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extent to which federal and state oversight policies, controls, and processes are in place to prevent and detect fraud and abuse in determining;
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of duplicate claims or fraud, waste, and abuse. As the administrator of these programs, the Centers for Medicare and Medicaid Services (CMS;
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Chapter 1 focuses on how the Centers for Medicare and Medicaid Services (CMS) identifies and combats waste, fraud, and abuse in both;
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different types of providers and suppliers who serve Medicare, Medicaid, and CHIP beneficiaries are subjects of fraud cases, including physicians;
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The essential companion to Corporate Fraud and Internal Control, complete with review exercises for key concepts Used together with;
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A how-to guide to small business anti-fraud protection and internal control Internal Control/Anti-Fraud Program Design for the Small;
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Diane Vaughan reconstructs the Ohio Revco case, an example of Medicaid provider fraud in which a large drugstore chain initiated a computer;
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deterrence, and fraud investigation services. It is the first book that explains fraud deterrence through internal control improvement within the;
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This book will cover every aspect of forensic accounting, anti-fraud control systems and fraud investigation. The author uses his own case;
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theoretical explanations for physician deviance, and goes on to consider potential responses such as Medicaid Fraud Control Units, the Questionable;
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theoretical explanations for physician deviance, and goes on to consider potential responses such as Medicaid Fraud Control Units, the Questionable;
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; control systems; procedures on discovery of fraud; effects of fraud on the business; investigations and investigation techniques; DTI, SFO, SCO.;
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From internal control structures that are not fraud-specific to insufficient communication in the fraud discovery-to-investigation and;
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the government's efforts to control costs and expand access through Medicare and Medicaid. Examines government attempts to police;
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engage in fraud, as well as their prevention and control. This work covers fraud in the financial sector, insurance, health care, and police;
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. Failure to institute a coherent policy for fraud control in the medical benefit program has allowed self-serving and greedy practitioners to;
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government's involvement in crime control. The author puts Green Card marriage fraud in the context of current immigration policies, suggesting;
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. Corporate Fraud and Internal Control focuses on the appropriateness of the design of the system of internal controls in fraud risk mitigation, as;
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crimes add up to big losses. In companies without dedicated fraud investigators, detecting and solving low-level crimes generally falls to;
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Cut warranty costs by reducing fraud with transparent processes and balanced control Warranty Fraud Management provides a clear, practical;
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extensive experience practicing and teaching fraud investigation and internal control. While the Guide is based on current Hong Kong law, it can be;
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Medicaid is an important source of health coverage for millions of low-income individuals. Research on Medicaid has demonstrated that a;
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In 2011, federal spending for prescription drugs by DOD, Medicaid, and Medicare Part D totalled $71.2 billion -- representing about 85;
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of Justice (DOJ) obligated approximately $583.6 million to fund Health Care Fraud and Abuse Control (HCFAC) program activities. This book describes;
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Even before the current economic crisis, fraud had exploded into a serious financial and reputational threat to financial institutions;
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) estimates the budgetary effects of legislative proposals to reduce fraud in Medicare, Medicaid, and the Children's Health Insurance Program (CHIP;
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