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Viewing fraud through the Telescope Model of Rationalization
Rationalization — how someone justifies behavior — isn’t always the focus of fraud examinations, but the authors of this article say that understanding it can help make fraud examinations more effective. Through the lens of a former health care executive convicted of defrauding his investors, the authors explain the mechanics of rationalization and provide a framework for better understanding why some people ultimately commit fraud.
Written By: Timothy Hedley, Ph.D., CFE, CPA/CFF, Sreedhar Potarazu, M.D.
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- Criminology and Psychology
- Fraud Investigation and Examination
- Fraud Prevention and Deterrence
Blank slates: Child identity theft is a repository for cyber criminals
Children are the perfect victims of identity theft because of their lack of credit history. Criminals can exploit a child’s identity for years until the fraud is discovered, usually when the child gets older and applies for loans, jobs or a credit card. Fraud Magazine examines the rise of the crime and methods fraudsters use to carry it out.
Written By: Crystal Zuzek
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- Consumer Fraud and Scams
- Criminology and Psychology
- Identity Theft
Brought down by upcoding
For years William King ran a successful medical practice, but when his patients left his office, the Philadelphia, Pennsylvania, doctor had a practice of a different sort — a medical billing scheme known as upcoding. Fraud Magazine examines how King perpetrated a years’ long upcoding scheme that defrauded an insurance company of hundreds of thousands of dollars and details how fraud examiners can detect similar schemes.
Written By: Colin May, CFE
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- Health Care Fraud
- Insurance Fraud
U.S. seeks to ban Huione Group for money laundering and more
U.S. seeks to ban Huione Group for money laundering. Credit Suisse confesses to tax fraud. UHG investigated for alleged Medicare fraud. Texas doctor who falsely diagnosed patients gets prison sentence.
Written By: Crystal Zuzek
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- Financial Institution Fraud
- Fraud Schemes
- Health Care Fraud
We must be ‘Battle Buddies’ for military veteran victims of fraudulent abuse
On battlefields, soldiers have traditionally teamed up with ‘Battle Buddies’ so that no one is left behind. The authors encourage anti-fraud practitioners to help prevent and detect elder fraud, especially among military vets — a particularly vulnerable population.
Written By: Michele P. Bratina, Ph.D., John Schwartz, Kate Kleinert
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- Consumer Fraud and Scams
- Financial Transactions and Fraud Schemes
- Fraud Schemes
Be alert to Medicare hospice fraud and new mobile job-offer cons, plus spot phishing scams
Creative scammers offer Medicare hospice services (to those who aren’t terminally ill). Beware of sophisticated job-offer frauds on mobile devices. And here’s how to spot pesky phishing scams.
Written By: Robert E. Holtfreter, Ph.D., CFE
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- Consumer Fraud and Scams
- Cyberfraud
- Identity Theft
Nations unite to wipe out telecom fraud centers and more
China, Myanmar and Thailand join forces to tackle telecom fraud centers operating in Myanmar; a woman in Texas pleads guilty to smuggling and distributing an unapproved, altered drug used to treat cats; the prison sentence of former Mozambique finance minister, Manuel Chang, is increased; and former U.S. Senator Bob Menendez is sentenced to 11 years in prison.
Written By: Crystal Zuzek
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- Bribery and Corruption
- Cyberfraud
- Fraud Schemes
5 most scandalous fraud cases of 2024
Fraudsters work year-round to perpetrate their schemes. Fraud Magazine also works year-round tracking the news for those schemes we believe will live in infamy and serve as cases for anti-fraud professionals to study for years to come. Here are the most scandalous frauds of 2024.
Written By: Jennifer Liebman, CFE, Crystal Zuzek, Anna Brahce
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- Cyberfraud
- Financial Institution Fraud
- Fraud Schemes
COVID test kits scam, hurricane recovery and charity scams, and AI email security gaps
U.S. citizens can receive free COVID tests again; beware of scammers who want to charge you. Fake charities are following the recent hurricane disasters. And fraudsters are using artificial intelligence to gain the upper hand to invade inboxes with sophisticated malicious emails.
Written By: Robert E. Holtfreter, Ph.D., CFE
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- Consumer Fraud and Scams
- Fraud Schemes
Ford on fraud
Joseph L. Ford, CFE, has spent a lifetime fighting fraud, working his way up from file clerk at the FBI to holding the bureau’s No. 3 spot. After leaving the FBI, he served as Bank of the West’s chief security officer and eventually founded his own consulting firm. Here Ford speaks of his experiences investigating both large and small frauds and what we can learn from them.
Written By: Paul Kilby, CFE
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- Accounting and Auditing
- Fraud Investigation and Examination
- Fraud Prevention and Deterrence
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