fraud


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fraud

[frôd]
Etymology: L, fraudare, to cheat
(in law) the act of intentionally misleading or deceiving another person by any means so as to cause him or her legal injury, usually the loss of something valuable or the surrender of a legal right resulting from the action of that person on the misrepresentation.

fraud

Managed care The intentional misrepresentation or deception resulting in payment(s) for services not rendered or payment above that normally paid. See Medicaid fraud, Medicare fraud Patient care Dishonest practice; breach of confidence. See AIDS fraud, Health fraud. Cf Misrepresentation.

fraud

(frawd)
An act of deliberate deception performed to acquire an unlawful benefit, such as the improper coding of health services in a claim for payment.

fraud

(frawd)
An act of deliberate deception performed to acquire an unlawful benefit.

fraud,

n an intentional perversion of truth for the purpose of inducing another, in reliance on it, to part with something valuable or to surrender a legal right; deliberate deception; deceit; trickery.
References in periodicals archive ?
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.
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.
In early 2006, Click Forensics became the first industry source for statistically significant information on industry click fraud rates when it created the Click Fraud Index.
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.