16th Annual ACFE Fraud Conference & Exhibition: The watchword was 'deterrence'
Their heads were spinning. The 1,500 plus fraud examiners from 50 countries left the 16th Annual ACFE Fraud Conference & Exhibition in Washington, D.C. in July with the beneficial effects of information overload. With just about every possible fraud examination topic covered, the attendees would take weeks - months - to digest it all. But one theme was repeated by speakers throughout the general sessions, 11 tracks, and 88 breakouts: deterrence.

Avoiding the pitfalls of protected health information and fraud
Health care fraud is big business, and in more ways than just claims fraud. Protected health information (PHI) is subject to fraud and abuse. And, most people don't realize that the health benefit card is like a credit card vulnerable to thieves who steal it and use it for unlawful gain. Learn how current technology can be used for tracking how PHI is being abused and what you can do to prevent it.

Blood Money: Lab Case Highlights Nationwide Medicaid Fraud Units
Mohammad Akthat Javid thought he had the perfect scam: he would magically transform red blood into green cash.

Catching the Little Fish that Got Away
Protect yourself against small-time frauds by insured subscribers.

Using the law to fight fraud: Conducting kickbank investigations
Kickback investigations can be difficult. Evidence is hard to find and witnesses are even harder to turn. This session will focus on the investigation and resolution of kickback investigations including looking for the warning signs that you'll most likely come across and evaluating the outside parties making the payments.

Devious Diversions: Medical Providers Illegally Take Control over Controlled Substances
Unscrupulous medical providers divert narcotics from hospital inventories, so they can resell them for profit or personally abuse them.

FBI Combats Financial Fraud with CFEs
Brian Lamkin, chief of the FBI's Financial Crimes Section, directs his team of agents and analysts to tackle fraud while working toward additional recognition for CFEs.

FDA Incapable of Protecting U.S., Scientist Alleges. An interview with Dr. David J. Graham, associate director of the FDA's Office of Drug Safety
Dr. David J. Graham, a scientist at the U.S. Food and Drug Administration for more than 20 years, says the agency could have prevented 60,000 deaths from the arthritis drug Vioxx. But Graham, the recipient of the ACFE's Cliff Robertson Sentinel Award, says the problems at the FDA go beyond the problems of one drug.

Fraudsters in cyberspace: Growing global Internet menace, Part Two
Law enforcement, regulatory authorities, and consumer organizations have alerted the public to Internet fraud schemes over the past few years. Here are 17 types of schemes that have most victimized Internet users worldwide.

From The President
In the public interest, whistleblower protection legislation for government employees needs to be strong. In the United States, at least, it is so weak that whistleblowers (or sentinels as we prefer to call them) and all other citizens suffer.

Health-Care Fraud and 'PHI': Employers protecting employees & bottom line
Your employees' "protected health information" - names and addresses, social security numbers, payment histories, diagnoses - can be stolen or misused. Learn how your entity can protect its employees and add to the bottom line.

Health-care fraud drains lifeblood from patients, system: Interview with Byron Hollis, Esq., CFE, AFHI, National Anti-Fraud Director of Blue Cross Blue Shield Association
Interview with Byron Hollis, Esq., CFE, AFHI, National Anti-Fraud Director of Blue Cross Blue Shield Association

Healthcare and insurance fraud: Investigating provider fraud: A case study
Provider fraud can be the most difficult fraud case to investigate and prove. But it is done and done successfully. Using auditing techniques to identify suspicious billing trends, the fraud was first identified and then proved. In this case, this doctor stole from many different insurance carriers and is now paying the price.

Using the law to fight fraud: Legal and practical issues related to fraud examinations
In every fraud examination, inevitably, legal issues will find their way into your case and usually at the worst possible time. In this session you'll learn some of the legal issues that you might come across in a fraud examination, and more importantly, how to resolve them before they become a serious problem.

Living Longer, Dying Slower: Long-term Care Insurance Fraud
All fraud examiners must know about this impending assault on both the global health care sector and the public’s financial reserves.

Insurance / Health Care Fraud: Stopping the Fraud: What's worked and what hasn't
After you completed a complex insurance fraud case, you usually go back and see what could have been done to prevent the fraud from occurring. Sometimes you can make changes and sometimes you can't. In this session you'll learn what measures that have put in place that have been successful and what's failed.

Healthcare and Insurance fraud: Using technology to detect healthcare fraud
Even though strides have been made to defeat health care fraud, it continues to be alive and healthy. Where fraud examiners used to have to wait for tips, technology has provided better ways of detecting fraud. And, you don't have to be a technology expert to find it. Using software that most likely you already have, you'll learn how to research and run queries to find aberrant billing patterns that have a higher probability for fraud.

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