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.