case study of how a small-town rescue squad president defrauded insurance providers of more than $900,000
case study on a Florida man defrauding elderly people of $450,000 by claiming to sell them hurricane shutters
In this inaugural column, Lauren E. Davis, CFE, ASA, a consulting manager with Pershing Yoakley & Associates, P.C., describes recent cases, pertinent U.S. legislation and governing agencies, typical schemes and ways to detect and deter health care fraud.
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"When new people come in because there's change, it's sometimes harder to spot anomalous behaviors,” said WIRED Editor-in-Chief Nicholas Thompson at the 31st Annual ACFE Global Fraud Conference. “Of course spotting anomalous behaviors is how a lot
of fraud detection works. You know the patterns of what we do, you look for things that don't quite fit those patterns and you identify that as fraud."
View the video.