Healthcare fraud prevention - PowerPoint PPT Presentation


Scam / Fraud Awareness & Prevention

Learn about common scams, basic steps to avoid scams, and how to protect yourself from cyber scams, IRS scams, and charity scams. Stay vigilant and prevent fraud in your daily life.

0 views • 10 slides


Efficient Fraud Management with Data Analytics

Learn the importance of data analytics in fraud management and how it can streamline risk assessment, prevention, detection, audit planning, and investigation processes. Discover key areas where data analytics can make a difference and avoid common mistakes in your fraud analytics plan. Embrace data

2 views • 33 slides



Understanding Grant Fraud: Insights from DOJ Office of the Inspector General

Explore the world of grant fraud awareness with insights from Special Agent Jason P. LeBeau of the United States Department of Justice Office of the Inspector General. Learn about the investigation of fraud, waste, and abuse in various sectors like bank fraud, money laundering, tax evasion, and more

2 views • 27 slides


2023 WV ASBO Conference

Dive into the world of ethics and fraud in education with Dr. Scott Fleming as he discusses the importance of instilling proper values to promote ethical behavior, the factors influencing trust violations, characteristics of fraud actions, and the evolution of fraud theory. Gain valuable insights in

0 views • 96 slides


Semi-Supervised Credit Card Fraud Detection via Attribute-Driven Graph Representation

Explore a novel approach for detecting credit card fraud using a semi-supervised attribute-driven graph representation. The technique leverages temporal aggregation and attention layers to automatically unify heterogeneous categorical attributes and detect fraudulent transactions without label leaka

1 views • 23 slides


Healthcare-Associated Infections Prevention Program: Best Practices

This program by the California Department of Public Health focuses on infection prevention practices during resident positioning and transferring in healthcare settings. It addresses implicit bias, hand hygiene, proper positioning importance, prevention of pressure injuries, and strategies to avoid

0 views • 38 slides


Understanding Fraud, Waste & Abuse (FWA) Training Requirements

To maintain compliance with CMS guidelines, all UBMD providers and staff must complete Fraud, Waste & Abuse (FWA) training within 90 days of hire and annually thereafter. The training covers recognizing FWA, understanding laws and consequences, preventing FWA, reporting, and correcting issues. Failu

1 views • 27 slides


Understanding Ethical Conduct and Fraud Prevention in Institutions

Explore the nuances between ethics and fraud, famous fraud cases like Enron and Bernard L. Madoff Investment Securities LLC, and learn how to detect and prevent fraudulent activities within institutions. Recognize the importance of ethical behavior, early detection, and fraud prevention measures to

9 views • 36 slides


Understanding the Escalating Threat of Fraud in Financial Transactions

Rebekah Higgins, Vice President of Payments, delves into the alarming rise of fraud in financial transactions, revealing staggering statistics, emerging threats, and the critical need for prevention tools. The presentation covers fraud trends, common types of fraud, transaction flow, and the key pla

3 views • 30 slides


New England Fraud Trends

Explore the latest trends in fraud in New England, including statistics, common types of cyber fraud, primary targets, and successful recovery efforts by the IC3 Recovery Asset Team. Discover key information on reporting incidents, victim demographics, and financial losses, with a focus on prominent

0 views • 17 slides


Progress in Prevention and Health Inequalities - Annual Report 2023-24

The Prevention and Health Inequalities Team at BOB ICB is dedicated to enhancing prevention efforts and reducing health inequalities across their population and communities. Key achievements include setting up inpatient and maternity tobacco dependency treatment services, establishing prevention net

0 views • 14 slides


Understanding Fraud in Financial Claims: Insights from Experts

Delve into the world of fraud and insurance claims with insights from renowned experts Ernest Patrick Smith and John Hoffman. Learn about the key elements of fraud, common definitions, and the intricacies of proving fraud, particularly in the challenging landscape of the California Department of Ins

0 views • 29 slides


Understanding Fraud, Waste, and Abuse in Healthcare Compliance

Healthcare fraud, waste, and abuse pose significant challenges to the healthcare system, leading to financial losses and potential harm. This overview emphasizes the importance of compliance programs in detecting and preventing fraudulent activities. By recognizing the signs of fraud, waste, and abu

7 views • 22 slides


Enhancing Fraud Awareness in Schools

Fraud Matters is a comprehensive program focused on increasing fraud awareness in schools. The initiative aims to educate staff, students, and stakeholders about the risks of fraud, preventive measures, and the detrimental impacts of fraudulent activities. By understanding what constitutes fraud and

1 views • 38 slides


School Treasurers Seminar 2020: Insights and Trends in Education Finance

Explore the School Treasurers Seminar 2020 held in Florida, organized by the Office of Education. Delve into enrollment trends, scholarship statistics, and insights on fraud prevention in educational institutions. Discover the impact of financial pressures and ethical considerations on fraud risk th

0 views • 19 slides


Conference on Adjudication and Compounding of Offences under Companies Act, 2013

The Two Days Regional Conference of ICSI WIRC focusing on the facilitation of corporate growth through discussions on adjudication and compounding of offences under the Companies Act, 2013. The event, presented by CS (Dr.) D.K. Jain, covers topics like fraud, wrongful gain and loss, punishment for f

0 views • 51 slides


Fighting Fraud in Agriculture: Member States' Experience - Key Findings

Explore the main findings in the fight against fraud in agriculture, focusing on Member States' experiences as presented by Katharina Herrmann Olaf. Discover key results, detection rates, modus operandi, anti-fraud work, and country fact sheets. Gain insights into irregularities, fraudulent activiti

0 views • 11 slides


Enhancing Fraud Prevention and Detection in EU Research Grants

Understanding the various aspects of fraud in research grants, this resource delves into the definitions, types, and preventive measures against fraud in the European Union's research and innovation programs. It emphasizes the importance of safeguarding EU financial interests, maintaining trust, and

0 views • 18 slides


2019 Purchasing Card Conference Overview

The 2019 Purchasing Card Conference held on April 5, 2019 covered topics such as statistics, fraud transactions, disputable transactions, prevention measures, and recurring charges related to purchasing cards. The event included breakout sessions, giveaways, and important instructions on handling fr

0 views • 16 slides


Understanding Fraud in Real Estate Transactions: A Legal Perspective

Delve into the complexities of fraud in real estate transactions, particularly those involving identity theft. Explore various types of fraud, responsibilities, and liabilities of attorneys, as well as landmark legal cases that shed light on breach of contract and negligence in conveyancing. Learn a

0 views • 67 slides


Challenges to Enforcement in Arbitration: Immunity, Fraud, and Public Policy

Session 3 of the Arbitration Mini Series on May 25th discusses challenges to enforcement in arbitration, including issues related to immunity, fraud, and public policy. Topics such as extensions of time in fraud challenges, the 1996 Arbitration Act, the Kalmneft factors, and fraud cases in arbitrati

0 views • 20 slides


Recover Lost Funds From Binary Options Fraud Brokers

Are you a victim of a binary options fraud? You can fight back and recover your funds. Report to MychargeBack today! We have helped thousand of binary options fraud victims to get their money back. You can get your funds back from binary options scam

0 views • 15 slides


Fraud, Waste, and Abuse Tutorial Certification for Small Businesses

The Fraud, Waste, and Abuse Tutorial Certification outlines the critical aspects small businesses must understand to prevent fraudulent activities in SBIR/STTR programs. It covers statutory requirements, definitions, consequences of fraud, and administrative remedies. It emphasizes the importance of

0 views • 25 slides


Understanding Fraud and Forensic Accounting

Fraud is defined as deception to gain an unlawful advantage. Various legal definitions of fraud under Indian law are discussed, including those under the Indian Penal Code, Indian Contract Act, and Companies Act. The concept of forensic accounting in detecting and investigating fraud is also introdu

0 views • 15 slides


Protecting Seniors from Common Fraud Schemes and Scams

Telemarketing fraud and common criminal schemes targeting seniors include scams related to grandparents, Social Security, Medicare, email imposters, fake charities, and identity theft. Seniors, often polite and trusting, are susceptible to being swindled due to their reluctance to hang up on strange

0 views • 33 slides


Prevention and Care of Airborne Infections in TB/HIV Settings

In this session, participants will learn the importance of infection prevention and control in TB/HIV care, levels of prevention in airborne infections, strategies to prevent TB transmission in healthcare settings, and patient management steps to prevent TB transmission. The spread of TB, risks of t

0 views • 20 slides


Integrated Healthcare Waste Management and WASH in Healthcare Facilities

National Workshop on Integrated Healthcare Waste Management (IHCWM) and Water Sanitation & Hygiene (WASH) in Healthcare Facilities highlighted the importance of following national standards, guidelines, and strategies for effective management of healthcare waste and ensuring proper water, sanitation

0 views • 32 slides


Missouri Department of Labor and Industrial Relations (DOLIR) Fraud and Noncompliance Unit Overview

The Missouri DOLIR Fraud and Noncompliance Unit (FNU) was established in 1993 by the General Assembly to investigate fraud and noncompliance related to Chapter 287 RSMo (Workers' Compensation Law). The FNU is dedicated to promoting a safe work environment by upholding the integrity of Missouri's Wor

0 views • 35 slides


Understanding Forensic Accounting and Fraud - Types and Definitions

Forensic accounting plays a crucial role in detecting and investigating various types of fraud such as financial reporting fraud, asset misappropriation, and employee embezzlement. Fraud is defined as intentional deception resulting in a loss and involves misrepresentation of material facts. Types o

0 views • 19 slides


Understanding SAS 99 and Fraud Consideration in Financial Audits

This presentation delves into SAS 99, highlighting the importance of considering fraud in financial statement audits. It explains the impact of SAS 99 on auditors, emphasizes management's role in preventing and detecting fraud, and discusses the Fraud Triangle and types of fraud addressed by SAS 99.

0 views • 41 slides


Understanding Fraud in Auditing and Government

Fraud encompasses multifarious means of deception for personal gain and can significantly impact financial statements. Government fraud involves intentional acts to deceive, resulting in substantial losses annually. Auditors must diligently identify and address fraud risks to ensure the accuracy and

2 views • 68 slides


Understanding Fraudulent Claims in Insurance: Key Legal Aspects

Explore the intricacies of fraudulent insurance claims through legal perspectives, including the impact of the Fraudulent Claims Rule, the 2015 Insurance Act, and the dichotomy between civil and criminal law in prosecuting insurance fraud. Delve into the ethical debates surrounding dishonest claims

0 views • 31 slides


Understanding Fraud and Fundamental Dishonesty in Personal Injury Claims

Fraud and fundamental dishonesty continue to be pressing issues in personal injury claims, with an increase in fraudulent activities being observed. This article discusses the rise of fraud, recent reforms in the civil justice system, instances of strike out for abuse of process, the introduction of

0 views • 35 slides


Preventing Healthcare Fraud, Waste, and Abuse: Why Training and Compliance Matter

Billions of dollars are wasted annually due to healthcare Fraud, Waste, and Abuse (FWA), impacting everyone. Training and implementing effective compliance programs are crucial to detecting, correcting, and preventing FWA, protecting Medicare enrollees and the healthcare system. Non-compliance risks

0 views • 5 slides


Direct Payments & Social Care Investigations Workshop Overview

Explore the key areas covered in the Direct Payments & Social Care Investigations Workshop, focusing on Direct Payments, social care fraud, applications, counter-fraud work, investigations, and overcoming cultural resistance. Delve into the risks associated with social care fraud and learn about the

0 views • 28 slides


Strategies for Handling Commercial Fraud Cases: Insights from Brick Court Chambers

Dive into the world of commercial fraud law and practice with key advice from Tim Lord QC of Brick Court Chambers. Explore topics such as disclosure issues, guiding principles, the importance of the 1st CMC, and expert tips for advising claimants in fraud cases. Learn how to navigate the complexitie

0 views • 54 slides


Understanding Legal and Fraud Considerations in Engineering

Engineering teams must be aware of key legal requirements related to intellectual property and fraud to avoid costly rework and liability. Intellectual property issues, including software development, and the risk of fraud, especially in sales engineering, should be carefully managed to protect the

0 views • 20 slides


Healthcare Fraud and Abuse Compliance Guidelines

Ensure compliance with state and federal laws related to healthcare fraud and abuse through the Chief Compliance Officer and Compliance Committee standards of conduct. Training, education policies, hotline information, and consequences for violations are provided to uphold integrity at Medical Cente

0 views • 7 slides


Healthcare Fraud and Abuse Compliance Training Overview

This comprehensive compliance training covers the prevention of Medicare and Medicaid fraud and abuse, the laws and penalties surrounding fraud, reporting methods, conflict of interest, billing and coding guidelines, and more. It emphasizes the importance of healthcare compliance in protecting organ

0 views • 50 slides


Healthcare Fraud, Waste, and Abuse Overview: General Compliance Training 2023

Healthcare fraud, waste, and abuse (FWA) pose significant challenges to the healthcare system, with billions lost annually to deceptive practices. Understanding FWA definitions - fraud, waste, abuse, and errors - is crucial to combatting them effectively. Compliance programs are essential to prevent

0 views • 24 slides