Business Commons^™

Counteracting Fraud, Waste And Abuse In Drug Test Billing, Allison Walton

Economic Crime Forensics Capstones

Medicaid, Medicare, and major insurance companies are being faced with increased costs for drug test screening. These costs are not caused by a spike in the use of narcotics by subscribers, but from unnecessary testing and overbilling by doctors and drug screening companies. Recovering drug addicts are required to have random drug tests during their treatment program, but instead of being random, the drug tests have become prescriptive. Testing is performed at specific times weekly on a single patient, for substances that return results that are unimportant to the doctors. Doctors are given drug testing kits by large drug testing …

Kpmg Global Anti Bribery And Corruption: Rising To The Challenge In The Age Of Globalization, Themin Suwardy, Poh Sun Seow, Pan, Gary

Research Collection School Of Accountancy

Corruption continues to corrode the global economy, 18 years after member governments of the Organization for Economic Co-operation and Development (OECD) signed a convention1 that establishes legally binding standards to criminalize the bribery of public officials. Since then, a growing number of governments have passed anti-bribery and corruption (ABC) laws. The U.S. is no longer the lone policeman on the beat; the UK and other European governments have implemented anti-corruption regulations too, as have emerging economies including China and Brazil.

Despite tougher enforcement of regulations to combat bribery and corruption, illicit payments to counter-parties continue to burden economies, diverting resources …

Medicare Fraud In The United States: Can It Ever Be Stopped?, Chelsea Hill, Alex Hunter, Leslie Johnson, Alberto Coustasse

Alberto Coustasse, DrPH, MD, MBA, MPH

The majority of the United States health care fraud has been focused on the major public program, Medicare. The yearly financial loss from Medicare fraud has been estimated at about $54 billion. The purpose of this research study was to explore the current state of Medicare fraud in the United States, identify current policies and laws that foster Medicare fraud, and determine the financial impact of Medicare fraud. The methodology for this study was a literature review. Research was conducted using a scholarly online database search and government Web sites. The number of individuals charged with criminal fraud increased from …

Can Venture Capitalists Tame The Wolves? An Analysis Of Fraudulent Underwriters, Ipo Characteristics, And Vc Certification, Steven Dolvin

Steven D. Dolvin

A recent hit movie, The Wolf of Wall Street, highlighted the fraudulent activity of the investment bank Stratton Oakmont. Unfortunately, this was not the only such financial firm convicted of illegal behavior during the 1990s; there were at least 34 Initial Public Offering (IPO) underwriters that were the subject of SEC enforcement during this period. I examine the characteristics of IPOs underwritten by these investment banks, particularly as they compare to other IPOs. I find that IPOs underwritten by sanctioned investment banks (particularly those that were less active in the IPO market) were significantly different with respect to both firm …

Global Aerospace Inc., Order On Motions For Sanctions, Elizabeth E. Long

Georgia Business Court Opinions

No abstract provided.

Jay Ordan, Order On Defendants' Motion For Summary Judgment, Elizabeth E. Long

Georgia Business Court Opinions

No abstract provided.

A Comprehensive Analysis Of The H-Ib And L-1 Visa Programs In The U.S. From An It Perspective, Donald R. Moscato, Eric D. Moscato

Communications of the IIMA

This paper analyzes the experience of the H-IB and L-1 visa programs and their impact on information technology in the United States. The topics discussed are as follows: initial justification of the programs, the relationship of the programs to outsourcing and off-shoring, who is covered by the H-IB and L-1 visa programs, utilization of the visa programs by various constituencies, the impact of the visa programs on the prevailing wage, the arguments pro and con for the program, who is on either side of the lobbying effort, protectionist legislation regarding the visa programs, fraud within the visa programs, the alleged …

War Against Spam: A Comparative Analysis Of The Us And The European Legal Approach, Sylvia Mercado Kierkegaard

Communications of the IIMA

Unsolicited commercial mail (also known as spam and junk mail) can inconvenience tens of millions of Internet users and impose huge costs on Internet Service Providers. Realizing the need to boost competitiveness and consumer confidence, the European Union (EU) and the United States have instituted various legal frameworks and policies to regulate unsolicited commercial mail. The EU has adopted an opt-in approach to spam mail, which means e-marketers need to seek the permission of consumers before they send out commercial emails, while the US CAN SPAM Act takes an opt-out approach. The EU's opt-in regime is viewed as offering greater …

Conditions Associated With Increased Risk Of Fraud: A Model For Publicly Traded Restaurant Companies, Elizabeth Yost

Electronic Theses and Dissertations

The central focus of this dissertation study is to understand the impact of the Sarbanes-Oxley Act and the factors that contribute to increased risk of fraud in order to determine why fraud may occur despite the imposed regulation of the Sarbanes-Oxley Act. The main premise of the study tests the application of the fraud triangle framework constructs to publicly traded restaurant companies during the time period of 2002-2014, using proxy variables defined through literature. Essentially, the study seeks to identify the factors that may provide the optimal criteria to engage in fraudulent or opportunistic behavior. The fraud triangle theoretical framework …