The citizenry is very cynical about politics because they see this pervasive
fraud, corruption and abuse and also see nothing being done about it.
We have to take control
fraud (that is,
fraud perpetrated by management) seriously--that means recording it when we detect it (the Justice Department does not keep statistics on control
frauds) and conducting research to learn how to spot it before it causes catastrophic damage.
The agencies that investigate health care
fraud and abuse include the OIG, MFCU, the Federal Bureau of Investigations (FBI), the Internal Revenue Service (IRS), the Postal Inspection Service, the Department of Defense (DOD), and State Insurance Departments (DOI).
Standards aside, there are clear advantages to merging the new administrative responsibility with improved perspectives and processes capable of rooting out
fraud, both real and potential.
A better approach is to implement Web-based technology such as "electronic agents" that continuously re-evaluate claims for
fraud detection throughout the claim and alert the appropriate people when thresholds are exceeded or certain parties are involved.
The CPA's Handbook of
Fraud and Commercial Crime Prevention (No.
State securities
fraud investigations have been hampered by short statute of limitation rules, which require discovery of evidence of
fraud within three years.
In a recent international
fraud survey, 28 corporate respondents indicated that they each had lost over $25 million to
fraud during the last 5 years with 50 percent of that amount lost in the previous twelve months.
But there are many more consequences to this kind of
fraud, many more ways for employers to cheat the system, and many things that could be done to crack down on these crooked companies--but aren't.
The Omnibus Budget Reconciliation Act of 1989 (OBRA) substantially modified the statutory scheme for the civil
fraud penalty, providing a somewhat less complex structure that is better integrated with the other civil penalties.
Max-Peter Ratzel: The Northern and Atlantic parts of Europe show signs that "boiler room"
fraud is on the rise again, and of course the Nigerian or 419
fraud is still all over Europe.
