Internet fraud

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,…

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…

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…

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…

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…

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…

and account manipulation by the management in order to allure the stakeholder is a crime and this should not be encouraged at any level of the organization. So whistle blowing as an activity may be used to curb the fraud…

responded to inbound calls, and analyzed credit card transactions in order to identify potential fraudulent activity using the Raptor Fraud Detection System. • Reviewed electronic cases produced by the Raptor Fraud Detection System, analyzed transaction patterns, identified changing fraud trends, verified account activity and took appropriate action to minimize potential fraud loss and customer inconvenience • Assessed and analyzed customer or applicant financial condition to evaluate credit…

control is a procedure, or policy, put in place by management to stop fraudulent behavior, increase efficiency, promote accountability, and safeguard assets. In other words, an internal control is to prevent employees from stealing assets or committing fraud. In fact, there has been an increasing importance placed on internal controls in every level of an organization. To my understanding, internal controls are a serial of control activities. They should include at least following specific…

The April 1952 Statute of Penalties for Corruption lists a large array of acts ranging from theft, fraud, accepting bribes and “any other activities that use one’s position to benefit oneself.” (Kwong 1997: 12). However, by 1979 bribery was classed as distinct from corruption, instead it was regulated as dereliction of duty. Concurrently, corruption acquired…