and exchange of information. Today, there are about two billion people using the internet and more than five billion cell phone connections across the globe (KPMG, 2011). Most people in the…

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