Government payments to providers under the Medicare and Medicaid programs are based on an “honor billing system,” meaning it is up to providers to honestly and accurately bill the government for services or goods provided. Not surprisingly, fraud investigations routinely uncover fraudulent activities that cost the government billions of dollars each year. “As a forensic… Read more »
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Posts Tagged: Certified Fraud Examiner
Fraud Tales: Fraud Investigation Reveals Fraudulent Junior Partner
The senior partner at an auto dealership was a successful businessman who owned multiple businesses. As a result, he relied heavily on his junior partner to act as the general manager of the dealership. With the dealership running smoothly and turning a profit, the senior partner had no reason to suspect anything was amiss until… Read more »
Fraud Investigations Identify Common Expense Reimbursement Schemes
Expense reimbursement fraud is one of the most common and pervasive types of fraud affecting companies today. While the amount stolen by any one individual is relatively low, fraud investigations have found that the sheer number of employees committing this type of fraud can translate into a significant loss for a company. “Many employees don’t… Read more »
Fraud Tales: Fraud Investigation Uncovers Theft in Auto Dealership
An auto dealership with a high volume of business established specific cash controls to assure that no car was delivered to a buyer until the dealership had received or accounted for all payments due from the sale. Despite the required checks and balances, a fraud investigation found that a senior salesman was able to misappropriate… Read more »
Fraud Tales: Fraud Investigation Uncover Inventory Control Weaknesses
The anti-fraud controls in place at a shipping supplies company were extensive and outwardly thorough. Incoming shipments were closely checked against the shipping manifest and outgoing shipments against the sales requisition that then became the invoice. The warehouse had an alarm to prevent break-ins. And the company conducted a detailed physical inventory at year-end to… Read more »
Fraud Tales: Fraud Investigation Reveals Fraud Scheme in Supplies Shipping
The Director of Operations at a large national financial services firm was very good at his job. Asked to cut costs, the Director recommended the company centralize its purchase of office supplies, a move he said would save the company more than $50,000 a year. Sure enough, during the first three years of the program,… Read more »
Fraud Tales: Fraud Investigation Finds Stolen Cash in Business
Cognizant of the rampant escalation of fraud in the business world, the owner of a mid-sized retail establishment took great care in establishing fraud deterrence measures to protect the company. With more than 80 percent of the company’s sales paid in cash, multiple checks and balances were put into place to make sure each day’s… Read more »
Fraud Deterrence on Foreign Soil
Your company has decided to open a factory overseas, or to begin selling their products in a foreign country. Do you understand the laws that will affect how your company operates outside the boundaries of the United States? Which payments to foreign government officials are allowed and which are considered fraudulent? A forensic accounting expert… Read more »
Fraud Tales: Fraud Investigation Reveals Loopholes in Checkbook Controls
Harry Johnson was a savvy businessman who was well aware of the perils of not having the proper fraud deterrence measures in place. He took great care to see that his successful small business was adequately protected by anti-fraud controls that he created himself. Then how did Harry end up losing more than $200,000 from… Read more »
Forensic Accounting Experts Bring Peace of Mind in Trust and Estate Disputes
If you have children or grew up with brothers and sisters of your own, you probably know all about sibling rivalry and family squabbling. The conflicts tend to be fairly mundane. Who got the biggest piece of cake? Whose turn is it to take out the garbage? Who borrowed a favorite sweater without permission? And… Read more »
Secure Passwords Key to Fraud Deterrence
We hear about it all too often — another data breach at another major bank or retailer. It’s gotten so bad that Americans say they are more worried about identity theft than terrorism. There’s not much you can do to thwart hackers trying to steal data from your bank or favorite store. But you can… Read more »
Fraud Investigation Uncovers Casper, The Unfriendly Ghost Employee
Casper Richardson was the perfect employee. He was never sick, opted out of company medical insurance, often worked overtime, received glowing reviews from his supervisor, and always cashed his paycheck on payday. Casper’s one fault? He didn’t actually exist. Casper was a ghost employee that a subsequent fraud investigation revealed had cost the company a… Read more »
Pay for Fraud Deterrence Now — or Fraud Losses Later
Remember the old auto oil filter company commercial with the tag line “Pay me now or pay me later?” The advertising message being sent was that the small upfront cost to replace your car’s oil filter now could prevent more costly repairs in the future. The same can be said about fraud deterrence programs —… Read more »
