76 FR 62074 - Proposed Revision of Performance Standards for State Medicaid Fraud Control Units

Federal Register 2010, 2011, 2012, 2013, 2014

2011-10-06

... volume of case referrals and workload for each location. Performance Standard 3--Policies and Procedures A Unit establishes written policies and procedures for its operations and ensures that staff are familiar with, and adhere to, policies and procedures. In meeting this standard, the following performance...

42 CFR 1007.17 - Annual report.

Code of Federal Regulations, 2011 CFR

2011-10-01

... STATE MEDICAID FRAUD CONTROL UNITS § 1007.17 Annual report. At least 60 days prior to the expiration of..., categorized by type of provider; (b) The number of cases prosecuted or referred for prosecution; the number of...

42 CFR 1001.1301 - Failure to grant immediate access.

Code of Federal Regulations, 2010 CFR

2010-10-01

...)(3) of the Act; (J) An end-stage renal disease facility is meeting the requirements of section 1881(b...'s statutory functions; or (iv) A State Medicaid fraud control unit for the purpose of conducting its...

78 FR 76843 - Statement of Delegation of Authority

Federal Register 2010, 2011, 2012, 2013, 2014

2013-12-19

... Security Act (42 U.S.C. 1396b) for the establishment or operation of a Medicaid Fraud Control Unit. This... Social Security Act (42 U.S.C. 1316(e)(1)) to conduct reconsiderations of disallowances of any item or...

Control of fraud and abuse in Medicare and Medicaid.

PubMed

Pies, H E

1977-01-01

This Comment explores issues concerning the control of fraud and abuse in health programs financed with public funds, specifically the Medicare and Medicaid programs. It summarizes the nature, scope, and possible causes of what some regard as a fraud and abuse "crisis," and points out the difficulties and obstacles facing those who attempt to develop legislative and executive action aimed at controlling fraud and abuse. Recent federal initiatives in fraud and abuse control are examined, and a brief summary of key provisions of H.R. 3 (the Medicare-Medicaid Anti-fraud and Abuse Amendments, which may prove to be a landmark piece of legislation in this area) is provided. The author emphasizes that more effective control of fraud and abuse is necessary if further expansion of government financing of health programs, including national health insurance, is to occur in the near future. At the same time, caution must be taken not to neglect the appropriate use of other mechanisms necessary for reducing the costs of medical care and improving its quality. In addition, it is likely that efforts to stem fraud and abuse will raise important medicolegal and public policy issues that will require careful interdisciplinary consideration.

An Analysis of Internal Controls and Procurement Fraud Deterrence

DTIC Science & Technology

2013-12-01

might keep the organization from achieving its objectives and analyze risks , including fraud risk , so as to decide how the risk should be managed ( COSO ...internal control to adequately manage the risk ( COSO , 2013). Risk management involves developing the effective internal control targeted at a...structure and management . While the risk of fraud cannot be eliminated entirely, it can be greatly reduced with an appropriate procurement fraud prevention

Criminal Intent with Property: A Study of Real Estate Fraud Prediction and Detection

ERIC Educational Resources Information Center

Blackman, David H.

2013-01-01

The large number of real estate transactions across the United States, combined with closing process complexity, creates extremely large data sets that conceal anomalies indicative of fraud. The quantitative amount of damage due to fraud is immeasurable to the lives of individuals who are victims, not to mention the financial impact to…

Prevalence of Financial Fraud and Scams Among Older Adults in the United States: A Systematic Review and Meta-Analysis.

PubMed

Burnes, David; Henderson, Charles R; Sheppard, Christine; Zhao, Rebecca; Pillemer, Karl; Lachs, Mark S

2017-08-01

The financial exploitation of older adults was recently recognized by the Centers for Disease Control and Prevention as a serious public health problem. Knowledge of the prevalence of elder financial exploitation is mostly limited to the category of financial abuse, which occurs in relationships involving an expectation of trust. Little is known about the other major category of elder financial exploitation-elder financial fraud and scams, which is perpetrated by strangers. A valid estimate of elder financial fraud-scam prevalence is necessary as a foundation for research and prevention efforts. To estimate the prevalence of elder financial fraud-scam victimization in the United States based on a systematic review and meta-analysis. Multiple investigators independently screened titles and abstracts and reviewed relevant full-text records from PubMed, Medline, PsycINFO, Criminal Justice Abstracts, Social Work Abstracts, and AgeLine databases. To maximize the validity and generalizability of prevalence estimation, we restricted eligibility to general population-based studies (English speaking, 1990 onward) using state- or national-level probability sampling and collecting data directly from older adults. Information on elder financial fraud-scam prevalence and study-level characteristics was extracted independently by 2 investigators. Meta-analysis of elder financial fraud-scam prevalence used generalized mixed models with individual studies as levels of a random classification factor. We included 12 studies involving a total of 41 711 individuals in the meta-analysis. Overall pooled elder financial fraud-scam prevalence (up to 5-year period) across studies was 5.6% (95% confidence interval [CI] = 4.0%, 7.8%), with a 1-year period prevalence of 5.4% (95% CI = 3.2%, 7.6%). Studies using a series of questions describing specific fraud-scam events to measure victimization found a significantly higher prevalence (7.1%; 95% CI = 4.8%, 9.4%) than studies using a single, general-question self-report assessment approach (3.6%; 95% CI = 1.8%, 5.4%). Elder financial fraud and scams is a common problem, affecting approximately 1 of every 18 cognitively intact, community-dwelling older adults each year; it requires further attention from researchers, clinicians, and policymakers. Elder financial fraud-scam prevalence findings in this study likely underestimate the true population prevalence. We provide methodological recommendations to limit older adult participation and reporting bias in future population-based research. Public Health Implications. Elder financial exploitation victimization is associated with mortality, hospitalization, and poor physical and mental health. Health care professionals working with older adults likely routinely encounter patients who are fraud-scam victims. Validation of instruments to screen for elder financial fraud and scams in clinical settings is an important area of future research. Without effective primary prevention strategies, the absolute scope of this problem will escalate with the growing population of older adults.

Who Can You Trust? Protecting Your Organization from Internal Fraud.

ERIC Educational Resources Information Center

Lukaszewski, Thomas E.

1997-01-01

Discusses how to protect a child care organization from employee fraud. Differentiates employee and management fraud and examines reasons fraud is committed. Suggests procedures for protecting an organization from fraud, including establishing an effective internal control system, paying attention to unusual employee behavior, reviewing expense…

42 CFR 483.10 - Resident rights.

Code of Federal Regulations, 2014 CFR

2014-10-01

..., to refuse to participate in experimental research, and to formulate an advance directive as specified... advocacy groups such as the State survey and certification agency, the State licensure office, the State ombudsman program, the protection and advocacy network, and the Medicaid fraud control unit; and (iv) A...

42 CFR 483.10 - Resident rights.

Code of Federal Regulations, 2013 CFR

2013-10-01

..., to refuse to participate in experimental research, and to formulate an advance directive as specified... advocacy groups such as the State survey and certification agency, the State licensure office, the State ombudsman program, the protection and advocacy network, and the Medicaid fraud control unit; and (iv) A...

Report: EPA Did Not Identify Volkswagen Emissions Cheating; Enhanced Controls Now Provide Reasonable Assurance of Fraud Detection

EPA Pesticide Factsheets

Report #18-P-0181, May 15, 2018. After uncovering VW's emissions fraud, the EPA's light-duty vehicle compliance program added controls to effectively detect and prevent noncompliance—a precursor to potential fraud.

42 CFR 1007.7 - Organization and location requirements.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 42 Public Health 5 2010-10-01 2010-10-01 false Organization and location requirements. 1007.7 Section 1007.7 Public Health OFFICE OF INSPECTOR GENERAL-HEALTH CARE, DEPARTMENT OF HEALTH AND HUMAN SERVICES OIG AUTHORITIES STATE MEDICAID FRAUD CONTROL UNITS § 1007.7 Organization and location requirements...

42 CFR 456.712 - Annual report.

Code of Federal Regulations, 2013 CFR

2013-10-01

... program. (2) A description of how pharmacies performing prospective DUR without computers are expected to...) A description of the steps taken by the State Agency to monitor compliance by pharmacies with the... entities such as the Medicaid Fraud Control Unit and State Board of Pharmacy. The annual report also must...

42 CFR 456.712 - Annual report.

Code of Federal Regulations, 2014 CFR

2014-10-01

... program. (2) A description of how pharmacies performing prospective DUR without computers are expected to...) A description of the steps taken by the State Agency to monitor compliance by pharmacies with the... entities such as the Medicaid Fraud Control Unit and State Board of Pharmacy. The annual report also must...

42 CFR 456.712 - Annual report.

Code of Federal Regulations, 2010 CFR

2010-10-01

... program. (2) A description of how pharmacies performing prospective DUR without computers are expected to...) A description of the steps taken by the State Agency to monitor compliance by pharmacies with the... entities such as the Medicaid Fraud Control Unit and State Board of Pharmacy. The annual report also must...

42 CFR 456.712 - Annual report.

Code of Federal Regulations, 2011 CFR

2011-10-01

... program. (2) A description of how pharmacies performing prospective DUR without computers are expected to...) A description of the steps taken by the State Agency to monitor compliance by pharmacies with the... entities such as the Medicaid Fraud Control Unit and State Board of Pharmacy. The annual report also must...

42 CFR 456.712 - Annual report.

Code of Federal Regulations, 2012 CFR

2012-10-01

... program. (2) A description of how pharmacies performing prospective DUR without computers are expected to...) A description of the steps taken by the State Agency to monitor compliance by pharmacies with the... entities such as the Medicaid Fraud Control Unit and State Board of Pharmacy. The annual report also must...

78 FR 47322 - Privacy Act of 1974; Report of an Altered System of Records

Federal Register 2010, 2011, 2012, 2013, 2014

2013-08-05

... reports for all health care practitioners (e.g., physicians, dentists, nurses, optometrists, pharmacists... appropriate decisions in the delivery of health care. 6. To state Medicaid Fraud Control Units that request... Information on Physicians and other Health Care Practitioners (NPDB), 09-15-0054, to include information...

42 CFR 1007.17 - Annual report.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 42 Public Health 5 2010-10-01 2010-10-01 false Annual report. 1007.17 Section 1007.17 Public Health OFFICE OF INSPECTOR GENERAL-HEALTH CARE, DEPARTMENT OF HEALTH AND HUMAN SERVICES OIG AUTHORITIES STATE MEDICAID FRAUD CONTROL UNITS § 1007.17 Annual report. At least 60 days prior to the expiration of...

42 CFR 1007.1 - Definitions.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 42 Public Health 5 2010-10-01 2010-10-01 false Definitions. 1007.1 Section 1007.1 Public Health OFFICE OF INSPECTOR GENERAL-HEALTH CARE, DEPARTMENT OF HEALTH AND HUMAN SERVICES OIG AUTHORITIES STATE MEDICAID FRAUD CONTROL UNITS § 1007.1 Definitions. As used in this part, unless otherwise indicated by the...

Contracting Processes, Internal Controls, and Procurement Fraud: A Knowledge Assessment

DTIC Science & Technology

2015-04-30

ååì~ä=^Åèìáëáíáçå= oÉëÉ~êÅÜ=póãéçëáìã= qÜìêëÇ~ó=pÉëëáçåë= sçäìãÉ=ff= = Contracting Processes, Internal Controls, and Procurement Fraud: A Knowledge...DATES COVERED 00-00-2015 to 00-00-2015 4. TITLE AND SUBTITLE Contracting Processes, Internal Controls, and Procurement Fraud: A Knowledge...capable processes, and effective internal controls result in the DoD having a higher level of vulnerability for procurement fraud (Rendon & Rendon, in

Fraud and Corruption Control at Education System Level: A Case Study of the Victorian Department of Education and Early Childhood Development in Australia

ERIC Educational Resources Information Center

Bandaranayake, Bandara

2014-01-01

This case describes the implementation of a fraud and corruption control policy initiative within the Victorian Department of Education and Early Childhood Development (the Department) in Australia. The policy initiative was administered and carried out by a small team of fraud control officials, including the author of this article, in the…

42 CFR 1007.9 - Relationship to, and agreement with, the Medicaid agency.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 42 Public Health 5 2010-10-01 2010-10-01 false Relationship to, and agreement with, the Medicaid agency. 1007.9 Section 1007.9 Public Health OFFICE OF INSPECTOR GENERAL-HEALTH CARE, DEPARTMENT OF HEALTH AND HUMAN SERVICES OIG AUTHORITIES STATE MEDICAID FRAUD CONTROL UNITS § 1007.9 Relationship to, and...

7 CFR 1.302 - Definitions.

Code of Federal Regulations, 2010 CFR

2010-01-01

... Under the Program Fraud Civil Remedies Act of 1986 § 1.302 Definitions. (a) Agency means a constituent organizational unit of the USDA. (b) Agency Fraud Claims Officer—(AFCO) means an officer or employee of an agency...) Statement means any representation, certification, affirmation, document, record, or accounting or...

41 CFR 105-53.131 - Office of Inspector General.

Code of Federal Regulations, 2010 CFR

2010-07-01

... functions and established an Office of Inspector General in 11 major domestic departments and agencies... United States Attorneys on all matters relating to the detection and prevention of fraud and abuse. The Inspector General reports semiannually to the Congress through the Administrator concerning fraud, abuses...

Risk Factors of Occupational Fraud: A Study of Member Institutions of the National Association of Independent Colleges and Universities

ERIC Educational Resources Information Center

Ten Napel, Karmen

2013-01-01

Available data indicate that colleges and universities have experienced an unexpected rise in occupational fraud over the past two decades. In order to mitigate the risk of fraud, these institutions must be proactive and have strong internal controls and policies. The purpose of this study was to examine the current controls in place at Midwest…

Whistleblowing in the pharmaceutical industry in the United States, England, Canada, and Australia.

PubMed

Boumil, Sylvester James; Nariani, Ashiyana; Boumil, Marcia M; Berman, Harris A

2010-04-01

Fraud and abuse in the spending of public monies plague governments around the world. In the United States the False Claims Act encourages whistleblowing by private individuals to expose evidence of fraud. They are rewarded for their efforts with monetary compensation and protection from retaliation. Such is not the case in Canada, England, and Australia. Although some recent legislation has increased the protections afforded to whistleblowers, they are still likely to be viewed more as disloyal employees than courageous public servants, and there is little incentive to risk their jobs and reputation. Qui tam laws provide a police force of thousands in the effort to reduce rampant fraud, waste, and abuse, and would be an asset in any health-care system where pubic health policy requires conservation of resources.

Field experiment estimate of electoral fraud in Russian parliamentary elections

PubMed Central

Enikolopov, Ruben; Korovkin, Vasily; Petrova, Maria; Sonin, Konstantin; Zakharov, Alexei

2013-01-01

Electoral fraud is a widespread phenomenon, especially outside the developed world. Despite abundant qualitative and anecdotal evidence on its existence from around the world, there is very limited quantitative evidence on the extent of electoral fraud. We exploit random assignment of independent observers to 156 of 3,164 polling stations in the city of Moscow to estimate the effect of electoral fraud on the outcome of the Russian parliamentary elections held on December 4, 2011. We estimate the actual share of votes for the incumbent United Russia party to be at least 11 percentage points lower than the official count (36% instead of 47%). Our results suggest that the extent of the fraud was sufficient to have had a substantial impact on the outcome of the elections; they also confirm that the presence of observers is an important factor in ensuring the integrity of the procedure. PMID:23267093

76 FR 5212 - Employment and Training Administration

Federal Register 2010, 2011, 2012, 2013, 2014

2011-01-28

... Collection for Internal Fraud and Overpayment Detection and Recovery Activities (OMB Control No. 1205-0187... of data on a revised form ETA 9000 that provides information about Internal Fraud and Overpayment...: I. Background The ETA 9000 is the only data source available on: (1) Instances of internal fraud...

Legally Sustainable Solutions for Privacy Issues in Collaborative Fraud Detection

NASA Astrophysics Data System (ADS)

Flegel, Ulrich; Kerschbaum, Florian; Miseldine, Philip; Monakova, Ganna; Wacker, Richard; Leymann, Frank

One company by itself cannot detect all instances of fraud or insider attacks. An example is the simple case of buyer fraud: a fraudulent buyer colludes with a supplier creating fake orders for supplies that are never delivered. They circumvent internal controls in place to prevent this kind of fraud, such as a goods receipt, e.g., by ordering services instead of goods. Based on the evidence collected at one company, it is often extremely difficult to detect such fraud, but if companies collaborate and correlate their evidence, they could detect that the ordered services have never actually been provided.

Consumer Fraud: An Empirical Perspective. Summary.

ERIC Educational Resources Information Center

Schubert, Jane G.; And Others

The American Institutes for Research (AIR) and the National Consumer Law Center (NCLC) studied consumer fraud and assessed possible intervention. Phase I produced an AIR description of the nature, scope, and characteristics of consumer fraud and an NCLC compilation of the laws and regulations which control it. In Phase II AIR developed…

Implementing US-style anti-fraud laws in the Australian pharmaceutical and health care industries.

PubMed

Faunce, Thomas A; Urbas, Gregor; Skillen, Lesley

2011-05-02

This article critically analyses the prospects for introducing United States anti-fraud (or anti-false claims) laws in the Australian health care setting. Australian governments spend billions of dollars each year on medicines and health care. A recent report estimates that the money lost to corporate fraud in Australia is growing at an annual rate of 7%, but that only a third of the losses are currently being detected. In the US, qui tam provisions - the component of anti-fraud or anti-false claims laws involving payments to whistleblowers - have been particularly successful in providing critical evidence allowing public prosecutors to recover damages for fraud and false claims made by corporations in relation to federal and state health care programs. The US continues to strengthen such anti-fraud measures and to successfully apply them to a widening range of areas involving large public investment. Australia still suffers from the absence of any comprehensive scheme that not only allows treble damages recovery for fraud on the public purse, but crucially supports such actions by providing financial encouragement for whistleblowing corporate insiders to expose evidence of fraud. Potential areas of application could include direct and indirect government expenditure on health care service provision, pharmaceuticals, medical devices, defence, carbon emissions compensation and tobacco-related illness. The creation in Australia of an equivalent to US anti-false claims legislation should be a policy priority, particularly in a period of financial stringency.

37 CFR 1.27 - Definition of small entities and establishing status as a small entity to permit payment of small...

Code of Federal Regulations, 2010 CFR

2010-07-01

... are required; fraud on the Office. 1.27 Section 1.27 Patents, Trademarks, and Copyrights UNITED STATES... and notification of loss of entitlement to small entity status are required; fraud on the Office. (a... country; (B) An organization of the type described in section 501(c)(3) of the Internal Revenue Code of...

78 FR 79567 - Supplemental Nutrition Assistance Program: Trafficking Controls and Fraud Investigations

Federal Register 2010, 2011, 2012, 2013, 2014

2013-12-31

... DEPARTMENT OF AGRICULTURE Food and Nutrition Service 7 CFR Parts 271 and 274 RIN 0584-AE26 Supplemental Nutrition Assistance Program: Trafficking Controls and Fraud Investigations AGENCY: Food and Nutrition Service, USDA. ACTION: Final rule, Interim final rule; notice of approval of Information...

28 CFR 104.71 - Procedures to prevent and detect fraud.

Code of Federal Regulations, 2010 CFR

2010-07-01

.... 104.71 Section 104.71 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) SEPTEMBER 11TH VICTIM... prevent and detect fraud. (a) Review of claims. For the purpose of detecting and preventing the payment of...; and (3) Ensure the quality control of claims review procedures. (b) Quality control. The Special...

Education Financial Management: Weak Internal Controls Led to Instances of Fraud and Other Improper Payments. Report to Congressional Requesters.

ERIC Educational Resources Information Center

Calbom, Linda M.

This report to Congressional Requesters is concerned with internal control problems found in the U.S. Department of Education. Significant internal control weaknesses in the U.S. Department of Education's payment processes and poor physical control over its computer assets made the department vulnerable to (and in some cases resulted in) fraud,…

Afghanistan: Politics, Elections, and Government Performance

DTIC Science & Technology

2010-05-06

the fraud had been investigated. On that basis, the United States, as well as U.N. Secretary General Ban Ki Moon (visiting Kabul), and several...press for investigation of the fraud. This led to the September 29, 2009, dismissal by Secretary General Ban Ki Moon of Galbraith, who had openly...Telecommunications; (9) Abdur Rahim Oraz, Minister of Transport and Aviation; and (10) Sultan Hussein Hesari, Minister of Urban Development. 2010

Afghanistan: Politics, Elections, and Government Performance

DTIC Science & Technology

2010-06-02

grounds that the fraud had been investigated. On that basis, the United States, as well as U.N. Secretary General Ban Ki Moon (visiting Kabul), and...vigorously to press for investigation of the fraud. This led to the September 29, 2009, dismissal by Secretary General Ban Ki Moon of Galbraith, who...Abdul Qadus Hamidi, Minister of Communications; (9) Abdur Rahim Oraz, Minister of Transport and Aviation; and (10) Sultan Hussein Hesari, Minister

No evidence of the effect of the interventions to combat health care fraud and abuse: a systematic review of literature.

PubMed

Rashidian, Arash; Joudaki, Hossein; Vian, Taryn

2012-01-01

Despite the importance of health care fraud and the political, legislative and administrative attentions paid to it, combating fraud remains a challenge to the health systems. We aimed to identify, categorize and assess the effectiveness of the interventions to combat health care fraud and abuse. The interventions to combat health care fraud can be categorized as the interventions for 'prevention' and 'detection' of fraud, and 'response' to fraud. We conducted sensitive search strategies on Embase, CINAHL, and PsycINFO from 1975 to 2008, and Medline from 1975-2010, and on relevant professional and organizational websites. Articles assessing the effectiveness of any intervention to combat health care fraud were eligible for inclusion in our review. We considered including the interventional studies with or without a concurrent control group. Two authors assessed the studies for inclusion, and appraised the quality of the included studies. As a limited number of studies were found, we analyzed the data using narrative synthesis. The searches retrieved 2229 titles, of which 221 full-text studies were assessed. We found no studies using an RCT design. Only four original articles (from the US and Taiwan) were included: two studies within the detection category, one in the response category, one under the detection and response categories, and no studies under the prevention category. The findings suggest that data-mining may improve fraud detection, and legal interventions as well as investment in anti-fraud activities may reduce fraud. Our analysis shows a lack of evidence of effect of the interventions to combat health care fraud. Further studies using robust research methodologies are required in all aspects of dealing with health care fraud and abuse, assessing the effectiveness and cost-effectiveness of methods to prevent, detect, and respond to fraud in health care.

No Evidence of the Effect of the Interventions to Combat Health Care Fraud and Abuse: A Systematic Review of Literature

PubMed Central

Rashidian, Arash; Joudaki, Hossein; Vian, Taryn

2012-01-01

Background Despite the importance of health care fraud and the political, legislative and administrative attentions paid to it, combating fraud remains a challenge to the health systems. We aimed to identify, categorize and assess the effectiveness of the interventions to combat health care fraud and abuse. Methods The interventions to combat health care fraud can be categorized as the interventions for ‘prevention’ and ‘detection’ of fraud, and ‘response’ to fraud. We conducted sensitive search strategies on Embase, CINAHL, and PsycINFO from 1975 to 2008, and Medline from 1975–2010, and on relevant professional and organizational websites. Articles assessing the effectiveness of any intervention to combat health care fraud were eligible for inclusion in our review. We considered including the interventional studies with or without a concurrent control group. Two authors assessed the studies for inclusion, and appraised the quality of the included studies. As a limited number of studies were found, we analyzed the data using narrative synthesis. Findings The searches retrieved 2229 titles, of which 221 full-text studies were assessed. We found no studies using an RCT design. Only four original articles (from the US and Taiwan) were included: two studies within the detection category, one in the response category, one under the detection and response categories, and no studies under the prevention category. The findings suggest that data-mining may improve fraud detection, and legal interventions as well as investment in anti-fraud activities may reduce fraud. Discussion Our analysis shows a lack of evidence of effect of the interventions to combat health care fraud. Further studies using robust research methodologies are required in all aspects of dealing with health care fraud and abuse, assessing the effectiveness and cost-effectiveness of methods to prevent, detect, and respond to fraud in health care. PMID:22936981

Fraud in scientific research – birth of the Concordat to uphold research integrity in the United Kingdom

PubMed Central

Khajuria, Ankur; Agha, Riaz

2014-01-01

Fraud in research has risen exponentially and recent high profile cases may just be the tip of the iceberg. This threatens to have a major impact on public health, with policy makers and clinicians acting on erroneous data. To address this, the new research “Concordat”, a consensus statement on research misconduct, has been published. Can it hold the key to rebuilding public confidence in scientific research in the United Kingdom? This review focuses on the concept of research misconduct, highlighting prominent cases and discussing strategies in order to restore confidence in the validity of scientific research. PMID:24262890

Reduce Fraud Risk in Your District with Stronger Internal Controls

ERIC Educational Resources Information Center

Okrzesik, Daryl J.; Nuehring, Bert G.

2011-01-01

Internal accounts offer schools a faster, more convenient way to handle the income and expenses that result from student fees, school clubs and organizations, field trips, fund-raising, and similar activities. But this convenience also incurs the added risk of fraud. Fortunately, there are proven ways to strengthen internal controls and reduce…

Afghanistan: Politics, Elections, and Government Performance

DTIC Science & Technology

2010-06-29

constitution,” on the grounds that the fraud had been investigated. On that basis, the United States, as well as U.N. Secretary General Ban Ki Moon (visiting...of the fraud. This led to the September 29, 2009, dismissal by Secretary General Ban Ki Moon of Galbraith, who had openly accused UNAMA head Kai Eide...Abdul Qadus Hamidi, minister of communications; (9) Abdur Rahim Oraz, minister of transport and aviation; and (10) Sultan Hussein Hesari, minister of

High Risks and Emerging Fraud: IRS, Student Loans, and HUD. Hearing before the Committee on Governmental Affairs. United States Senate, One Hundred Third Congress, Second Session (July 19, 1994).

ERIC Educational Resources Information Center

Congress of the U.S., Washington, DC. Senate.

These hearing transcripts present testimony on the high risks and emerging fraud in several areas of the federal government, including the Student Loan Program of the Education Department (ED), the Multifamily Housing Program of the Department of Housing and Urban Development (HUD), and Internal Revenue Service (IRS) tax return filing. Testimony…

NPS Government Purchase Card Program: An Analysis of Internal Controls

DTIC Science & Technology

2014-03-01

approving official APC agency program coordinator CCPMD Consolidated Card Program Management Division CH cardholder COSO Committee of Sponsoring...correct, and minimize fraud, waste, and abuse” (DPAP, 2011, p. 2-2). To minimize risks , the management and internal controls should have support from...three interrelated subjects: enterprise risk management (ERM), internal control, and fraud deterrence” (para. 6). The 23 five components of an

Financial Crisis; Department of Defense Spending: How to Control Fraud, Waste, and Abuse in the Military

DTIC Science & Technology

2012-04-25

problem that continues to cost billions of dollars in losses at a time when the United States Military and Federal Government can least afford it. It...to look like. The federal budget has become the leading issue affecting every Government Agency. The military’s budget is decreasing by more than...discuss the cost savings measures and initiatives currently being debated in Washington, and offer, for debate, several new recommendations that have

Employee theft and fraud: bigger than ever and getting worse.

PubMed

2001-02-01

Fraud examiners and investigators say that employee theft is out of control, citing recent U.S. Chamber of Commerce figures that employees steal approximately $400 billion from businesses each year and an Ernst & Young survey showing that nearly 90% of organizations countrywide experienced some type of fraud in the 12 months prior to the survey. An additional undetermined amount is being reported lost because of external fraud committed by customers, vendors, and others having contact with a company or institution. Fraud experts interviewed for this report note that all sectors are targets--including retailers, hospitals and healthcare, the hotel industry, schools, and college campuses. In this report, we'll present the how's and whys of this development and also describe what one medical center is doing to stop thefts of medical equipment and computers.

Reviews Book: Sustainable Energy—Without the Hot Air Equipment: Doppler Effect Unit Book: The Physics of Rugby Book: Plastic Fantastic: How the Biggest Fraud in Physics Shook the Scientific World Equipment: Brunel Eyecam Equipment: 200x Digital Microscope Book: The Atom and the Apple: Twelve Tales from Contemporary Physics Book: Physics 2 for OCR Web Watch

NASA Astrophysics Data System (ADS)

2009-09-01

WE RECOMMEND Sustainable Energy—Without the Hot Air This excellent book makes sense of energy facts and figures Doppler Effect Unit Another simple, effective piece of kit from SEP Plastic Fantastic: How the Biggest Fraud in Physics Shook the Scientific World Intriguing and unique write-up of an intellectual fraud case Brunel Eyecam An affordable digital eyepiece for your microscope 200x Digital Microscope An adjustable digital flexcam for classroom use The Atom and the Apple: Twelve Tales from Contemporary Physics A fascinating round-up of the recent history of physics WORTH A LOOK The Physics of Rugby Book uses sport analogy and context to teach physics concepts Physics 2 for OCR Essential textbook for the course but otherwise pointless WEB WATCH Some free teaching materials are better than those you'd pay for

Strong Internal Controls at Service Delivery Level Will Help Prevent CETA-Type Fraud and Abuse in Job Training Partnership Act Programs. Report to Senator Sam Nunn, Ranking Minority Member, Permanent Subcommittee on Investigations, Senate Committee on Governmental Affairs.

ERIC Educational Resources Information Center

General Accounting Office, Washington, DC.

The Government Accounting Office (GAO) conducted an examination of patterns and causes of fraud in Comprehensive Employment and Training Act (CETA) programs to determine how implementation of Job Training Partnership Act (JTPA) programs might be made less vulnerable to exploitation. GAO's investigation found that fraud and abuse in CETA programs…

Internal Controls for the Military Sealift Command Portion of the Transportation Business Area of the FY 1994 Defense Business Operations Fund Financial Statements

DTIC Science & Technology

1995-06-28

Secondary Reports Dilution Unit, Audit Planning and Technical Support Directorate, at (703) 604-8937 (DSN 664-8937) or FAX (703) 604-8932. Suggestions...for Future Audits To suggest ideas for or to request future audits , contact the Planning and Coordination Branch, Audit Planning and Technical...Defense OAIG-AUD (ATTN: APTS Audit Suggestions) 400 Army Navy Drive (Room 801) Arlington, Virginia 22202-2884 DoD Hotline To report fraud, waste

Questionable, Objectionable or Criminal? Public Opinion on Data Fraud and Selective Reporting in Science.

PubMed

Pickett, Justin T; Roche, Sean Patrick

2018-02-01

Data fraud and selective reporting both present serious threats to the credibility of science. However, there remains considerable disagreement among scientists about how best to sanction data fraud, and about the ethicality of selective reporting. The public is arguably the largest stakeholder in the reproducibility of science; research is primarily paid for with public funds, and flawed science threatens the public's welfare. Members of the public are able to make meaningful judgments about the morality of different behaviors using moral intuitions. Legal scholars emphasize that to maintain legitimacy, social control policies must be developed with some consideration given to the public's moral intuitions. Although there is a large literature on popular attitudes toward science, there is no existing evidence about public opinion on data fraud or selective reporting. We conducted two studies-a survey experiment with a nationwide convenience sample (N = 821), and a follow-up survey with a representative sample of US adults (N = 964)-to explore community members' judgments about the morality of data fraud and selective reporting in science. The findings show that community members make a moral distinction between data fraud and selective reporting, but overwhelmingly judge both behaviors to be immoral and deserving of punishment. Community members believe that scientists who commit data fraud or selective reporting should be fired and banned from receiving funding. For data fraud, most Americans support criminal penalties. Results from an ordered logistic regression analysis reveal few demographic and no significant partisan differences in punitiveness toward data fraud.

7 CFR 1738.308 - Full faith and credit of the United States.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 7 Agriculture 11 2013-01-01 2013-01-01 false Full faith and credit of the United States. 1738.308....308 Full faith and credit of the United States. Loan guarantees made under this part are supported by the full faith and credit of the United States and are incontestable except for fraud or...

7 CFR 1738.308 - Full faith and credit of the United States.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 7 Agriculture 11 2014-01-01 2014-01-01 false Full faith and credit of the United States. 1738.308....308 Full faith and credit of the United States. Loan guarantees made under this part are supported by the full faith and credit of the United States and are incontestable except for fraud or...

7 CFR 1738.308 - Full faith and credit of the United States.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 7 Agriculture 11 2012-01-01 2012-01-01 false Full faith and credit of the United States. 1738.308....308 Full faith and credit of the United States. Loan guarantees made under this part are supported by the full faith and credit of the United States and are incontestable except for fraud or...

45 CFR 79.45 - Deposit in Treasury of United States.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 45 Public Welfare 1 2010-10-01 2010-10-01 false Deposit in Treasury of United States. 79.45 Section 79.45 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION PROGRAM FRAUD CIVIL REMEDIES § 79.45 Deposit in Treasury of United States. All amounts collected pursuant to this part...

6 CFR 13.45 - Deposit in Treasury of United States.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 6 Domestic Security 1 2010-01-01 2010-01-01 false Deposit in Treasury of United States. 13.45 Section 13.45 Domestic Security DEPARTMENT OF HOMELAND SECURITY, OFFICE OF THE SECRETARY PROGRAM FRAUD CIVIL REMEDIES § 13.45 Deposit in Treasury of United States. All amounts collected pursuant to this part...

Identifying procurement Fraud In Defense Agencies: An Analysis Of The Government Purchase Card Program

DTIC Science & Technology

2011-04-18

Treadway Commission ( Whittington & Pany, 2012). Furthermore, the Chief Finanical Officers Act (1990) noted that billions of dollars were being lost...The components of the internal control framework include the following ( Whittington & Pany, 2012): 1. The Control Environment, 2. Risk Assessment...approaches to fraud deterrence. Journal of Accountancy, 197(2), 72–76. Whittington , O. R., & Pany, K. (2012). Principles of auditing and other

Avoiding fraud risks associated with EHRs.

PubMed

Helton, Jeffrey R

2010-07-01

Fraud associated with electronic health records (EHRs) generally falls into two categories: inappropriate billing by healthcare providers and inappropriate access by a system's users. A provider's EHR system requires controls to be of any significant help in detecting such fraudulent activity, or in gathering transactional evidence should such activity be identified. To protect against potential EHR-related healthcare fraud, providers should follow the recommendations established in 2007 by RTI International for the Office of the National Coordinator for Health Information Technology of the U.S. Department of Health and Human Services.

32 CFR 700.332 - The Naval Inspector General.

Code of Federal Regulations, 2013 CFR

2013-07-01

...) Serving as the Department of the Navy coordinator for fraud, waste and efficiency matters; (6) Serving as....332 National Defense Department of Defense (Continued) DEPARTMENT OF THE NAVY UNITED STATES NAVY REGULATIONS AND OFFICIAL RECORDS UNITED STATES NAVY REGULATIONS AND OFFICIAL RECORDS The Secretary of the Navy...

32 CFR 700.332 - The Naval Inspector General.

Code of Federal Regulations, 2014 CFR

2014-07-01

...) Serving as the Department of the Navy coordinator for fraud, waste and efficiency matters; (6) Serving as....332 National Defense Department of Defense (Continued) DEPARTMENT OF THE NAVY UNITED STATES NAVY REGULATIONS AND OFFICIAL RECORDS UNITED STATES NAVY REGULATIONS AND OFFICIAL RECORDS The Secretary of the Navy...

32 CFR 700.332 - The Naval Inspector General.

Code of Federal Regulations, 2011 CFR

2011-07-01

...) Serving as the Department of the Navy coordinator for fraud, waste and efficiency matters; (6) Serving as....332 National Defense Department of Defense (Continued) DEPARTMENT OF THE NAVY UNITED STATES NAVY REGULATIONS AND OFFICIAL RECORDS UNITED STATES NAVY REGULATIONS AND OFFICIAL RECORDS The Secretary of the Navy...

32 CFR 700.332 - The Naval Inspector General.

Code of Federal Regulations, 2012 CFR

2012-07-01

...) Serving as the Department of the Navy coordinator for fraud, waste and efficiency matters; (6) Serving as....332 National Defense Department of Defense (Continued) DEPARTMENT OF THE NAVY UNITED STATES NAVY REGULATIONS AND OFFICIAL RECORDS UNITED STATES NAVY REGULATIONS AND OFFICIAL RECORDS The Secretary of the Navy...

32 CFR 700.332 - The Naval Inspector General.

Code of Federal Regulations, 2010 CFR

2010-07-01

...) Serving as the Department of the Navy coordinator for fraud, waste and efficiency matters; (6) Serving as....332 National Defense Department of Defense (Continued) DEPARTMENT OF THE NAVY UNITED STATES NAVY REGULATIONS AND OFFICIAL RECORDS UNITED STATES NAVY REGULATIONS AND OFFICIAL RECORDS The Secretary of the Navy...

78 FR 14625 - National Consumer Protection Week, 2013

Federal Register 2010, 2011, 2012, 2013, 2014

2013-03-06

... Security Proclamation 8939--100th Anniversary of the United States Department of Labor Order of March 1..., we established a new unit to combat fraud and investigate the abusive lending and mortgage packaging... across the Federal Government joined with consumer advocates to launch www.NCPW.gov , an online resource...

78 FR 65515 - Supplemental Nutrition Assistance Program: Trafficking Controls and Fraud Investigations...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-11-01

... card request. The comment period is being extended to provide additional time for interested parties to... times more likely to be flagged as potential trafficking by FNS' fraud detection system. Trafficking is... many first-time users do not understand how to use the card and a grace period in the beginning would...

31 CFR 16.42 - Judicial review.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 31 Money and Finance: Treasury 1 2010-07-01 2010-07-01 false Judicial review. 16.42 Section 16.42... FRAUD CIVIL REMEDIES ACT OF 1986 § 16.42 Judicial review. Section 3805 of title 31, United States Code, authorizes judicial review by an appropriate United States District Court of a final decision of the...

75 FR 23274 - Privacy Act of 1974; Department of Homeland Security United States Immigration Customs and...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-05-03

... is a risk of harm to economic or property interests, identity theft or fraud, or harm to the security... DEPARTMENT OF HOMELAND SECURITY Office of the Secretary [Docket No. DHS-2010-0031] Privacy Act of 1974; Department of Homeland Security United States Immigration Customs and Enforcement--011...

Identifying Procurement Fraud in Defense Agencies: An Analysis of the Government Purchase Card Program

DTIC Science & Technology

2011-04-30

fielding, contracting, interoperability, organizational behavior, risk management , cost estimating, and many others. Approaches range from... COSO ), (Whittington & Pany, 2012). In addition, the Federal Financial Management Improvement Act of 1996 identified internal control as an...fraud indicators within the DoD Government Purchase Card Programs and provides recommendations for improving the management of Government Purchase

Development of surface enhanced Raman scattering (SERS) spectroscopy monitoring of fuel markers to prevent fraud

NASA Astrophysics Data System (ADS)

Wilkinson, Timothy; Clarkson, John; White, Peter C.; Meakin, Nicholas; McDonald, Ken

2013-05-01

Governments often tax fuel products to generate revenues to support and stimulate their economies. They also subsidize the cost of essential fuel products. Fuel taxation and subsidization practices are both subject to fraud. Oil marketing companies also suffer from fuel fraud with loss of legitimate sales and additional quality and liability issues. The use of an advanced marking system to identify and control fraud has been shown to be effective in controlling illegal activity. DeCipher has developed surface enhanced Raman scattering (SERS) spectroscopy as its lead technology for measuring markers in fuel to identify and control malpractice. SERS has many advantages that make it highly suitable for this purpose. The SERS instruments are portable and can be used to monitor fuel at any point in the supply chain. SERS shows high specificity for the marker, with no false positives. Multiple markers can also be detected in a single SERS analysis allowing, for example, specific regional monitoring of fuel. The SERS analysis from fuel is also quick, clear and decisive, with a measurement time of less than 5 minutes. We will present results highlighting our development of the use of a highly stable silver colloid as a SERS substrate to measure the markers at ppb levels. Preliminary results from the use of a solid state SERS substrate to measure fuel markers will also be presented.

FraudBuster: Reducing Fraud in an Auto Insurance Market.

PubMed

Nagrecha, Saurabh; Johnson, Reid A; Chawla, Nitesh V

2018-03-01

Nonstandard insurers suffer from a peculiar variant of fraud wherein an overwhelming majority of claims have the semblance of fraud. We show that state-of-the-art fraud detection performs poorly when deployed at underwriting. Our proposed framework "FraudBuster" represents a new paradigm in predicting segments of fraud at underwriting in an interpretable and regulation compliant manner. We show that the most actionable and generalizable profile of fraud is represented by market segments with high confidence of fraud and high loss ratio. We show how these segments can be reported in terms of their constituent policy traits, expected loss ratios, support, and confidence of fraud. Overall, our predictive models successfully identify fraud with an area under the precision-recall curve of 0.63 and an f-1 score of 0.769.

75 FR 24737 - Extension of the Designation of Nicaragua for Temporary Protected Status and Automatic Extension...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-05-05

... global economic crisis. Economic development has also been hindered and disrupted by electoral fraud and... damaged water supplies, leaving whole communities lacking potable water. According to the United Nations...

Fraud at the Global Fund? A viewpoint.

PubMed

Brown, Jonathan C; Griekspoor, Wilfred

2013-01-01

The Global Fund to Fight AIDS, Tuberculosis and Malaria has contributed to remarkable health improvements in the three diseases since its creation in 2002. However, media reports about "astonishing losses" and fraud in Fund programs in 2011 caused several donors to suspend funding. The Fund's annual round of new financing was canceled, and a substantial reform program is being implemented. Two former senior managers of the Fund contend that fraud was never a major problem; rather than imposing harsh new controls on recipient countries that might impede health outcomes, the Fund should maintain the core elements of its innovative model and make selective rather than sweeping changes in its operations. Copyright © 2012 John Wiley & Sons, Ltd.

39 CFR 273.2 - Definitions.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 39 Postal Service 1 2010-07-01 2010-07-01 false Definitions. 273.2 Section 273.2 Postal Service UNITED STATES POSTAL SERVICE ORGANIZATION AND ADMINISTRATION ADMINISTRATION OF PROGRAM FRAUD CIVIL... representation, certification, affirmation, document, record, or accounting or bookkeeping entry made: (1) With...

Administrative Subpoenas and National Security Letters in Criminal and Intelligence Investigations: A Sketch

DTIC Science & Technology

2005-04-15

exclusive for use in a criminal investigation in cases involving health care fraud, child abuse , Secret Service protection, controlled substance cases...explicit prohibition on disclosure of the existence or specifics of a subpoena issued under this authority. Health Care, Child Abuse & Presidential...investigations. It is an amalgam is three relatively recent statutory provisions — one, the original, dealing with health care fraud; one with child abuse offenses

Scientific Misconduct and the Myth of Self-Correction in Science.

PubMed

Stroebe, Wolfgang; Postmes, Tom; Spears, Russell

2012-11-01

The recent Stapel fraud case came as a shattering blow to the scientific community of psychologists and damaged both their image in the media and their collective self-esteem. The field responded with suggestions of how fraud could be prevented. However, the Stapel fraud is only one among many cases. Before basing recommendations on one case, it would be informative to study other cases to assess how these frauds were discovered. The authors analyze a convenience sample of fraud cases to see whether (social) psychology is more susceptible to fraud than other disciplines. They also evaluate whether the peer review process and replications work well in practice to detect fraud. There is no evidence that psychology is more vulnerable to fraud than the biomedical sciences, and most frauds are detected through information from whistleblowers with inside information. On the basis of this analysis, the authors suggest a number of strategies that might reduce the risk of scientific fraud. © The Author(s) 2012.

Teaching Aids in Consumer Economics, 1970-71.

ERIC Educational Resources Information Center

New York State Council on Economic Education, Albany.

The document consists of 12 consumer education units for grade 12: Consumer Purchasing; Purchasing Food, Clothing, Furniture, and Appliances; Purchasing and Maintaining an Automobile; Housing; Consumer Credit; Money Management; Fraud, Quackery, and Deception; Banking and Savings; Investments; Life Insurance; Security Programs (Social Security,…

A real time metabolomic profiling approach to detecting fish fraud using rapid evaporative ionisation mass spectrometry.

PubMed

Black, Connor; Chevallier, Olivier P; Haughey, Simon A; Balog, Julia; Stead, Sara; Pringle, Steven D; Riina, Maria V; Martucci, Francesca; Acutis, Pier L; Morris, Mike; Nikolopoulos, Dimitrios S; Takats, Zoltan; Elliott, Christopher T

2017-01-01

Fish fraud detection is mainly carried out using a genomic profiling approach requiring long and complex sample preparations and assay running times. Rapid evaporative ionisation mass spectrometry (REIMS) can circumvent these issues without sacrificing a loss in the quality of results. To demonstrate that REIMS can be used as a fast profiling technique capable of achieving accurate species identification without the need for any sample preparation. Additionally, we wanted to demonstrate that other aspects of fish fraud other than speciation are detectable using REIMS. 478 samples of five different white fish species were subjected to REIMS analysis using an electrosurgical knife. Each sample was cut 8-12 times with each one lasting 3-5 s and chemometric models were generated based on the mass range m/z 600-950 of each sample. The identification of 99 validation samples provided a 98.99% correct classification in which species identification was obtained near-instantaneously (≈ 2 s) unlike any other form of food fraud analysis. Significant time comparisons between REIMS and polymerase chain reaction (PCR) were observed when analysing 6 mislabelled samples demonstrating how REIMS can be used as a complimentary technique to detect fish fraud. Additionally, we have demonstrated that the catch method of fish products is capable of detection using REIMS, a concept never previously reported. REIMS has been proven to be an innovative technique to help aid the detection of fish fraud and has the potential to be utilised by fisheries to conduct their own quality control (QC) checks for fast accurate results.

75 FR 26196 - Publication of OIG Updated Special Fraud Alert on Telemarketing by Durable Medical Equipment...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-05-11

... Special Fraud Alert on Telemarketing by Durable Medical Equipment Suppliers AGENCY: Office of Inspector... Special Fraud Alert. Specifically, the Updated Special Fraud Alert addressed the statutory provision...) 205-0007. SUPPLEMENTARY INFORMATION: In our publication of the OIG Updated Special Fraud Alert on...

Fighting Domestic and International Fraud in the Admissions and Registrar's Offices

ERIC Educational Resources Information Center

Koenig, Ann M.; Devlin, Edward

2012-01-01

The education sector is no stranger to fraud, unfortunately. This article provides best practice guidance in recognizing and dealing with fraud, with emphasis on domestic and international academic credential fraud. It includes practical approaches to academic document review and verification. Success in fighting fraud requires becoming informed,…

The Role of the Ventromedial Prefrontal Cortex in Purchase Intent Among Older Adults.

PubMed

Koestner, Bryan P; Hedgcock, William; Halfmann, Kameko; Denburg, Natalie L

2016-01-01

Older adults are frequently the targets of scams and deception, with millions of individuals being affected each year in the United States alone. Previous research has shown that the ventromedial prefrontal cortex (vmPFC) may play a role in vulnerability to fraud. The current study examined brain activation patterns in relation to susceptibility to scams and fraud using functional magnetic resonance imaging (fMRI). Twenty-eight healthy, community-dwelling older adults were subdivided into groups of impaired and unimpaired decision makers as determined by their performance on the Iowa Gambling Task (IGT). While in the scanner, the participants viewed advertisements that were created directly from cases deemed deceptive by the Federal Trade Commission (FTC). We then obtained behavioral measures involving comprehension of claims and purchase intention of the product in each advertisement. Contrasts show brain activity in the vmPFC was less correlated with purchase intention in impaired vs. unimpaired older adult decision makers. Our results have important implications for both future research and recognizing the possible causes of fraud susceptibility among older adults.

The Role of the Ventromedial Prefrontal Cortex in Purchase Intent Among Older Adults

PubMed Central

Koestner, Bryan P.; Hedgcock, William; Halfmann, Kameko; Denburg, Natalie L.

2016-01-01

Older adults are frequently the targets of scams and deception, with millions of individuals being affected each year in the United States alone. Previous research has shown that the ventromedial prefrontal cortex (vmPFC) may play a role in vulnerability to fraud. The current study examined brain activation patterns in relation to susceptibility to scams and fraud using functional magnetic resonance imaging (fMRI). Twenty-eight healthy, community-dwelling older adults were subdivided into groups of impaired and unimpaired decision makers as determined by their performance on the Iowa Gambling Task (IGT). While in the scanner, the participants viewed advertisements that were created directly from cases deemed deceptive by the Federal Trade Commission (FTC). We then obtained behavioral measures involving comprehension of claims and purchase intention of the product in each advertisement. Contrasts show brain activity in the vmPFC was less correlated with purchase intention in impaired vs. unimpaired older adult decision makers. Our results have important implications for both future research and recognizing the possible causes of fraud susceptibility among older adults. PMID:27536238

Procurement Fraud: A Knowledge-Level Analysis of Contracting Personnel

DTIC Science & Technology

2014-12-01

experience, or how many years the paliicipant has been in the contracting career field. The scores ranged from 56.8 percent for patt icipants with 11 to 20...23. Percentage ofResponses to Internal Control Perception Question c. Procurement Fraud Scheme The survey patt icipants were asked to which...survey patt icipants’ average scores on the knowledge questions held a negative con elation with their yeru·s of experience, with the exception of

Recovering fraudulent claims for Australian federal expenditure on pharmaceuticals and medical devices.

PubMed

Faunce, Thomas; Urbas, Gregor; Skillen, Lesley; Smith, Marc

2010-12-01

The Australian Federal Government expends increasingly large amounts of money on pharmaceuticals and medical devices. It is likely, given government experience in other jurisdictions, that a significant proportion of this expenditure is paid as a result of fraudulent claims presented by corporations. In the United States, legislation such as the False Claims Act 1986 (US), the Fraud Enforcement and Recovery Act 2009 (US), the Stark (Physician Self-Referral) Statute 1995 (US), the Anti-Kickback Statute 1972 (US), the Food, Drug and Cosmetic Act 1938 (US), the Social Security Act 1965 (US), and the Patient Protection and Affordable Care Act 2010 (US) has created systematic processes allowing the United States Federal Government to recover billions of dollars in fraudulently made claims in the health and procurement areas. The crucial component involves the creation of financial incentives for information about fraud to be revealed from within the corporate sector to the appropriate state officials. This article explores the opportunities for creating a similar system in Australia in the health care setting.

7 CFR 276.3 - Negligence or fraud.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 7 Agriculture 4 2010-01-01 2010-01-01 false Negligence or fraud. 276.3 Section 276.3 Agriculture... Negligence or fraud. (a) General. If FNS determines that there has been negligence or fraud on the part of..., pay to FNS a sum equal to the amount of coupons issued as a result of such negligence or fraud. (b...

Using support vector machines to detect medical fraud and abuse.

PubMed

Francis, Charles; Pepper, Noah; Strong, Homer

2011-01-01

This paper examines the architecture and efficacy of Quash, an automated medical bill processing system capable of bill routing and abuse detection. Quash is designed to be used in conjunction with human auditors and a standard bill review software platform to provide a complete cost containment solution for medical claims. The primary contribution of Quash is to provide a real world speed up for medical fraud detection experts in their work. There will be a discussion of implementation details and preliminary experimental results. In this paper we are entirely focused on medical data and billing patterns that occur within the United States, though these results should be applicable to any financial transaction environment in which structured coding data can be mined.

Approaches for Establishing Fraud Risk Assessment Programs and Conducting Fraud Audit Risk Assessments Within the Department of Defense

DTIC Science & Technology

2014-07-17

Auditing Health Care Organizations _________ 35 Special Fraud Risk Considerations When Auditing Government Contracts ______________ 36 iv │ DODIG-2014...Auditor Fraud Risk Assessment Special Considerations Special Fraud Risk Considerations When Auditing Health Care Organizations...Learning Opportunities 0 Government Relations (Public Policy and Strategic Relations) Government Relations 0 Health Care Affairs Health Care Affairs 0 Human

45 CFR 79.42 - Judicial review.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 45 Public Welfare 1 2010-10-01 2010-10-01 false Judicial review. 79.42 Section 79.42 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION PROGRAM FRAUD CIVIL REMEDIES § 79.42 Judicial review. Section 3805 of title 31, United States Code, authorizes judicial review by an...

39 CFR 230.1 - Establishment and authority.

Code of Federal Regulations, 2010 CFR

2010-07-01

... responsible for detecting and preventing fraud, waste, and abuse in the programs and operations of the Postal... Postal Service UNITED STATES POSTAL SERVICE ORGANIZATION AND ADMINISTRATION OFFICE OF INSPECTOR GENERAL... the Inspector General Act of 1978, as amended (5 U.S.C. App.3), and 39 U.S.C. 410, an independent...

22 CFR 224.44 - Right to administrative offset.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Right to administrative offset. 224.44 Section 224.44 Foreign Relations AGENCY FOR INTERNATIONAL DEVELOPMENT IMPLEMENTATION OF THE PROGRAM FRAUD... against a refund of an overpayment of Federal taxes, then or later owning by the United States to the...

6 CFR 13.42 - Judicial review.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 6 Domestic Security 1 2010-01-01 2010-01-01 false Judicial review. 13.42 Section 13.42 Domestic Security DEPARTMENT OF HOMELAND SECURITY, OFFICE OF THE SECRETARY PROGRAM FRAUD CIVIL REMEDIES § 13.42 Judicial review. Section 3805 of title 31, United States Code, authorizes judicial review by an appropriate...

75 FR 66822 - Study on Extraterritorial Private Rights of Action

Federal Register 2010, 2011, 2012, 2013, 2014

2010-10-29

... Extraterritorial Private Rights of Action AGENCY: Securities and Exchange Commission. ACTION: Request for Comments... and thereafter conduct a study to determine the extent to which private rights of action under the... United States to bring actions under Section 10(b) in cases involving transnational securities fraud...

39 CFR 962.13 - Subpoenas.

Code of Federal Regulations, 2010 CFR

2010-07-01

... UNITED STATES POSTAL SERVICE PROCEDURES RULES OF PRACTICE IN PROCEEDINGS RELATIVE TO THE PROGRAM FRAUD... testimony at a hearing; and (3) Production of books and papers. In addition to paragraphs (a)(1) and (a)(2) of this section, the production by the witness at the deposition or hearing of books and papers...

45 CFR 96.33 - Referral of cases to the Inspector General.

Code of Federal Regulations, 2014 CFR

2014-10-01

... Section 96.33 Public Welfare Department of Health and Human Services GENERAL ADMINISTRATION BLOCK GRANTS Financial Management § 96.33 Referral of cases to the Inspector General. State or tribal officials who have information indicating the commission or potential commission of fraud or other offenses against the United...

45 CFR 96.33 - Referral of cases to the Inspector General.

Code of Federal Regulations, 2010 CFR

2010-10-01

... Section 96.33 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION BLOCK GRANTS Financial Management § 96.33 Referral of cases to the Inspector General. State or tribal officials who have information indicating the commission or potential commission of fraud or other offenses against the United...

45 CFR 96.33 - Referral of cases to the Inspector General.

Code of Federal Regulations, 2012 CFR

2012-10-01

... Section 96.33 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION BLOCK GRANTS Financial Management § 96.33 Referral of cases to the Inspector General. State or tribal officials who have information indicating the commission or potential commission of fraud or other offenses against the United...

45 CFR 96.33 - Referral of cases to the Inspector General.

Code of Federal Regulations, 2013 CFR

2013-10-01

... Section 96.33 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION BLOCK GRANTS Financial Management § 96.33 Referral of cases to the Inspector General. State or tribal officials who have information indicating the commission or potential commission of fraud or other offenses against the United...

45 CFR 96.33 - Referral of cases to the Inspector General.

Code of Federal Regulations, 2011 CFR

2011-10-01

... Section 96.33 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION BLOCK GRANTS Financial Management § 96.33 Referral of cases to the Inspector General. State or tribal officials who have information indicating the commission or potential commission of fraud or other offenses against the United...

32 CFR 516.58 - Policies.

Code of Federal Regulations, 2011 CFR

2011-07-01

... LITIGATION Remedies in Procurement Fraud and Corruption § 516.58 Policies. (a) Procurement fraud and... administrative remedies in significant cases of fraud or corruption relating to Army procurement. (d) The key... of fraud or corruption involving procurement. (g) Coordination on the status and disposition of cases...

78 FR 22270 - Special Fraud Alert: Physician-Owned Entities

Federal Register 2010, 2011, 2012, 2013, 2014

2013-04-15

...] Special Fraud Alert: Physician-Owned Entities AGENCY: Office of Inspector General (OIG), HHS. ACTION... Physician-Owned Entities. Specifically, the Special Fraud Alert addressed physician-owned entities that... publication of the Special Fraud Alert on Physician-Owned Entities, an inadvertent error appeared in the DATES...

Introducing Food Fraud including translation and interpretation to Russian, Korean, and Chinese languages.

PubMed

Spink, John; Moyer, Douglas C; Park, Hyeonho; Wu, Yongning; Fersht, Victor; Shao, Bing; Hong, Miao; Paek, Seung Yeop; Edelev, Dmitry

2015-12-15

This paper introduces the topic of Food Fraud with translations to Russian, Korean, and Chinese. The concepts provide a system-wide focus leading to prevention. The goal is not to detect Food Fraud but to adjust entire food supply chains to reduce fraud opportunities. Food Fraud is a recently defined area of Food Protection between Food Safety (such as Salmonella or pesticide residue), and Food Defense (malicious intent to harm such as terrorism). Food Fraud is intentional with no intent to harm but only for economic gain. As with improving Food Safety and Food Defense, preventing Food Fraud is good for society and the economy. Society benefits through fewer public health threats from unauthorized acts. Society also benefits from increased consumer satisfaction and harmony. Food Security is increased through the production of more, higher-value products for consumers, commerce, and exporting. Food Fraud can reduce economic output because sickened citizens cannot work and it also reduces consumer confidence leading to less commerce. Copyright © 2014 Elsevier Ltd. All rights reserved.

77 FR 2778 - Sentencing Guidelines for United States Courts

Federal Register 2010, 2011, 2012, 2013, 2014

2012-01-19

...Pursuant to section 994(a), (o), and (p) of title 28, United States Code, the United States Sentencing Commission is considering promulgating certain amendments to the sentencing guidelines, policy statements, and commentary. This notice sets forth the proposed amendments and, for each proposed amendment, a synopsis of the issues addressed by that amendment. This notice also sets forth a number of issues for comment, some of which are set forth together with the proposed amendments; some of which are set forth independent of any proposed amendment; and one of which (regarding retroactive application of proposed amendments) is set forth in the SUPPLEMENTARY INFORMATION portion of this notice. The proposed amendments and issues for comment in this notice are as follows: (1) A proposed amendment on fraud and related offenses, including (A) An issue for comment in response to the issue of harm to the public and financial markets, as raised by each of two directives to the Commission in section 1079A of the Dodd-Frank Wall Street Reform and Consumer Protection Act, Public Law 111-203; (B) a proposed change to Sec. 2B1.4 (Insider Trading) to implement the directive in section 1079A(a)(1) of that Act, and related issues for comment on insider trading, securities fraud, and similar offenses; (C) proposed changes to Sec. 2B1.1 (Theft, Property Destruction, and Fraud) regarding mortgage fraud offenses to implement the directive in section 1079A(a)(2) of that Act, and a related issue for comment on mortgage fraud and financial institution fraud; and (D) issues for comment on the impact of the loss table in Sec. 2B1.1(b)(1) and the victims table in Sec. 2B1.1(b)(2) in cases involving relatively large loss amounts; (2) a proposed amendment on offenses involving controlled substances and chemical precursors, including (A) an issue for comment on offenses involving N-Benzylpiperazine (BZP); and (B) a proposed change to Sec. 2D1.11 (Unlawfully Distributing, Importing, Exporting or Possessing a Listed Chemical; Attempt or Conspiracy) that would create a guidelines ``safety valve'' provision for offenses involving chemical precursors that would be analogous to the provision in Sec. 2D1.1 (Unlawful Manufacturing, Importing, Exporting, or Trafficking (Including Possession with Intent to Commit These Offenses); Attempt or Conspiracy); (3) a proposed amendment on human rights offenses, including (A) a proposed guideline applicable to human rights offenses; (B) proposed changes to Sec. 2L2.1 (Trafficking in a Document Relating to Naturalization, Citizenship, or Legal Resident Status, or a United States Passport; False Statement in Respect to the Citizenship or Immigration Status of Another; Fraudulent Marriage to Assist Alien to Evade Immigration Law) and Sec. 2L2.2 (Fraudulently Acquiring Documents Relating to Naturalization, Citizenship, or Legal Resident Status for Own Use; False Personation or Fraudulent Marriage by Alien to Evade Immigration Law; Fraudulently Acquiring or Improperly Using a United States Passport) to address cases in which the offense of conviction is for immigration or naturalization fraud but the defendant had committed a serious human rights offense; and (C) related issues for comment on human rights offenses; (4) a proposed amendment to Sec. 2L1.2 (Unlawfully Entering or Remaining in the United States) to respond to a circuit conflict over application of the term ``sentence imposed'' in that guideline when the defendant's original ``sentence imposed'' was lengthened after the defendant was deported; (5) a proposed amendment presenting options for specifying the types of documents that may be considered in determining whether a particular prior conviction fits within a particular category of crimes for purposes of specific guideline provisions, and related issues for comment; (6) a proposed amendment to Sec. 4A1.2 (Definitions and Instructions for Computing Criminal History) to respond to an application issue regarding when a defendant's prior sentence for driving while intoxicated or driving under the influence (and similar offenses by whatever name they are known) is counted toward the defendant's criminal history score; (7) a proposed amendment to Sec. 4B1.2 (Definitions of Terms Used in Section 4B1.1) to respond to differences among the circuits on when, if at all, burglary of a non- dwelling qualifies as a crime of violence for purposes of the guidelines, and related issues for comment; (8) a proposed amendment to Sec. 5G1.2 (Sentencing on Multiple Counts of Conviction) to respond to an application issue regarding the applicable guideline range in a case in which the defendant is sentenced on multiple counts of conviction, at least one of which involves a mandatory minimum sentence that is greater than the minimum of the otherwise applicable guideline range; (9) a proposed amendment to Sec. 5K2.19 (Post-Sentencing Rehabilitative Efforts) to respond to Pepper v. United States, 131 S.Ct. 1229 (2011), which held, among other things, that a defendant's post-sentencing rehabilitative efforts may be considered when the defendant is resentenced after appeal; and (10) a proposed amendment in response to miscellaneous issues arising from legislation recently enacted, including (A) proposed changes to Sec. 2P1.2 (Providing or Possessing Contraband in Prison) to respond to the Cell Phone Contraband Act of 2010, Public Law 111-225, and (B) proposed changes to Appendix A (Statutory Index) to address certain criminal provisions in the Prevent All Cigarette Trafficking Act of 2009, Public Law 111-154, the Indian Arts and Crafts Amendments Act of 2010, Public Law 111-211, the Animal Crush Video Prohibition Act of 2010, Public Law 111-294, and certain other statutes, and a related issue for comment.

Is Psychological Vulnerability Related to the Experience of Fraud in Older Adults?

PubMed Central

LICHTENBERG, PETER A.; STICKNEY, LAURIE; PAULSON, DANIEL

2013-01-01

Financial exploitation, and particularly thefts and scams, are increasing at an alarming rate. In this study we (a) determined the national prevalence of older adults who report having been a victim of fraud, (b) created a population-based model for the prediction of fraud, and (c) examined how fraud is experienced by the most psychologically vulnerable older adults. The older adults studied were 4,400 participants in a Health and Retirement Study substudy, the 2008 Leave Behind Questionnaire. The prevalence of fraud across the previous 5 years was 4.5%. Among measures collected in 2002, age, education, and depression were significant predictors of fraud. Financial satisfaction and social-needs fulfillment were measured in 2008 and were significantly related to fraud above and beyond the 2002 predictors. Using depression and social-needs fulfillment to determine the most psychologically vulnerable older adults, we found that fraud prevalence was three times higher (14%) among those with the highest depression and the lowest social-needs fulfillment than among the rest of the sample (4.1%; χ2 = 20.49; p < .001). Clinical gerontologists and other professionals in the field need to be aware of their psychologically vulnerable clients heightened exposure to financial fraud. PMID:23997404

A Review of Financial Accounting Fraud Detection based on Data Mining Techniques

NASA Astrophysics Data System (ADS)

Sharma, Anuj; Kumar Panigrahi, Prabin

2012-02-01

With an upsurge in financial accounting fraud in the current economic scenario experienced, financial accounting fraud detection (FAFD) has become an emerging topic of great importance for academic, research and industries. The failure of internal auditing system of the organization in identifying the accounting frauds has lead to use of specialized procedures to detect financial accounting fraud, collective known as forensic accounting. Data mining techniques are providing great aid in financial accounting fraud detection, since dealing with the large data volumes and complexities of financial data are big challenges for forensic accounting. This paper presents a comprehensive review of the literature on the application of data mining techniques for the detection of financial accounting fraud and proposes a framework for data mining techniques based accounting fraud detection. The systematic and comprehensive literature review of the data mining techniques applicable to financial accounting fraud detection may provide a foundation to future research in this field. The findings of this review show that data mining techniques like logistic models, neural networks, Bayesian belief network, and decision trees have been applied most extensively to provide primary solutions to the problems inherent in the detection and classification of fraudulent data.

77 FR 46258 - Debit Card Interchange Fees and Routing

Federal Register 2010, 2011, 2012, 2013, 2014

2012-08-03

... the types of fraud, methods used to commit fraud, and available fraud-prevention methods. An issuer... 920(a)(5) requires the Board to consider (1) the nature, type, and occurrence of fraud in electronic..., merchant trade associations, a card-payment processor, technology companies, a member of Congress...

75 FR 52944 - Privacy Act of 1974; System of Records

Federal Register 2010, 2011, 2012, 2013, 2014

2010-08-30

... records. Upon the effective date of this notice, system OFHEO-07, ``Mortgage Fraud System'' published at 71 FR 6085 on February 6, 2006 will be deleted. The proposed system named ``Fraud Reporting System'' (FHFA-6) will maintain information of fraud or possible fraud involving the Federal National Mortgage...

42 CFR 455.23 - Suspension of payments in cases of fraud.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 42 Public Health 4 2011-10-01 2011-10-01 false Suspension of payments in cases of fraud. 455.23... SERVICES (CONTINUED) MEDICAL ASSISTANCE PROGRAMS PROGRAM INTEGRITY: MEDICAID Medicaid Agency Fraud Detection and Investigation Program § 455.23 Suspension of payments in cases of fraud. (a) Basis for...

Consumer Frauds and Deceptions: A Learning Module.

ERIC Educational Resources Information Center

Waddell, Fred E.; And Others

This manual is designed to assist helping professionals responsible for developing consumer education programs for older adults on the topic of consumer fraud and deception. In a modular presentation format, the materials address the following areas of concern: (1) types of frauds and deceptions such as money schemes, mail order fraud,…

The ZeroAccess Auto-Clicking and Search-Hijacking Click Fraud Modules

DTIC Science & Technology

2013-12-16

payloads and instead began distributing Bitcoin miners and click fraud modules.3 From a technical perspective, the primary click fraud malware used in...this era operated in the indiscriminate “auto-clicking” fashion we describe in Section 5. Alongside the click fraud and Bitcoin payloads, ZeroAccess

32 CFR 516.67 - Overseas cases of fraud or corruption.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 32 National Defense 3 2011-07-01 2009-07-01 true Overseas cases of fraud or corruption. 516.67... AUTHORITIES AND PUBLIC RELATIONS LITIGATION Remedies in Procurement Fraud and Corruption § 516.67 Overseas cases of fraud or corruption. (a) Commanders of overseas major commands will establish procedures...

Fraud prevention in paying portal

NASA Astrophysics Data System (ADS)

Sandhu, P. S.; Senthilkumar, N. C.

2017-11-01

The purpose of presenting this paper is to give the idea to prevent the fraud in finance paying portals as fraud is increasing on daily basis and mostly in financial sector. So through this paper we are trying to prevent the fraud. This paper will give you the working algorithm through which you can able to prevent the fraud. Algorithm will work according to the spending amount of the user, which means that use will get categories into one of the low, medium, high or very high category.

7 CFR 762.103 - Full faith and credit.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 7 Agriculture 7 2013-01-01 2013-01-01 false Full faith and credit. 762.103 Section 762.103... AGRICULTURE SPECIAL PROGRAMS GUARANTEED FARM LOANS § 762.103 Full faith and credit. (a) Fraud and misrepresentation. The loan guarantee constitutes an obligation supported by the full faith and credit of the United...

Formula Funding of Schools, Decentralization and Corruption: A Comparative Analysis

ERIC Educational Resources Information Center

Levacic, Rosalind; Downes, Peter

2004-01-01

This study sets out to examine the relationship, if any, between the decentralization of funding for schools and the prevalence of corruption and fraud. It is based upon work carried out in four countries: Australia (the State of Victoria), the United Kingdom (specifically England), Poland (with particular reference to two cities) and Brazil…

45 CFR 79.32 - Location of hearing.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 45 Public Welfare 1 2010-10-01 2010-10-01 false Location of hearing. 79.32 Section 79.32 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION PROGRAM FRAUD CIVIL REMEDIES § 79.32 Location of hearing. (a) The hearing may be held— (1) In any judicial district of the United...

20 CFR Appendix C to Part 625 - Standard for Fraud and Overpayment Detection

Code of Federal Regulations, 2012 CFR

2012-04-01

... paid to them in a sufficient proportion of cases to test the effectiveness of the agency's procedures... overpayments, such a unit or individual might, for example: (a) Investigate information on suspected benefit.... Comparisons of benefit payments with employment records are commonly made either by post-audit or by industry...

20 CFR Appendix C to Part 625 - Standard for Fraud and Overpayment Detection

Code of Federal Regulations, 2011 CFR

2011-04-01

... paid to them in a sufficient proportion of cases to test the effectiveness of the agency's procedures... overpayments, such a unit or individual might, for example: (a) Investigate information on suspected benefit.... Comparisons of benefit payments with employment records are commonly made either by post-audit or by industry...

20 CFR Appendix C to Part 625 - Standard for Fraud and Overpayment Detection

Code of Federal Regulations, 2014 CFR

2014-04-01

... paid to them in a sufficient proportion of cases to test the effectiveness of the agency's procedures... overpayments, such a unit or individual might, for example: (a) Investigate information on suspected benefit.... Comparisons of benefit payments with employment records are commonly made either by post-audit or by industry...

78 FR 59325 - Defense Federal Acquisition Regulation Supplement: Further Implementation of Trafficking in...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-09-26

..., now titled ``Display of Fraud Hotline Poster(s),'' to ``Display of Hotline Poster(s)'' and add the requirements for posting of additional types of hotline posters (regarding trafficking in persons and..., but require contractors to post these new posters when performing either inside or outside the United...

6 CFR 13.32 - Location of hearing.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 6 Domestic Security 1 2010-01-01 2010-01-01 false Location of hearing. 13.32 Section 13.32 Domestic Security DEPARTMENT OF HOMELAND SECURITY, OFFICE OF THE SECRETARY PROGRAM FRAUD CIVIL REMEDIES § 13.32 Location of hearing. (a) The hearing may be held: (1) In any judicial district of the United...

39 CFR 962.7 - Hearing location.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 39 Postal Service 1 2010-07-01 2010-07-01 false Hearing location. 962.7 Section 962.7 Postal Service UNITED STATES POSTAL SERVICE PROCEDURES RULES OF PRACTICE IN PROCEEDINGS RELATIVE TO THE PROGRAM FRAUD CIVIL REMEDIES ACT § 962.7 Hearing location. An oral hearing under this part shall be held (a) In...

Translating the Common Core State Standards

ERIC Educational Resources Information Center

Tienken, Christopher H.; Orlich, Donald C.

2013-01-01

As the authors describe in Chapter 7 of their new book, "The School Reform Landscape: Fraud, Myth, and Lies," the Common Core State Standards (CCSS) initiative continues to ramble on, without evidence to support its efficacy. That is because education reform in the United States is being driven largely by ideology, rhetoric, and dogma instead of…

Science as a Matter of Honour: How Accused Scientists Deal with Scientific Fraud in Japan.

PubMed

Pellegrini, Pablo A

2017-06-26

Practices related to research misconduct seem to have been multiplied in recent years. Many cases of scientific fraud have been exposed publicly, and journals and academic institutions have deployed different measures worldwide in this regard. However, the influence of specific social and cultural environments on scientific fraud may vary from society to society. This article analyzes how scientists in Japan deal with accusations of scientific fraud. For such a purpose, a series of scientific fraud cases that took place in Japan has been reconstructed through diverse sources. Thus, by analyzing those cases, the social basis of scientific fraud and the most relevant aspects of Japanese cultural values and traditions, as well as the concept of honour which is deeply involved in the way Japanese scientists react when they are accused of and publicly exposed in scientific fraud situations is examined.

An Overview of a Hybrid Fraud Scoring and Spike Detection Technique for Fraud Detection in Streaming Data

NASA Astrophysics Data System (ADS)

Laleh, Naeimeh; Azgomi, Mohammad Abdollahi

Credit card and personal loan applications have increased significantly. Application fraud is present when the application forms contain plausible and synthetic identity information or real stolen identity information. The monetary cost of application fraud is often estimated to be in the billions of dollars [1].

42 CFR 1001.201 - Conviction relating to program or health care fraud.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 42 Public Health 5 2010-10-01 2010-10-01 false Conviction relating to program or health care fraud... Permissive Exclusions § 1001.201 Conviction relating to program or health care fraud. (a) Circumstance for... misdemeanor relating to fraud, theft, embezzlement, breach of fiduciary responsibility, or other financial...

42 CFR 1001.201 - Conviction relating to program or health care fraud.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 42 Public Health 5 2011-10-01 2011-10-01 false Conviction relating to program or health care fraud... Permissive Exclusions § 1001.201 Conviction relating to program or health care fraud. (a) Circumstance for... misdemeanor relating to fraud, theft, embezzlement, breach of fiduciary responsibility, or other financial...

75 FR 2105 - Publication of OIG Updated Special Fraud Alert on Telemarketing by Durable Medical Equipment...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-01-14

... Inspector General Publication of OIG Updated Special Fraud Alert on Telemarketing by Durable Medical... Register notice sets forth the recently issued OIG Updated Special Fraud Alert addressing telemarketing by durable medical equipment (DME) suppliers. For the most part, OIG Special Fraud Alerts address national...

76 FR 81904 - Solicitation of New Safe Harbors and Special Fraud Alerts

Federal Register 2010, 2011, 2012, 2013, 2014

2011-12-29

... of New Safe Harbors and Special Fraud Alerts AGENCY: Office of Inspector General (OIG), HHS. ACTION... Special Fraud Alerts. DATES: To assure consideration, public comments must be delivered to the address... and Special Fraud Alerts. Please assist us by referencing the file code OIG-120-N. Inspection of...

Fraud Prevention and Employee Rationalization in New York State Public Schools

ERIC Educational Resources Information Center

Slezak, Kathleen

2013-01-01

Prompted by frequent media reports of school fraud and a lack of relevant K-12 literature, this research study was designed to investigate current fraud prevention practices in public school districts in New York State. Using a "fraud triangle" model, an analysis of existing legislation and professional practice guidelines reveals that…

A Social Marketing Campaign in Denver: Reducing the Risk of Elder Fraud

ERIC Educational Resources Information Center

McKenna, Judy; Miller, Jacque; Curtis, Lisa

2004-01-01

Acknowledging the pain and loss senior citizens experience due to fraud, the Denver District Attorney's Office launched a campaign--"Clergy Against Senior Exploitation (CASE)"--to reduce fraud perpetrated on older persons. The thrust of this project was preventing fraud by educating older adults through their religious affiliations in…

12 CFR 1806.303 - Fraud, waste and abuse.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 12 Banks and Banking 7 2010-01-01 2010-01-01 false Fraud, waste and abuse. 1806.303 Section 1806... BANK ENTERPRISE AWARD PROGRAM Terms and Conditions of Assistance § 1806.303 Fraud, waste and abuse. Any person who becomes aware of the existence or apparent existence of fraud, waste, or abuse of assistance...

48 CFR 252.203-7001 - Prohibition on persons convicted of fraud or other defense-contract-related felonies.

Code of Federal Regulations, 2010 CFR

2010-10-01

... convicted of fraud or other defense-contract-related felonies. 252.203-7001 Section 252.203-7001 Federal... convicted of fraud or other defense-contract-related felonies. As prescribed in 203.570-3, use the following clause: Prohibition on Persons Convicted of Fraud or Other Defense-Contract-Related Felonies (DEC 2008...

78 FR 78807 - Solicitation of New Safe Harbors and Special Fraud Alerts

Federal Register 2010, 2011, 2012, 2013, 2014

2013-12-27

... of New Safe Harbors and Special Fraud Alerts AGENCY: Office of Inspector General (OIG), HHS. ACTION... statute (section 1128B(b) of the Social Security Act), as well as developing new OIG Special Fraud Alerts... revised safe harbors and Special Fraud Alerts. Please assist us by referencing the file code OIG-122-N...

77 FR 76434 - Solicitation of New Safe Harbors and Special Fraud Alerts

Federal Register 2010, 2011, 2012, 2013, 2014

2012-12-28

... of New Safe Harbors and Special Fraud Alerts AGENCY: Office of Inspector General (OIG), HHS. ACTION... statute (section 1128B(b) of the Social Security Act), as well as developing new OIG Special Fraud Alerts... revised safe harbors and Special Fraud Alerts. Please assist us by referencing the file code OIG-121-N...

Developmental trajectories of offenders convicted of fraud: A follow-up to age 50 in a Dutch conviction cohort

PubMed Central

van der Geest, Victor R.; Weisburd, David; Blokland, Arjan A. J.

2016-01-01

This study describes the criminal careers of offenders convicted of fraud, distinguishing different career dimensions such as intermittency, versatility and specialization. Results indicate that most fraud offenders are versatile in the sense that they also have significant criminal records for other serious offending (that is, not fraud). At the same time they are also specialized in fraud. When we examine developmental trajectories of serious offending and next explore patterns of fraud for the groups identified, we find that offenders in our sample represent a heterogeneous group and that the classic divide between typical financial (for example, white-collar) offenders and common criminals does not apply to the majority of our sample. PMID:28989326

Retractions in the scientific literature: is the incidence of research fraud increasing?

PubMed

Steen, R Grant

2011-04-01

Scientific papers are retracted for many reasons including fraud (data fabrication or falsification) or error (plagiarism, scientific mistake, ethical problems). Growing attention to fraud in the lay press suggests that the incidence of fraud is increasing. The reasons for retracting 742 English language research papers retracted from the PubMed database between 2000 and 2010 were evaluated. Reasons for retraction were initially dichotomised as fraud or error and then analysed to determine specific reasons for retraction. Error was more common than fraud (73.5% of papers were retracted for error (or an undisclosed reason) vs 26.6% retracted for fraud). Eight reasons for retraction were identified; the most common reason was scientific mistake in 234 papers (31.5%), but 134 papers (18.1%) were retracted for ambiguous reasons. Fabrication (including data plagiarism) was more common than text plagiarism. Total papers retracted per year have increased sharply over the decade (r=0.96; p<0.001), as have retractions specifically for fraud (r=0.89; p<0.001). Journals now reach farther back in time to retract, both for fraud (r=0.87; p<0.001) and for scientific mistakes (r=0.95; p<0.001). Journals often fail to alert the naïve reader; 31.8% of retracted papers were not noted as retracted in any way. Levels of misconduct appear to be higher than in the past. This may reflect either a real increase in the incidence of fraud or a greater effort on the part of journals to police the literature. However, research bias is rarely cited as a reason for retraction.

Cataract Surgery: Fraud, Waste, and Abuse. A Report by the Chairman of the Subcommittee on Health and Long-Term Care of the Select Committee on Aging. House of Representatives, Ninety-Ninth Congress, First Session.

ERIC Educational Resources Information Center

Congress of the U.S., Washington, DC. House Select Committee on Aging.

This report is a summary of the findings from the Subcommittee on Health and Long-Term Care of the United States House of Representatives Select Committee on Aging investigation of cataract surgery and the use of intraocular lenses (IOL's) in the United States. The document provides background on the definition and treatment of cataracts and…

FraudMiner: A Novel Credit Card Fraud Detection Model Based on Frequent Itemset Mining

PubMed Central

Seeja, K. R.; Zareapoor, Masoumeh

2014-01-01

This paper proposes an intelligent credit card fraud detection model for detecting fraud from highly imbalanced and anonymous credit card transaction datasets. The class imbalance problem is handled by finding legal as well as fraud transaction patterns for each customer by using frequent itemset mining. A matching algorithm is also proposed to find to which pattern (legal or fraud) the incoming transaction of a particular customer is closer and a decision is made accordingly. In order to handle the anonymous nature of the data, no preference is given to any of the attributes and each attribute is considered equally for finding the patterns. The performance evaluation of the proposed model is done on UCSD Data Mining Contest 2009 Dataset (anonymous and imbalanced) and it is found that the proposed model has very high fraud detection rate, balanced classification rate, Matthews correlation coefficient, and very less false alarm rate than other state-of-the-art classifiers. PMID:25302317

FraudMiner: a novel credit card fraud detection model based on frequent itemset mining.

PubMed

Seeja, K R; Zareapoor, Masoumeh

2014-01-01

This paper proposes an intelligent credit card fraud detection model for detecting fraud from highly imbalanced and anonymous credit card transaction datasets. The class imbalance problem is handled by finding legal as well as fraud transaction patterns for each customer by using frequent itemset mining. A matching algorithm is also proposed to find to which pattern (legal or fraud) the incoming transaction of a particular customer is closer and a decision is made accordingly. In order to handle the anonymous nature of the data, no preference is given to any of the attributes and each attribute is considered equally for finding the patterns. The performance evaluation of the proposed model is done on UCSD Data Mining Contest 2009 Dataset (anonymous and imbalanced) and it is found that the proposed model has very high fraud detection rate, balanced classification rate, Matthews correlation coefficient, and very less false alarm rate than other state-of-the-art classifiers.

Health Fraud

MedlinePlus

Health fraud involves selling drugs, devices, foods, or cosmetics that have not been proven effective. Keep in ... you from getting the treatment you really need. Health fraud scams can be found everywhere, promising help ...

Administrative Services Division - Alaska Department of Law

Science.gov Websites

Attorney General Opinions Executive Branch Ethics Criminal Justice Alaska Medicaid Fraud Control Anchorage digital communication. Department-wide Information Technology issues, strategic planning, resource

[Communication of scientific fraud].

PubMed

Zeitoun, Jean-David; Rouquette, Sébastien

2012-09-01

There is for a scientific journal several levels of communication depending of the degree of suspicion or certainty of a case of error or fraud. The task is increasingly difficult for journal editors as disclosed cases of fraud are more common and scientific communication on this topic is growing. Biomedical fraud is fairly little reported by the mainstream press and causes of this low interest are not currently well understood. The difficulty of processing this type of news for journalists appears to be one possible reason. The potentially numerous and significant consequences of fraud on health professionals are poorly documented. Though it is likely to cause a feeling of distrust and create controversy, the impact of fraud on the general public is poorly studied and appears multifactorial. Copyright © 2012 Elsevier Masson SAS. All rights reserved.

20 CFR Appendix C to Part 614 - Standard for Fraud and Overpayment Detection

Code of Federal Regulations, 2014 CFR

2014-04-01

... to claimants' entitlement to benefits paid to them in a sufficient proportion of cases to test the... connection with the detection of overpayments, such a unit or individual might, for example: (a) Investigate... post-audit or by industry surveys. The so-called “post-audit” is a matching of central office wage...

20 CFR Appendix C to Part 614 - Standard for Fraud and Overpayment Detection

Code of Federal Regulations, 2013 CFR

2013-04-01

... to claimants' entitlement to benefits paid to them in a sufficient proportion of cases to test the... connection with the detection of overpayments, such a unit or individual might, for example: (a) Investigate... post-audit or by industry surveys. The so-called “post-audit” is a matching of central office wage...

20 CFR Appendix C to Part 614 - Standard for Fraud and Overpayment Detection

Code of Federal Regulations, 2012 CFR

2012-04-01

... to claimants' entitlement to benefits paid to them in a sufficient proportion of cases to test the... connection with the detection of overpayments, such a unit or individual might, for example: (a) Investigate... post-audit or by industry surveys. The so-called “post-audit” is a matching of central office wage...

20 CFR Appendix C to Part 614 - Standard for Fraud and Overpayment Detection

Code of Federal Regulations, 2011 CFR

2011-04-01

... to claimants' entitlement to benefits paid to them in a sufficient proportion of cases to test the... connection with the detection of overpayments, such a unit or individual might, for example: (a) Investigate... post-audit or by industry surveys. The so-called “post-audit” is a matching of central office wage...

Semi-Annual Report to Congress: October 1, 1982-March 31, 1983; No. 6. (Submitted pursuant to Public Law 95-452).

ERIC Educational Resources Information Center

Office of Inspector General (ED), Washington, DC.

The United States Department of Education (ED), Office of Inspector General (OIG), describes in its semiannual report its provisions for audit, investigation, fraud detection and prevention, as well as other activities. The first section reviews management improvement and preventive activities including recommended changes to legislation and…

Perceived Inadequacy: A Study of the Imposter Phenomenon among College and Research Librarians

ERIC Educational Resources Information Center

Clark, Melanie; Vardeman, Kimberly; Barba, Shelley

2014-01-01

The Imposter Phenomenon (IP) is an observed anxiety caused by an individual's feelings of fraudulence, fear of being exposed as a fraud, and inability to internalize personal achievement. This study measures the incidence of the IP among librarians at college and research institutions in the United States and Canada and seeks to identify factors…

Fingers to the Bone: United States Failure To Protect Child Farmworkers.

ERIC Educational Resources Information Center

Tucker, Lee

Agricultural work is the most hazardous and grueling area of employment open to U.S. children and is also the least protected. Adolescent farmworkers labor under more dangerous conditions than their peers working in nonagricultural settings and also face persistent wage exploitation and fraud. These adolescent workers are protected less under U.S.…

Analysis of the United States Defense and Civilian Contracting Workforce’s Training on Procurement Fraud, Waste and Abuse

DTIC Science & Technology

2013-09-01

Federal Acquisition Institute. (2013a). FAC-C certification requirements. Retrieved from http://www.fai.gov/ drupal /certification/fac-c-certification...www.fai.gov/ drupal /sites/default/files/pdfs/FY%202011%20Annual%20Re port%20on%20the%20Federal%20Acquisition%20Workforce.pdf. Federal Acquisition

By Force or by Fraud: Optimizing U.S. Information Strategy With Deception

DTIC Science & Technology

2016-06-01

IV. CASE- STUDY ASSESSMENTS ........................................................................37 A. CASE 1 OVERVIEW: THE DHOFAR REBELLION, 1965...xvi SOF Special Operations Forces SOG Studies and Observations Group USIA United States Information Agency VC Viet Cong...The Development of Overt and Covert Propaganda Strategies,” Presidential Studies Quarterly 24, no. 2 (Spring 1994): 265. 6 Ibid. 4 USIA departments

41 CFR 102-38.50 - What must we do when an executive agency suspects violations of 40 U.S.C. 559, fraud, bribery, or...

Code of Federal Regulations, 2010 CFR

2010-07-01

... executive agency suspects violations of 40 U.S.C. 559, fraud, bribery, or criminal collusion in connection... an executive agency suspects violations of 40 U.S.C. 559, fraud, bribery, or criminal collusion in.... 559, fraud, bribery, or criminal collusion in connection with the disposal of personal property, the...

76 FR 28855 - Defense Federal Acquisition Regulation Supplement; Business Systems-Definition and Administration

Federal Register 2010, 2011, 2012, 2013, 2014

2011-05-18

... business systems and internal controls are the first line of defense against waste, fraud, and abuse. Weak control systems increase the risk of unallowable and unreasonable costs on Government contracts. To...'s accounting system rather than the adequacy of the contractor's control environment and overall...

Online Safety: Fraud, Security, Phishing, Vishing

MedlinePlus

... Theft Online Safety Privacy Report Scams and Frauds Online Safety Be aware of these scams when you' ... Security and Safety Internet Fraud Phishing and Vishing Online Security and Safety The internet makes many everyday ...

Alaska Department of Law

Science.gov Websites

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Fraud Detection in Healthcare

DOE Office of Scientific and Technical Information (OSTI.GOV)

Chandola, Varun; Schryver, Jack C; Sukumar, Sreenivas R

We discuss the problem of fraud detection in healthcare in this chapter. Given the recent scrutiny of the ineciencies in the US healthcare system, identifying fraud has been on the forefront of the eorts towards reducing the healthcare costs. In this chapter we will focus on understanding the issue of healthcare fraud in detail, and review methods that have been proposed in the literature to combat this issue using data driven approach.

48 CFR 970.0370-1 - Policy.

Code of Federal Regulations, 2010 CFR

2010-10-01

... management and quality control to discourage waste, fraud and abuse; and to ensure that components, products, and services that are provided to the Department of Energy (DOE) satisfy the contractor's obligations... for effective management systems and internal controls within their areas of assigned responsibility...

Notification: Controls Over Results Produced by EPA Independent Laboratories

EPA Pesticide Factsheets

Project #OPE-FY16-0022, April 5, 2016. The EPA OIG plans to begin preliminary research on controls that the EPA’s Office of Land and Emergency Management’s Contract Laboratory Program (CLP) has in place to detect or prevent fraud.

32 CFR 516.68 - Program Fraud Civil Remedies Act (PFCRA).

Code of Federal Regulations, 2010 CFR

2010-07-01

... AUTHORITIES AND PUBLIC RELATIONS LITIGATION Remedies in Procurement Fraud and Corruption § 516.68 Program Fraud Civil Remedies Act (PFCRA). (a) PFCRA was enacted on 21 October 1986 (Public Law 99-509) and...

Factsheets: Indicators of Fraud, Waste and Abuse

EPA Pesticide Factsheets

Factsheets: Indicators of Fraud, Waste and Abuse - You can tell if fraud, waste and abuse are occurring by looking for indicators. These are clues that may warrant further review of a specific area or activity.

48 CFR 3032.006 - Reduction or suspension of contract payments upon finding of fraud.

Code of Federal Regulations, 2010 CFR

2010-10-01

... contract payments upon finding of fraud. 3032.006 Section 3032.006 Federal Acquisition Regulations System DEPARTMENT OF HOMELAND SECURITY, HOMELAND SECURITY ACQUISITION REGULATION (HSAR) GENERAL CONTRACTING... finding of fraud. ...

Avoiding Service Station Fraud.

ERIC Educational Resources Information Center

Burton, Grace M.; Burton, John R.

1982-01-01

High school students are warned against service station fraud. A problem-solving section is designed to help students calculate consumer costs for various fraudulent transactions. Several ways of reducing fraud or of lessening the chances of problems are noted. (MP)

Procurement Integrity in Contingency Operations: A Case Study of Army Contracting Officer Corruption in Operations Iraqi and Enduring Freedom Utilizing Occupational Fraud Theory

DTIC Science & Technology

2011-12-01

Study of Army Contracting Officer Corruption in Operations Iraqi and Enduring Freedom Utilizing Occupational Fraud Theory By: Amanda H...Operations Iraqi and Enduring Freedom Utilizing Occupational Fraud Theory 6. AUTHOR(S) Amanda H. Flint 5. FUNDING NUMBERS 7. PERFORMING ORGANIZATION...CCOs) during Operations Iraqi Freedom and Enduring Freedom (OIF/OEF) by applying occupational fraud theory, specifically the classic sociological

A case control study: White-collar defendants compared with defendants charged with other nonviolent theft.

PubMed

Poortinga, Ernest; Lemmen, Craig; Jibson, Michael D

2006-01-01

We examined the clinical, criminal, and sociodemographic characteristics of all white-collar crime defendants referred to the evaluation unit of a state center for forensic psychiatry. With 29,310 evaluations in a 12-year period, we found 70 defendants charged with embezzlement, 3 with health care fraud, and no other white-collar defendants (based on the eight crimes widely accepted as white-collar offenses). In a case-control study design, the 70 embezzlement cases were compared with 73 defendants charged with other forms of nonviolent theft. White-collar defendants were found to have a higher likelihood of white race (adjusted odds ratio (adj. OR) = 4.51), more years of education (adj. OR = 3471), and a lower likelihood of substance abuse (adj. OR = .28) than control defendants. Logistic regression modeling showed that the variance in the relationship between unipolar depression and white-collar crime was more economically accounted for by education, race, and substance abuse.

Notification: Evaluating the Internal Controls for EPA's Vehicle Emissions Testing Program

EPA Pesticide Factsheets

Project #OPE-FY17-0009, Mar 6, 2017. The EPA OIG plans to begin preliminary research to determine whether the EPA’s existing internal controls are effective at detecting and preventing light-, medium-, and heavy-duty on-road vehicle emissions fraud.

Pre-Service Teachers Attitudes Towards a Career in Special Education in the United Arab Emirate

ERIC Educational Resources Information Center

Naggar Gaad, Eman El.

2004-01-01

The reasons for moving from paper coupons to delivering food stamps electronically include potential reduction in the cost of administering the system and in fraud, theft and abuse of the system. Furthermore, the use of EBT is believed o reduce social stigma and embarrassment felt by recipients when using paper coupon. Therefore, using survey data…

Identity Theft and Consumer Health Education: A Case Study Teaching the Skill of Decision Making

ERIC Educational Resources Information Center

Jefson, Cristy A.

2007-01-01

Identity theft is the fastest growing white-collar crime in America, increasing 40% annually. Identity theft occurs when personal-identifying information, such as a social security number, date of birth, or address, is used to commit fraud. From January 1, 2005, to December 31, 2005, 255,565 people in the United States were victims of identity…

37 CFR 1.27 - Definition of small entities and establishing status as a small entity to permit payment of small...

Code of Federal Regulations, 2014 CFR

2014-07-01

... 37 Patents, Trademarks, and Copyrights 1 2014-07-01 2014-07-01 false Definition of small entities... are required; fraud on the Office. 1.27 Section 1.27 Patents, Trademarks, and Copyrights UNITED STATES PATENT AND TRADEMARK OFFICE, DEPARTMENT OF COMMERCE GENERAL RULES OF PRACTICE IN PATENT CASES General...

37 CFR 1.27 - Definition of small entities and establishing status as a small entity to permit payment of small...

Code of Federal Regulations, 2013 CFR

2013-07-01

... 37 Patents, Trademarks, and Copyrights 1 2013-07-01 2013-07-01 false Definition of small entities... are required; fraud on the Office. 1.27 Section 1.27 Patents, Trademarks, and Copyrights UNITED STATES PATENT AND TRADEMARK OFFICE, DEPARTMENT OF COMMERCE GENERAL RULES OF PRACTICE IN PATENT CASES General...

38 CFR 2.6 - Secretary's delegations of authority to certain officials (38 U.S.C. 512).

Code of Federal Regulations, 2010 CFR

2010-07-01

... equipment provided under chapter 39 of title 38, United States Code, or to appoint a designee to perform... based in whole or in part on conduct in violation of the antitrust laws. Such cases will be considered... where the Department of Justice determines that action based upon the alleged fraud, false claim, or...

Valuing the human health damage caused by the fraud of Volkswagen.

PubMed

Oldenkamp, Rik; van Zelm, Rosalie; Huijbregts, Mark A J

2016-05-01

Recently it became known that Volkswagen Group has been cheating with emission tests for diesel engines over the last six years, resulting in on-road emissions vastly exceeding legal standards for nitrogen oxides in Europe and the United States. Here, we provide an estimate of the public health consequences caused by this fraud. From 2009 to 2015, approximately nine million fraudulent Volkswagen cars, as sold in Europe and the US, emitted a cumulative amount of 526 ktonnes of nitrogen oxides more than was legally allowed. These fraudulent emissions are associated with 45 thousand disability-adjusted life years (DALYs) and a value of life lost of at least 39 billion US dollars, which is approximately 5.3 times larger than the 7.3 billion US dollars that Volkswagen Group has set aside to cover worldwide costs related to the diesel emissions scandal. Copyright © 2016 Elsevier Ltd. All rights reserved.

The bribery statute: a new weapon against Medicare fraud.

PubMed

Cozort, L A

2001-03-01

A May 2000 U.S. Supreme Court decision determining when a Federal bribery statute can be used to fight Medicare fraud has ramifications for healthcare providers. In Fischer v. United States, the Court concluded that healthcare providers that participate in Medicare are considered to receive benefits as set forth in the bribery statute and thus can be prosecuted for fraudulent activities against the government under the statute. The statute mandates a fine, imprisonment for up to 10 years, or both for anyone convicted under it. Provider organizations that receive Medicare payments and business associates of such organizations should be aware that the government may step up its use of the bribery law in prosecuting fraudulent activity. In addition, although the case pertained specifically to healthcare providers that participate in Medicare, providers that do not participate in Medicare may wish to evaluate the advisability of accepting other Federal funding because of the possible reach of the bribery statute.

5 CFR 6701.107 - Reporting waste, fraud, abuse and corruption.

Code of Federal Regulations, 2010 CFR

2010-01-01

... corruption. 6701.107 Section 6701.107 Administrative Personnel GENERAL SERVICES ADMINISTRATION SUPPLEMENTAL..., fraud, abuse and corruption. GSA employees shall disclose immediately any waste, fraud, abuse, and corruption to appropriate authorities, such as the Office of Inspector General. ...

5 CFR 6701.107 - Reporting waste, fraud, abuse and corruption.

Code of Federal Regulations, 2011 CFR

2011-01-01

... corruption. 6701.107 Section 6701.107 Administrative Personnel GENERAL SERVICES ADMINISTRATION SUPPLEMENTAL..., fraud, abuse and corruption. GSA employees shall disclose immediately any waste, fraud, abuse, and corruption to appropriate authorities, such as the Office of Inspector General. ...

Corruption and internal fraud in the Turkish construction industry.

PubMed

Gunduz, Murat; Önder, Oytun

2013-06-01

The purpose of this paper is to develop an understanding about the internal fraud and corruption problem in the Turkish construction industry. The reasons behind the internal fraud and corruption problem as well as the types of prevention methods were investigated; and as a result various recommendations were made. To this end, a risk awareness questionnaire was used to understand the behavioral patterns of the construction industry, and to clarify possible proactive and reactive measures against internal fraud and corruption. The type of fraud experienced by Turkish construction companies was also surveyed in the questionnaire. The questionnaire was sent to 89 firms; and depending on the collected data, certain recommendations for construction industry professionals were provided.

[Scientific fraud. A disease we find among ourselves].

PubMed

Guimarães, S

1998-01-01

Scientific fraud is not a problem exclusive to countries with high scientific development. Fraud does not necessarily mean invention of results, usurpation of ideas, manifest plagiarism or any other kind of serious scientific misconduct. Although more rare in countries where scientific production is more modest, pungent cases of scientific fraud also exist. However, less notorious cases of scientific misconduct are frequent and must be avoided. Examples of these less notorious sins are presented. The seriousness of scientific fraud is not only due to the fact that it may involve public funds, which could have been put to more useful purposes but, above all, because it violates scientific ethics and frustrates the final aim of science, the discovery of truth.

Fraud and plagiarisim in school and career.

PubMed

Agud, J L

2014-10-01

Between 0% and 94% of university students acknowledge having committed academic fraud. Its forms are varied: cheating on examinations, submitting someone else's work, plagiarism, false citations, false reporting on experiments, tests or findings in the medical history and physical examination, unfair behavior toward fellow students, and many others. The consequences of academic fraud include learning corruption, useless efforts by students and faculty, incorrect performance evaluations and unfair selection for jobs. Since this can be a prelude to future fraud as doctors or researches, the prevalence, risk factors, motivations, clinical appearances, detection and prevention of the disease of academic fraud are here reviewed. Copyright © 2014 Elsevier España, S.L.U. All rights reserved.

AICPA standard aids in detecting risk factors for fraud. American Institute of Certified Public Accountants.

PubMed

Reinstein, A; Dery, R J

1999-10-01

The American Institute of Certified Public Accountants' Statement on Auditing Standards (SAS) No. 82, Consideration of Fraud in a Financial Statement Audit, requires independent auditors to obtain reasonable assurance that financial statements are free of material mis-statements caused by error or fraud. SAS No. 82 provides guidance for independent auditors to use to help detect and document risk factors related to potential fraud. But while SAS No. 82 suggests how auditors should assess the potential for fraud, it does not expand their detection responsibility. Accordingly, financial managers should discuss thoroughly with auditors the scope and focus of an audit as a means to further their compliance efforts.

Fraud and fiduciary liability.

PubMed

Hodge, Brian Ray

2003-12-01

All employee benefit plans are potential targets of fraudulent schemes. Smaller plans are targeted by unscrupulous brokers and promoters selling fraudulent policies; plans large enough to be self-insured face greater risks of fraud by providers and participants misrepresenting claims. Plan trustees, administrators and consultants should be alert to the many ways fraudulent schemes manifest themselves and to the legal remedies available; establish investigative programs to detect and discourage fraud; and promote education and plan incentives for participants to report fraud.

Credit Card Fraud Detection: A Realistic Modeling and a Novel Learning Strategy.

PubMed

Dal Pozzolo, Andrea; Boracchi, Giacomo; Caelen, Olivier; Alippi, Cesare; Bontempi, Gianluca

2017-09-14

Detecting frauds in credit card transactions is perhaps one of the best testbeds for computational intelligence algorithms. In fact, this problem involves a number of relevant challenges, namely: concept drift (customers' habits evolve and fraudsters change their strategies over time), class imbalance (genuine transactions far outnumber frauds), and verification latency (only a small set of transactions are timely checked by investigators). However, the vast majority of learning algorithms that have been proposed for fraud detection rely on assumptions that hardly hold in a real-world fraud-detection system (FDS). This lack of realism concerns two main aspects: 1) the way and timing with which supervised information is provided and 2) the measures used to assess fraud-detection performance. This paper has three major contributions. First, we propose, with the help of our industrial partner, a formalization of the fraud-detection problem that realistically describes the operating conditions of FDSs that everyday analyze massive streams of credit card transactions. We also illustrate the most appropriate performance measures to be used for fraud-detection purposes. Second, we design and assess a novel learning strategy that effectively addresses class imbalance, concept drift, and verification latency. Third, in our experiments, we demonstrate the impact of class unbalance and concept drift in a real-world data stream containing more than 75 million transactions, authorized over a time window of three years.

Financial fraud and health: the case of Spain.

PubMed

Zunzunegui, Maria Victoria; Belanger, Emmanuelle; Benmarhnia, Tarik; Gobbo, Milena; Otero, Angel; Béland, François; Zunzunegui, Fernando; Ribera-Casado, Jose Manuel

To examine whether financial fraud is associated with poor health sleeping problems and poor quality of life. Pilot study (n=188) conducted in 2015-2016 in Madrid and León (Spain) by recruiting subjects affected by two types of fraud (preferred shares and foreign currency mortgages) using venue-based sampling. Information on the monetary value of each case of fraud; the dates when subjects became aware of being swindled, lodged legal claim and received financial compensation were collected. Inter-group comparisons of the prevalence of poor physical and mental health, sleep and quality of life were carried according to type of fraud and the 2011-2012 National Health Survey. In this conventional sample, victims of financial fraud had poorer health, more mental health and sleeping problems, and poorer quality of life than comparable populations of a similar age. Those who had received financial compensation for preferred share losses had better health and quality of life than those who had not been compensated and those who had taken out foreign currency mortgages. The results suggest that financial fraud is detrimental to health. Further research should examine the mechanisms through which financial fraud impacts health. If our results are confirmed psychological and medical care should be provided, in addition to financial compensation. Copyright © 2017 SESPAS. Publicado por Elsevier España, S.L.U. All rights reserved.

12 CFR 1731.5 - Internal controls, procedures, and training.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 12 Banks and Banking 7 2010-01-01 2010-01-01 false Internal controls, procedures, and training. 1731.5 Section 1731.5 Banks and Banking OFFICE OF FEDERAL HOUSING ENTERPRISE OVERSIGHT, DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT SAFETY AND SOUNDNESS MORTGAGE FRAUD REPORTING § 1731.5 Internal controls, procedures, and training. An Enterprise shall...

49 CFR 1540.103 - Fraud and intentional falsification of records.

Code of Federal Regulations, 2010 CFR

2010-10-01

...) TRANSPORTATION SECURITY ADMINISTRATION, DEPARTMENT OF HOMELAND SECURITY CIVIL AVIATION SECURITY CIVIL AVIATION SECURITY: GENERAL RULES Responsibilities of Passengers and Other Individuals and Persons § 1540.103 Fraud... 49 Transportation 9 2010-10-01 2010-10-01 false Fraud and intentional falsification of records...

42 CFR 455.17 - Reporting requirements.

Code of Federal Regulations, 2011 CFR

2011-10-01

... (CONTINUED) MEDICAL ASSISTANCE PROGRAMS PROGRAM INTEGRITY: MEDICAID Medicaid Agency Fraud Detection and Investigation Program § 455.17 Reporting requirements. The agency must report the following fraud or abuse... complaints of fraud and abuse made to the agency that warrant preliminary investigation. (b) For each case of...

75 FR 2457 - Defense Federal Acquisition Regulation Supplement; Business Systems-Definition and Administration...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-01-15

... INFORMATION: A. Background Contractor business systems and internal controls are the first line of defense against waste, fraud, and abuse. Weak control systems increase the risk of unallowable and unreasonable... Office of Management and Budget (OMB) as follows: (1) Accounting Systems--OMB Clearance 9000-0011; (2...

Fighting Fraud in Schools

ERIC Educational Resources Information Center

Dessoff, Alan

2009-01-01

It's no surprise that school districts are as vulnerable to fraud as the private sector or any other segment of government. Crimes in districts include collusion with outside vendors who provide kickbacks to employees, misuse of district-issued credit cards, embezzlement of district funds, and theft of district property. "Fraud happens…

Fraud Education for Accounting Students.

ERIC Educational Resources Information Center

Peterson, Bonita K.

2003-01-01

Reports that limited fraud education takes place in accounting due to a crowded curriculum and misunderstanding of the extent of fraud. Suggests ways to develop content on the topic and provides a list of teaching materials (textbooks, workbooks, trade books, case materials, videos, and reference materials). (Contains 16 references.) (SK)

76 FR 7239 - Proposed Privacy Act Systems of Records

Federal Register 2010, 2011, 2012, 2013, 2014

2011-02-09

... property interests, identity theft or fraud, or harm to the security or integrity of this system or other... notice of a proposed system of records entitled, ``Treasury/DO .225 --TARP Fraud Investigation...: Supervisory Fraud Specialist, Office of Financial Stability, 1500 Pennsylvania Avenue, NW., Washington, DC...

Electronic Fraud on Campus.

ERIC Educational Resources Information Center

Sauter, David M.

1998-01-01

It is surprisingly easy for today's students to change grades, falsify documents, or create bogus diplomas. Explores the extent of the problem and offers ideas on ways in which colleges can protect themselves and society from the consequences of educational fraud. Addresses staff training, distribution of information regarding fraud, and improving…

49 CFR 1522.3 - Fraud and intentional falsification of records.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 49 Transportation 9 2010-10-01 2010-10-01 false Fraud and intentional falsification of records...) TRANSPORTATION SECURITY ADMINISTRATION, DEPARTMENT OF HOMELAND SECURITY SECURITY RULES FOR ALL MODES OF TRANSPORTATION TSA-APPROVED VALIDATION FIRMS AND VALIDATORS General § 1522.3 Fraud and intentional falsification...

When Good Money Goes Bad: True Stories of Contract Fraud at EPA

EPA Pesticide Factsheets

In an effort to provide you with tools to identify areas that may be of concern or worth looking into, this booklet was designed to provide an overview of general fraud indicators as well as highlight some specific indicators related to contract fraud.

7 CFR 226.25 - Other provisions.

Code of Federal Regulations, 2011 CFR

2011-01-01

... result of funds received under the Act. (e) Fraud penalty. Whoever embezzles, willfully misapplies, steals, or obtains by fraud any funds, assets, or property that are the subject of a grant or other form..., assets, or property have been embezzled, willfully misapplied, stolen, or obtained by fraud shall, if...

7 CFR 226.25 - Other provisions.

Code of Federal Regulations, 2010 CFR

2010-01-01

... result of funds received under the Act. (e) Fraud penalty. Whoever embezzles, willfully misapplies, steals, or obtains by fraud any funds, assets, or property that are the subject of a grant or other form..., assets, or property have been embezzled, willfully misapplied, stolen, or obtained by fraud shall, if...

7 CFR 225.18 - Miscellaneous administrative provisions.

Code of Federal Regulations, 2011 CFR

2011-01-01

... receive approval from FNSRO. (g) Fraud penalty. Whoever embezzles, willfully misapplies, steals, or obtains by fraud any funds, assets, or property that are the subject of a grant or other form of... property have been embezzled, willfully misapplied, stolen or obtained by fraud shall, if such funds...

48 CFR 949.106 - Fraud or other criminal conduct.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 48 Federal Acquisition Regulations System 5 2010-10-01 2010-10-01 false Fraud or other criminal conduct. 949.106 Section 949.106 Federal Acquisition Regulations System DEPARTMENT OF ENERGY CONTRACT MANAGEMENT TERMINATION OF CONTRACTS General Principles 949.106 Fraud or other criminal conduct. Any evidence...

48 CFR 1449.106 - Fraud or other criminal conduct.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 48 Federal Acquisition Regulations System 5 2010-10-01 2010-10-01 false Fraud or other criminal conduct. 1449.106 Section 1449.106 Federal Acquisition Regulations System DEPARTMENT OF THE INTERIOR CONTRACT MANAGEMENT TERMINATION OF CONTRACTS General Principles 1449.106 Fraud or other criminal conduct...

48 CFR 649.106 - Fraud or other criminal conduct.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 48 Federal Acquisition Regulations System 4 2010-10-01 2010-10-01 false Fraud or other criminal conduct. 649.106 Section 649.106 Federal Acquisition Regulations System DEPARTMENT OF STATE CONTRACT MANAGEMENT TERMINATION OF CONTRACTS General Principles. 649.106 Fraud or other criminal conduct. If the...

48 CFR 1349.106 - Fraud or other criminal conduct.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 48 Federal Acquisition Regulations System 5 2010-10-01 2010-10-01 false Fraud or other criminal conduct. 1349.106 Section 1349.106 Federal Acquisition Regulations System DEPARTMENT OF COMMERCE CONTRACT MANAGEMENT TERMINATION OF CONTRACTS General Principles 1349.106 Fraud or other criminal conduct. If the...

48 CFR 49.106 - Fraud or other criminal conduct.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 48 Federal Acquisition Regulations System 1 2010-10-01 2010-10-01 false Fraud or other criminal conduct. 49.106 Section 49.106 Federal Acquisition Regulations System FEDERAL ACQUISITION REGULATION CONTRACT MANAGEMENT TERMINATION OF CONTRACTS General Principles 49.106 Fraud or other criminal conduct. If...

7 CFR 1580.504 - Fraud and recovery of overpayments.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 7 Agriculture 10 2010-01-01 2010-01-01 false Fraud and recovery of overpayments. 1580.504 Section 1580.504 Agriculture Regulations of the Department of Agriculture (Continued) FOREIGN AGRICULTURAL SERVICE, DEPARTMENT OF AGRICULTURE TRADE ADJUSTMENT ASSISTANCE FOR FARMERS § 1580.504 Fraud and recovery...

32 CFR 516.62 - PFD and HQ USACIDC coordination.

Code of Federal Regulations, 2011 CFR

2011-07-01

... AUTHORITIES AND PUBLIC RELATIONS LITIGATION Remedies in Procurement Fraud and Corruption § 516.62 PFD and HQ... procurement fraud or corruption investigations being conducted by USACIDC and possible remedies. These... affected by a significant investigation of fraud or corruption that relates to DOD procurement activities...

When Good Money Goes Bad: True Stories of Grant Fraud at EPA

EPA Pesticide Factsheets

In an effort to provide you with tools to identify areas that may be of concern or worth looking into, this booklet was designed to provide an overview of general fraud indicators as well as highlight some specific indicators related to grant fraud.

Afghanistan: Politics, Elections, and Government Performance

DTIC Science & Technology

2010-03-08

winner and the second round not held. The United States, U.N. Secretary General Ban Ki Moon (visiting Kabul), and several governments congratulated...investigation of the fraud. This led to the September 29, 2009, dismissal by Secretary General Ban Ki Moon of Galbraith, who had openly accused UNAMA...Aviation; and (10) Sultan Hussein Hesari, Minister of Urban Development. 2010 Parliamentary Elections/Election Law Controversy has enveloped the

Will Bribery and Fraud Converge? Comparative Corruption in Higher Education in Russia and the USA

ERIC Educational Resources Information Center

Osipian, Ararat L.

2014-01-01

This study analyses the issue of comparative corruption in the national higher education sectors in the United States of America (USA) and the Russian Federation (RF). Corruption in higher education, as well as the way it is addressed in legislation and court cases and reflected in the media, appears to be consistent with the trajectory and pace…

Defense Industrial Personnel Security Clearance Review Program

DTIC Science & Technology

1992-01-02

or on closed accounts. 5. Indication of deceit or deception in obtaining credit or bank accounts, misappropriation of funds, income tax evasion ...income tax evasion , expense account fraud, filing deceptive loan statements, and other intentional financial breaches of trust; (3) inability or...information; or any U.S. citizen nominated by the Red Cross or United Service Organizations for assignment with the Military Services overseas. The

The Social Side of Information Networking.

ERIC Educational Resources Information Center

Katz, James E.

1997-01-01

Explores the social issues, including manners, security, crime (fraud), and social control associated with information networking, with emphasis on the Internet. Also addresses the influence of cellular phones, the Internet and other information technologies on society. (GR)

32 CFR 516.60 - Procurement fraud and irregularities programs at MACOMs.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 32 National Defense 3 2010-07-01 2010-07-01 true Procurement fraud and irregularities programs at MACOMs. 516.60 Section 516.60 National Defense Department of Defense (Continued) DEPARTMENT OF THE ARMY AID OF CIVIL AUTHORITIES AND PUBLIC RELATIONS LITIGATION Remedies in Procurement Fraud and Corruption...

20 CFR 356.2 - Program Fraud Civil Remedies Act of 1986.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 20 Employees' Benefits 1 2010-04-01 2010-04-01 false Program Fraud Civil Remedies Act of 1986. 356.2 Section 356.2 Employees' Benefits RAILROAD RETIREMENT BOARD ADMINISTRATIVE REMEDIES FOR FRAUDULENT CLAIMS OR STATEMENTS CIVIL MONETARY PENALTY INFLATION ADJUSTMENT § 356.2 Program Fraud Civil Remedies Act...

20 CFR 632.125 - Responsibilities of Native American grantees, subgrantees and contractors for preventing fraud...

Code of Federal Regulations, 2012 CFR

2012-04-01

..., subgrantees and contractors for preventing fraud and program abuse and for general program management. 632.125... and for general program management. (a) Each Native American grantee shall establish and use internal program management procedures sufficient to prevent fraud and program abuse, including subgrantee and...

20 CFR 632.125 - Responsibilities of Native American grantees, subgrantees and contractors for preventing fraud...

Code of Federal Regulations, 2011 CFR

2011-04-01

..., subgrantees and contractors for preventing fraud and program abuse and for general program management. 632.125... and for general program management. (a) Each Native American grantee shall establish and use internal program management procedures sufficient to prevent fraud and program abuse, including subgrantee and...

45 CFR 152.27 - Fraud, waste, and abuse.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 45 Public Welfare 1 2013-10-01 2013-10-01 false Fraud, waste, and abuse. 152.27 Section 152.27 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES REQUIREMENTS RELATING TO HEALTH CARE ACCESS PRE-EXISTING CONDITION INSURANCE PLAN PROGRAM Oversight § 152.27 Fraud, waste, and abuse. (a) Procedures. The...

45 CFR 152.27 - Fraud, waste, and abuse.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 45 Public Welfare 1 2010-10-01 2010-10-01 false Fraud, waste, and abuse. 152.27 Section 152.27 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES REQUIREMENTS RELATING TO HEALTH CARE ACCESS PRE-EXISTING CONDITION INSURANCE PLAN PROGRAM Oversight § 152.27 Fraud, waste, and abuse. (a) Procedures. The...

45 CFR 152.27 - Fraud, waste, and abuse.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 45 Public Welfare 1 2012-10-01 2012-10-01 false Fraud, waste, and abuse. 152.27 Section 152.27 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES REQUIREMENTS RELATING TO HEALTH CARE ACCESS PRE-EXISTING CONDITION INSURANCE PLAN PROGRAM Oversight § 152.27 Fraud, waste, and abuse. (a) Procedures. The...

45 CFR 152.27 - Fraud, waste, and abuse.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 45 Public Welfare 1 2014-10-01 2014-10-01 false Fraud, waste, and abuse. 152.27 Section 152.27 Public Welfare Department of Health and Human Services REQUIREMENTS RELATING TO HEALTH CARE ACCESS PRE-EXISTING CONDITION INSURANCE PLAN PROGRAM Oversight § 152.27 Fraud, waste, and abuse. (a) Procedures. The...

45 CFR 152.27 - Fraud, waste, and abuse.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 45 Public Welfare 1 2011-10-01 2011-10-01 false Fraud, waste, and abuse. 152.27 Section 152.27 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES REQUIREMENTS RELATING TO HEALTH CARE ACCESS PRE-EXISTING CONDITION INSURANCE PLAN PROGRAM Oversight § 152.27 Fraud, waste, and abuse. (a) Procedures. The...

Avoiding pharmacy fraud through automation and audit.

PubMed

Tripodi, M

1998-12-01

Pharmacy data offer some of the most reliable and evaluative information in managed care today. As fraud constitutes up to 10% of our total health care expenditures, the author explains how monitoring the pharmacy network for fraud and abuse is an easy way of reclaiming some of these losses.

17 CFR 32.9 - Fraud in connection with commodity option transactions.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 17 Commodity and Securities Exchanges 1 2010-04-01 2010-04-01 false Fraud in connection with commodity option transactions. 32.9 Section 32.9 Commodity and Securities Exchanges COMMODITY FUTURES TRADING COMMISSION REGULATION OF COMMODITY OPTION TRANSACTIONS § 32.9 Fraud in connection with commodity...

17 CFR 33.10 - Fraud in connection with commodity option transactions.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 17 Commodity and Securities Exchanges 1 2010-04-01 2010-04-01 false Fraud in connection with commodity option transactions. 33.10 Section 33.10 Commodity and Securities Exchanges COMMODITY FUTURES TRADING COMMISSION REGULATION OF DOMESTIC EXCHANGE-TRADED COMMODITY OPTION TRANSACTIONS § 33.10 Fraud in...

49 CFR 1570.5 - Fraud and intentional falsification of records.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 49 Transportation 9 2010-10-01 2010-10-01 false Fraud and intentional falsification of records...) TRANSPORTATION SECURITY ADMINISTRATION, DEPARTMENT OF HOMELAND SECURITY MARITIME AND LAND TRANSPORTATION SECURITY GENERAL RULES § 1570.5 Fraud and intentional falsification of records. No person may make, cause to be...

Transcript Fraud and Handling Fraudulent Documents

ERIC Educational Resources Information Center

Ezell, Allen

2005-01-01

Transcript fraud is a common problem for colleges and universities, businesses, employers, governmental licensing boards, and other agencies, with some experiencing it more so than others. The only difference between a large and small institution is the volume of degree and transcript fraud it experiences. This article discusses the types and…

48 CFR 449.106 - Fraud or other criminal conduct.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 48 Federal Acquisition Regulations System 4 2010-10-01 2010-10-01 false Fraud or other criminal conduct. 449.106 Section 449.106 Federal Acquisition Regulations System DEPARTMENT OF AGRICULTURE CONTRACT MANAGEMENT TERMINATION OF CONTRACTS General Principles 449.106 Fraud or other criminal conduct. (a) If the...

29 CFR 453.12 - Meaning of fraud or dishonesty.

Code of Federal Regulations, 2011 CFR

2011-07-01

... Regulations Relating to Labor OFFICE OF LABOR-MANAGEMENT STANDARDS, DEPARTMENT OF LABOR LABOR-MANAGEMENT STANDARDS GENERAL STATEMENT CONCERNING THE BONDING REQUIREMENTS OF THE LABOR-MANAGEMENT REPORTING AND DISCLOSURE ACT OF 1959 Scope of the Bond § 453.12 Meaning of fraud or dishonesty. The term “fraud or...

29 CFR 453.12 - Meaning of fraud or dishonesty.

Code of Federal Regulations, 2014 CFR

2014-07-01

... Regulations Relating to Labor OFFICE OF LABOR-MANAGEMENT STANDARDS, DEPARTMENT OF LABOR LABOR-MANAGEMENT STANDARDS GENERAL STATEMENT CONCERNING THE BONDING REQUIREMENTS OF THE LABOR-MANAGEMENT REPORTING AND DISCLOSURE ACT OF 1959 Scope of the Bond § 453.12 Meaning of fraud or dishonesty. The term “fraud or...

29 CFR 453.12 - Meaning of fraud or dishonesty.

Code of Federal Regulations, 2013 CFR

2013-07-01

... Regulations Relating to Labor OFFICE OF LABOR-MANAGEMENT STANDARDS, DEPARTMENT OF LABOR LABOR-MANAGEMENT STANDARDS GENERAL STATEMENT CONCERNING THE BONDING REQUIREMENTS OF THE LABOR-MANAGEMENT REPORTING AND DISCLOSURE ACT OF 1959 Scope of the Bond § 453.12 Meaning of fraud or dishonesty. The term “fraud or...

29 CFR 453.12 - Meaning of fraud or dishonesty.

Code of Federal Regulations, 2010 CFR

2010-07-01

... Regulations Relating to Labor OFFICE OF LABOR-MANAGEMENT STANDARDS, DEPARTMENT OF LABOR LABOR-MANAGEMENT STANDARDS GENERAL STATEMENT CONCERNING THE BONDING REQUIREMENTS OF THE LABOR-MANAGEMENT REPORTING AND DISCLOSURE ACT OF 1959 Scope of the Bond § 453.12 Meaning of fraud or dishonesty. The term “fraud or...

29 CFR 453.12 - Meaning of fraud or dishonesty.

Code of Federal Regulations, 2012 CFR

2012-07-01

... Regulations Relating to Labor OFFICE OF LABOR-MANAGEMENT STANDARDS, DEPARTMENT OF LABOR LABOR-MANAGEMENT STANDARDS GENERAL STATEMENT CONCERNING THE BONDING REQUIREMENTS OF THE LABOR-MANAGEMENT REPORTING AND DISCLOSURE ACT OF 1959 Scope of the Bond § 453.12 Meaning of fraud or dishonesty. The term “fraud or...

32 CFR 516.60 - Procurement fraud and irregularities programs at MACOMs.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 32 National Defense 3 2011-07-01 2009-07-01 true Procurement fraud and irregularities programs at MACOMs. 516.60 Section 516.60 National Defense Department of Defense (Continued) DEPARTMENT OF THE ARMY AID OF CIVIL AUTHORITIES AND PUBLIC RELATIONS LITIGATION Remedies in Procurement Fraud and Corruption...

Detecting Health Fraud in the Field of Learning Disabilities.

ERIC Educational Resources Information Center

Worrall, Russell S.

1990-01-01

This article discusses health fraud in special education. Psychopathology of health fraud, standards by which pseudoscience and quackery are defined, and the complexities of learning disorders are considered. A scale to determine whether an alternative therapy is reasonable is presented. Several popular therapies are used as examples. (Author/PB)

12 CFR 1805.812 - Fraud, waste and abuse.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 12 Banks and Banking 7 2010-01-01 2010-01-01 false Fraud, waste and abuse. 1805.812 Section 1805.812 Banks and Banking COMMUNITY DEVELOPMENT FINANCIAL INSTITUTIONS FUND, DEPARTMENT OF THE TREASURY..., waste and abuse. Any person who becomes aware of the existence or apparent existence of fraud, waste or...

Effectiveness of a 95 SNP panel for the screening of breed label fraud in the Chinese meat market.

PubMed

Rogberg-Muñoz, A; Wei, S; Ripoli, M V; Guo, B L; Carino, M H; Lirón, J P; Prando, A J; Vaca, R J A; Peral-García, P; Wei, Y M; Giovambattista, G

2016-01-01

Breed assignment has proved to be useful to control meat trade and protect the value of special productions. Meat-related frauds have been detected in China; therefore, 95 SNPs selected from the ISAG core panel were evaluated to develop an automated and technologically updated tool to screen breed label fraud in the Chinese meat market. A total of 271 animals from four Chinese yellow cattle (CYC) populations, six Bos taurus breeds, two Bos indicus and one composite were used. The allocation test distinguished European, Japanese and Zebu breeds, and two Chinese genetic components. It correctly allocated Japanese Black, Zebu and British breeds in 100, 90 and 89% of samples, respectively. CYC evidenced the Zebu, Holstein and Limousin introgression. The test did not detect CYC components in any of the 25 samples from Argentinean butchers. The method could be useful to certify Angus, Hereford and Japanese Black meat, but a modification in the panel would be needed to differentiate other breeds. Copyright © 2015 Elsevier Ltd. All rights reserved.

Detection and characterisation of frauds in bovine meat in natura by non-meat ingredient additions using data fusion of chemical parameters and ATR-FTIR spectroscopy.

PubMed

Nunes, Karen M; Andrade, Marcus Vinícius O; Santos Filho, Antônio M P; Lasmar, Marcelo C; Sena, Marcelo M

2016-08-15

Concerns about meat authenticity are increasing recently, due to great fraud scandals. This paper analysed real samples (43 adulterated and 12 controls) originated from criminal networks dismantled by the Brazilian Police. This fraud consisted of injecting solutions of non-meat ingredients (NaCl, phosphates, carrageenan, maltodextrin) in bovine meat, aiming to increase its water holding capacity. Five physico-chemical variables were determined, protein, ash, chloride, sodium, phosphate. Additionally, infrared spectra were recorded. Supervised classification PLS-DA models were built with each data set individually, but the best model was obtained with data fusion, correctly detecting 91% of the adulterated samples. From this model, a variable selection based on the highest VIPscores was performed and a new data fusion model was built with only one chemical variable, providing slightly lower predictions, but a good cost/performance ratio. Finally, some of the selected infrared bands were specifically associated to the presence of adulterants NaCl, tripolyphosphate and carrageenan. Copyright © 2016 Elsevier Ltd. All rights reserved.

Rapid methodology via mass spectrometry to quantify addition of soybean oil in extra virgin olive oil: A comparison with traditional methods adopted by food industry to identify fraud.

PubMed

da Silveira, Roberta; Vágula, Julianna Matias; de Lima Figueiredo, Ingrid; Claus, Thiago; Galuch, Marilia Bellanda; Santos Junior, Oscar Oliveira; Visentainer, Jesui Vergilio

2017-12-01

Fast and innovative methodology to monitors the addition of soybean oil in extra virgin olive oil was developed employing ESI-MS with ionization operating in positive mode. A certified extra virgin olive oil and refined soybean oil samples were analyzed by direct infusion, the identification of a natural lipid marker present only in soybean oil (m/z 886.68 [TAG+NH 4 ] + ) was possible. The certified extra virgin olive oil was purposely adulterated with soybean oil in different levels (1, 5, 10, 20, 50, 70, 90%) being possible to observe that the new methodology is able to detect even small fraud concentration, such as 1% (v/v). Additionally, commercial samples were analyzed and were observed the addition of soybean oil as a common fraud in this segment. This powerful analytical method proposed could be applied as routine analysis by control organization, as well as food industries, considering its pronounced advantages; simplicity, rapidity, elevated detectability and minor amounts of sample and solvent consumed. Copyright © 2017 Elsevier Ltd. All rights reserved.

Defining the public health threat of food fraud.

PubMed

Spink, John; Moyer, Douglas C

2011-01-01

Food fraud, including the more defined subcategory of economically motivated adulteration, is a food risk that is gaining recognition and concern. Regardless of the cause of the food risk, adulteration of food is both an industry and a government responsibility. Food safety, food fraud, and food defense incidents can create adulteration of food with public health threats. Food fraud is an intentional act for economic gain, whereas a food safety incident is an unintentional act with unintentional harm, and a food defense incident is an intentional act with intentional harm. Economically motivated adulteration may be just that-economically motivated-but the food-related public health risks are often more risky than traditional food safety threats because the contaminants are unconventional. Current intervention systems are not designed to look for a near infinite number of potential contaminants. The authors developed the core concepts reported here following comprehensive research of articles and reports, expert elicitation, and an extensive peer review. The intent of this research paper is to provide a base reference document for defining food fraud-it focuses specifically on the public health threat-and to facilitate a shift in focus from intervention to prevention. This will subsequently provide a framework for future quantitative or innovative research. The fraud opportunity is deconstructed using the criminology and behavioral science applications of the crime triangle and the chemistry of the crime. The research provides a food risk matrix and identifies food fraud incident types. This project provides a starting point for future food science, food safety, and food defense research. Food fraud, including the more defined subcategory of economically motivated adulteration, is a food protection threat that has not been defined or holistically addressed. The terrorist attacks of September 11, 2001, led to the development of food defense as an autonomous area of study and a new food protection discipline. As economically motivated adulteration grows in scope, scale, and awareness, it is conceivable that food fraud will achieve the same status as an autonomous concept, between food safety and food defense. This research establishes a starting point for defining food fraud and identifying the public health risks. © 2011 Institute of Food Technologists®

Elder Fraud and Financial Exploitation: Application of Routine Activity Theory.

PubMed

DeLiema, Marguerite

2017-03-10

Elder financial exploitation, committed by individuals in positions of trust, and elder fraud, committed by predatory strangers, are two forms of financial victimization that target vulnerable older adults. This study analyzes differences between fraud and financial exploitation victims and tests routine activity theory as a contextual model for victimization. Routine activity theory predicts that criminal opportunities arise when a motivated offender and suitable target meet in the absence of capable guardians. Fifty-three financial exploitation and fraud cases were sampled from an elder abuse forensic center. Data include law enforcement and caseworker investigation reports, victim medical records, perpetrator demographic information, and forensic assessments of victim health and cognitive functioning. Fraud and financial exploitation victims performed poorly on tests of cognitive functioning and financial decision making administered by a forensic neuropsychologist following the allegations. Based on retrospective record review, there were few significant differences in physical health and cognitive functioning at the time victims' assets were taken, although their social contexts were different. Significantly more fraud victims were childless compared with financial exploitation victims. Fraud perpetrators took advantage of elders when they had no trustworthy friends or relatives to safeguard their assets. Findings support an adapted routine activity theory as a contextual model for financial victimization. Fraud most often occurred when a vulnerable elder was solicited by a financial predator in the absence of capable guardians. Prevention efforts should focus on reducing social isolation to enhance protection. © The Author 2017. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

32 CFR 516.67 - Overseas cases of fraud or corruption.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 32 National Defense 3 2010-07-01 2010-07-01 true Overseas cases of fraud or corruption. 516.67 Section 516.67 National Defense Department of Defense (Continued) DEPARTMENT OF THE ARMY AID OF CIVIL AUTHORITIES AND PUBLIC RELATIONS LITIGATION Remedies in Procurement Fraud and Corruption § 516.67 Overseas...

Playing the Ponies: A $5 Million Embezzlement Case

ERIC Educational Resources Information Center

Howe, Martha A.; Malgwi, Charles A.

2006-01-01

Fraud is a pervasive problem, and educating future business leaders, managers, and auditors about fraud is one way to attack the problem. This instructional fraud case chronicles the actual details surrounding a major embezzlement at a regional high school (RHS) that culminated in long federal and state prison sentences for the school's treasurer.…

13 CFR 142.8 - What happens if program fraud is suspected?

Code of Federal Regulations, 2010 CFR

2010-01-01

... 13 Business Credit and Assistance 1 2010-01-01 2010-01-01 false What happens if program fraud is suspected? 142.8 Section 142.8 Business Credit and Assistance SMALL BUSINESS ADMINISTRATION PROGRAM FRAUD... demanded in the false claim or statement; (5) Any exculpatory or mitigating circumstances that may relate...

Reducing Fraudulent Financial Reporting: An Expanded Role for Business Education in the 1990s.

ERIC Educational Resources Information Center

Urbancic, Frank R.

1988-01-01

The author reports findings of the National Commission on Fraudulent Financial Reporting concerning the role of business education in reducing fraud in financial reporting. Issues covered include teaching financial regulations, developing skills needed to detect fraud, teaching ethical values, and preparing faculty to teach about financial fraud.…

45 CFR 681.5 - What happens if program fraud is suspected?

Code of Federal Regulations, 2010 CFR

2010-10-01

... 45 Public Welfare 3 2010-10-01 2010-10-01 false What happens if program fraud is suspected? 681.5 Section 681.5 Public Welfare Regulations Relating to Public Welfare (Continued) NATIONAL SCIENCE... What happens if program fraud is suspected? (a) If the investigating official concludes that an action...

10 CFR 1015.103 - Antitrust, fraud, tax, interagency, transportation account audit, acquisition contract, and...

Code of Federal Regulations, 2010 CFR

2010-01-01

... does not apply to tax debts. (c) Part 1015 does not apply to claims between Federal agencies. Federal... 10 Energy 4 2010-01-01 2010-01-01 false Antitrust, fraud, tax, interagency, transportation account... General § 1015.103 Antitrust, fraud, tax, interagency, transportation account audit, acquisition contract...

48 CFR 252.203-7004 - Display of fraud hotline poster(s).

Code of Federal Regulations, 2012 CFR

2012-10-01

... poster(s). 252.203-7004 Section 252.203-7004 Federal Acquisition Regulations System DEFENSE ACQUISITION... of Provisions And Clauses 252.203-7004 Display of fraud hotline poster(s). As prescribed in 203.1004(b)(2)(ii), use the following clause: Display of Fraud Hotline Poster(s) (SEP 2011) (a) Definition...

76 FR 57671 - Defense Federal Acquisition Regulation Supplement; Display of DoD Inspector General Fraud Hotline...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-09-16

... General Fraud Hotline Posters AGENCY: Defense Acquisition Regulations System, Department of Defense (DoD... Regulation Supplement (DFARS) to require contractors to display the DoD fraud hotline poster in common work....203-14, Display of Hotline Poster(s). Government Accountability Office (GAO) Report GAO-09-591...

48 CFR 252.203-7004 - Display of fraud hotline poster(s).

Code of Federal Regulations, 2011 CFR

2011-10-01

... poster(s). 252.203-7004 Section 252.203-7004 Federal Acquisition Regulations System DEFENSE ACQUISITION... of Provisions And Clauses 252.203-7004 Display of fraud hotline poster(s). As prescribed in 203.1004(b)(2)(ii), use the following clause: Display of Fraud Hotline Poster(s) (Sep 2011) (a) Definition...

48 CFR 252.203-7004 - Display of fraud hotline poster(s).

Code of Federal Regulations, 2013 CFR

2013-10-01

... poster(s). 252.203-7004 Section 252.203-7004 Federal Acquisition Regulations System DEFENSE ACQUISITION... of Provisions And Clauses 252.203-7004 Display of fraud hotline poster(s). As prescribed in 203.1004(b)(2)(ii), use the following clause: Display of Fraud Hotline Poster(s) (DEC 2012) (a) Definition...

48 CFR 252.203-7004 - Display of fraud hotline poster(s).

Code of Federal Regulations, 2014 CFR

2014-10-01

... poster(s). 252.203-7004 Section 252.203-7004 Federal Acquisition Regulations System DEFENSE ACQUISITION... of Provisions And Clauses 252.203-7004 Display of fraud hotline poster(s). As prescribed in 203.1004(b)(2)(ii), use the following clause: Display of Fraud Hotline Poster(s) (DEC 2012) (a) Definition...

20 CFR 410.699a - Penalties for fraud.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 20 Employees' Benefits 2 2010-04-01 2010-04-01 false Penalties for fraud. 410.699a Section 410.699a Employees' Benefits SOCIAL SECURITY ADMINISTRATION FEDERAL COAL MINE HEALTH AND SAFETY ACT OF 1969... Review, Finality of Decisions, and Representation of Parties § 410.699a Penalties for fraud. The penalty...

25 CFR 700.541 - Fraud or false statement in a Government matter.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 25 Indians 2 2010-04-01 2010-04-01 false Fraud or false statement in a Government matter. 700.541... RELOCATION PROCEDURES Employee Responsibility and Conduct § 700.541 Fraud or false statement in a Government..., applications for employment, personnel security forms, requests for travel reimbursement, client certification...

45 CFR 235.110 - Fraud.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 45 Public Welfare 2 2010-10-01 2010-10-01 false Fraud. 235.110 Section 235.110 Public Welfare... PROGRAMS § 235.110 Fraud. State plan requirements: A State plan under title I, IV-A, X, XIV, or XVI of the Social Security Act must provide: (a) That the State agency will establish and maintain: (1) Methods and...

7 CFR 762.103 - Full faith and credit.

Code of Federal Regulations, 2010 CFR

2010-01-01

... AGRICULTURE SPECIAL PROGRAMS GUARANTEED FARM LOANS § 762.103 Full faith and credit. (a) Fraud and... States. The Agency may contest the guarantee only in cases of fraud or misrepresentation by a lender or holder, in which: (1) The lender or holder had actual knowledge of the fraud or misrepresentation at the...

Special Fraud Alert for Schools, Lenders, and Guarantee Agencies.

ERIC Educational Resources Information Center

Department of Education, Washington, DC.

Guidelines to prevent fraud and abuse in the government's student aid programs are presented for schools, lenders, and guarantee agencies. Student aid fraud is defined as intentional wrongful obtaining of student financial assistance (SFA) benefits through deceptive means. It is noted that falsification of eligibility is the most common form of…

42 CFR 1001.951 - Fraud and kickbacks and other prohibited activities.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 42 Public Health 5 2010-10-01 2010-10-01 false Fraud and kickbacks and other prohibited activities... Permissive Exclusions § 1001.951 Fraud and kickbacks and other prohibited activities. (a) Circumstance for..., or (B) Imposition of a civil money penalty against others; or (iii) Alternative sources of the type...

26 CFR 301.6110-1 - Public inspection of written determinations and background file documents.

Code of Federal Regulations, 2011 CFR

2011-04-01

... section, relating to technical advice memoranda involving civil fraud and criminal investigations, and... section 6110(d)(3) and (f)(4). (2) Technical advice memoranda involving civil fraud and criminal... § 301.6110-2(f) involving any matter that is the subject of a civil fraud or criminal investigation, a...

42 CFR 1001.951 - Fraud and kickbacks and other prohibited activities.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 42 Public Health 5 2011-10-01 2011-10-01 false Fraud and kickbacks and other prohibited activities... Permissive Exclusions § 1001.951 Fraud and kickbacks and other prohibited activities. (a) Circumstance for..., or (B) Imposition of a civil money penalty against others; or (iii) Alternative sources of the type...

45 CFR 149.41 - Consequences of Non-Compliance, Fraud, or Similar Fault.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 45 Public Welfare 1 2010-10-01 2010-10-01 false Consequences of Non-Compliance, Fraud, or Similar Fault. 149.41 Section 149.41 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES REQUIREMENTS... Eligible Employment-Based Plans § 149.41 Consequences of Non-Compliance, Fraud, or Similar Fault. Upon...

45 CFR 681.5 - What happens if program fraud is suspected?

Code of Federal Regulations, 2011 CFR

2011-10-01

... 45 Public Welfare 3 2011-10-01 2011-10-01 false What happens if program fraud is suspected? 681.5 Section 681.5 Public Welfare Regulations Relating to Public Welfare (Continued) NATIONAL SCIENCE... What happens if program fraud is suspected? (a) If the investigating official concludes that an action...

45 CFR 681.5 - What happens if program fraud is suspected?

Code of Federal Regulations, 2014 CFR

2014-10-01

... 45 Public Welfare 3 2014-10-01 2014-10-01 false What happens if program fraud is suspected? 681.5 Section 681.5 Public Welfare Regulations Relating to Public Welfare (Continued) NATIONAL SCIENCE... What happens if program fraud is suspected? (a) If the investigating official concludes that an action...

45 CFR 681.5 - What happens if program fraud is suspected?

Code of Federal Regulations, 2012 CFR

2012-10-01

... 45 Public Welfare 3 2012-10-01 2012-10-01 false What happens if program fraud is suspected? 681.5 Section 681.5 Public Welfare Regulations Relating to Public Welfare (Continued) NATIONAL SCIENCE... What happens if program fraud is suspected? (a) If the investigating official concludes that an action...

45 CFR 681.5 - What happens if program fraud is suspected?

Code of Federal Regulations, 2013 CFR

2013-10-01

... 45 Public Welfare 3 2013-10-01 2013-10-01 false What happens if program fraud is suspected? 681.5 Section 681.5 Public Welfare Regulations Relating to Public Welfare (Continued) NATIONAL SCIENCE... What happens if program fraud is suspected? (a) If the investigating official concludes that an action...

76 FR 40223 - Extension of Temporary Exemptions for Eligible Credit Default Swaps To Facilitate Operation of...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-07-08

...-fraud provisions, as well as exempt these security-based swaps from Exchange Act registration... interest involving security-based swaps.\\31\\ We have also proposed anti-fraud and anti-manipulation rules... Against Fraud, Manipulation, and Deception in Connection with Security-Based Swaps, Release No. 34-63236...

32 CFR 516.68 - Program Fraud Civil Remedies Act (PFCRA).

Code of Federal Regulations, 2011 CFR

2011-07-01

... 32 National Defense 3 2011-07-01 2009-07-01 true Program Fraud Civil Remedies Act (PFCRA). 516.68 Section 516.68 National Defense Department of Defense (Continued) DEPARTMENT OF THE ARMY AID OF CIVIL AUTHORITIES AND PUBLIC RELATIONS LITIGATION Remedies in Procurement Fraud and Corruption § 516.68 Program...

Data fraud in clinical trials

PubMed Central

George, Stephen L; Buyse, Marc

2015-01-01

Highly publicized cases of fabrication or falsification of data in clinical trials have occurred in recent years and it is likely that there are additional undetected or unreported cases. We review the available evidence on the incidence of data fraud in clinical trials, describe several prominent cases, present information on motivation and contributing factors and discuss cost-effective ways of early detection of data fraud as part of routine central statistical monitoring of data quality. Adoption of these clinical trial monitoring procedures can identify potential data fraud not detected by conventional on-site monitoring and can improve overall data quality. PMID:25729561

The effects of loneliness on telemarketing fraud vulnerability among older adults.

PubMed

Alves, Linda M; Wilson, Steve R

2008-01-01

Older adults are disproportionately affected by telemarketing fraud, especially those who are socially isolated. Twenty-eight older adult telemarketing fraud victims completed a questionnaire assessing loneliness and other variables related to telemarketing fraud vulnerability. Victims tended to be male, divorced/separated, and college-educated, between ages of 60 and 70. Age and marital status were significantly associated with loneliness. This study is an important first step for additional research in this area and may enhance the prevention and intervention efforts of social service providers who work with older adults who may be most vulnerable.

Blood recipient unable to recover damages based on fraud.

PubMed

1995-05-05

A court ruled that [name removed] is unable to sue for fraud after acquiring HIV through a blood transfusion in 1982. [Name removed], who sued the hospital, her cardiologist, and two physicians, claimed she did not learn she had received a blood transfusion until after she was diagnosed with AIDS. She tested positive for HIV antibodies in March 1992 and was diagnosed with AIDS. The Supreme Court said a cause of action for actual fraud must be filed within six years from the date of the fraudulent act or two years from the date the plaintiff discovered the fraud.

25 CFR 543.20 - What are the minimum internal control standards for information technology and information...

Code of Federal Regulations, 2013 CFR

2013-04-01

... information technology and information technology data? 543.20 Section 543.20 Indians NATIONAL INDIAN GAMING... § 543.20 What are the minimum internal control standards for information technology and information... prevent the concealment of fraud. (4) Information technology agents having access to Class II gaming...

25 CFR 543.20 - What are the minimum internal control standards for information technology and information...

Code of Federal Regulations, 2014 CFR

2014-04-01

... information technology and information technology data? 543.20 Section 543.20 Indians NATIONAL INDIAN GAMING... § 543.20 What are the minimum internal control standards for information technology and information... prevent the concealment of fraud. (4) Information technology agents having access to Class II gaming...

Guidelines for conducting vulnerability assessments. [Susceptibility of programs to unauthorized use of resources

DOE Office of Scientific and Technical Information (OSTI.GOV)

Not Available

1982-06-01

The US General Accounting Office and executive agency Inspectors General have reported losses of millions of dollars in government funds resulting from fraud, waste and error. The Administration and the Congress have initiated determined efforts to eliminate such losses from government programs and activities. Primary emphasis in this effort is on the strengthening of accounting and administrative controls. Accordingly, the Office of Management and Budget (OMB) issued Circular No. A-123, Internal Control Systems, on October 28, 1981. The campaign to improve internal controls was endorsed by the Secretary of Energy in a memorandum to Heads of Departmental Components, dated Marchmore » 13, 1981, Subject: Internal Control as a Deterrent to Fraud, Waste and Error. A vulnerability assessment is a review of the susceptibility of a program or function to unauthorized use of resources, errors in reports and information, and illegal or unethical acts. It is based on considerations of the environment in which the program or function is carried out, the inherent riskiness of the program or function, and a preliminary evaluation as to whether adequate safeguards exist and are functioning.« less

The Role of Cognition, Personality, and Trust in Fraud Victimization in Older Adults

PubMed Central

Judges, Rebecca A.; Gallant, Sara N.; Yang, Lixia; Lee, Kang

2017-01-01

Older adults are more at risk to become a victim of consumer fraud than any other type of crime (Carcach et al., 2001) but the research on the psychological profiles of senior fraud victims is lacking. To bridge this significant gap, we surveyed 151 (120 female, 111 Caucasian) community-dwelling older adults in Southern Ontario between 60 and 90 years of age about their experiences with fraud. Participants had not been diagnosed with cognitive impairment or a neurological disorder by their doctor and looked after their own finances. We assessed their self-reported cognitive abilities using the MASQ, personality on the 60-item HEXACO Personality Inventory, and trust tendencies using a scale from the World Values Survey. There were no demographic differences between victims and non-victims. We found that victims exhibit lower levels of cognitive ability, lower honesty-humility, and lower conscientiousness than non-victims. Victims and non-victims did not differ in reported levels of interpersonal trust. Subsequent regression analyses showed that cognition is an important component in victimization over and above other social factors. The present findings suggest that fraud prevention programs should focus on improving adults’ overall cognitive functioning. Further investigation is needed to understand how age-related cognitive changes affect vulnerability to fraud and which cognitive processes are most important for preventing fraud victimization. PMID:28450847

Afghanistan: Politics, Elections, and Government Performance

DTIC Science & Technology

2010-04-06

investigated. On that basis, the United States, as well as U.N. Secretary General Ban Ki Moon (visiting Kabul), and several governments, congratulated...investigation of the fraud. This led to the September 29, 2009, dismissal by Secretary General Ban Ki Moon of Galbraith, who had openly accused UNAMA head Kai...Minister of Transport and Aviation; and (10) Sultan Hussein Hesari, Minister of Urban Development. 2010 Parliamentary Elections and Election Law

A Report of the Special Committee on Investigations of the Select Committee on Indian Affairs. Final Report and Legislative Recommendations. Senate, 101st Congress, 1st Session (November 6, 1989).

ERIC Educational Resources Information Center

Congress of the U.S., Washington, DC. Senate Select Committee on Indian Affairs.

In 1987, the United States Senate established the Special Committee to investigate American Indian affairs. Fraud, corruption, and mismanagement were found pervading the institutions serving American Indians. Corruption was also discovered in Indian tribal governments. The Committee faulted Congress for failing to adequately oversee and reform…

Development of a Hazard Classification Scheme for Substances Used in the Fraudulent Adulteration of Foods.

PubMed

Everstine, Karen; Abt, Eileen; McColl, Diane; Popping, Bert; Morrison-Rowe, Sara; Lane, Richard W; Scimeca, Joseph; Winter, Carl; Ebert, Andrew; Moore, Jeffrey C; Chin, Henry B

2018-01-01

Food fraud, the intentional misrepresentation of the true identity of a food product or ingredient for economic gain, is a threat to consumer confidence and public health and has received increased attention from both regulators and the food industry. Following updates to food safety certification standards and publication of new U.S. regulatory requirements, we undertook a project to (i) develop a scheme to classify food fraud-related adulterants based on their potential health hazard and (ii) apply this scheme to the adulterants in a database of 2,970 food fraud records. The classification scheme was developed by a panel of experts in food safety and toxicology from the food industry, academia, and the U.S. Food and Drug Administration. Categories and subcategories were created through an iterative process of proposal, review, and validation using a subset of substances known to be associated with the fraudulent adulteration of foods. Once developed, the scheme was applied to the adulterants in the database. The resulting scheme included three broad categories: 1, potentially hazardous adulterants; 2, adulterants that are unlikely to be hazardous; and 3, unclassifiable adulterants. Categories 1 and 2 consisted of seven subcategories intended to further define the range of hazard potential for adulterants. Application of the scheme to the 1,294 adulterants in the database resulted in 45% of adulterants classified in category 1 (potentially hazardous). Twenty-seven percent of the 1,294 adulterants had a history of causing consumer illness or death, were associated with safety-related regulatory action, or were classified as allergens. These results reinforce the importance of including a consideration of food fraud-related adulterants in food safety systems. This classification scheme supports food fraud mitigation efforts and hazard identification as required in the U.S. Food Safety Modernization Act Preventive Controls Rules.

13 CFR 142.2 - What kind of conduct will result in program fraud enforcement?

Code of Federal Regulations, 2010 CFR

2010-01-01

... 13 Business Credit and Assistance 1 2010-01-01 2010-01-01 false What kind of conduct will result in program fraud enforcement? 142.2 Section 142.2 Business Credit and Assistance SMALL BUSINESS ADMINISTRATION PROGRAM FRAUD CIVIL REMEDIES ACT REGULATIONS Overview and Definitions § 142.2 What kind of conduct...

Data Analytics in Procurement Fraud Prevention

DTIC Science & Technology

2014-05-30

Certified Fraud Examiners CAC common access card COR contracting officer’s representative CPAR Contractor Performance Assessment Reporting System DCAA...using analytics to predict patterns occurring in known credit card fraud investigations to prevent future schemes before they happen. The goal of...or iTunes . 4. Distributional Analytics Distributional analytics are used to detect anomalies within data. Through the use of distributional

45 CFR 30.3 - Antitrust, fraud, exception in the account of an accountable official, and interagency claims...

Code of Federal Regulations, 2011 CFR

2011-10-01

... 45 Public Welfare 1 2011-10-01 2011-10-01 false Antitrust, fraud, exception in the account of an accountable official, and interagency claims excluded. 30.3 Section 30.3 Public Welfare DEPARTMENT OF HEALTH... antitrust violations or fraud. (1) The standards in this part relating to compromise, suspension, and...

31 CFR 900.3 - Antitrust, fraud, and tax and interagency claims excluded.

Code of Federal Regulations, 2010 CFR

2010-07-01

... apply to tax debts. (c) Parts 900-904 of this chapter do not apply to claims between Federal agencies... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false Antitrust, fraud, and tax and...) SCOPE OF STANDARDS § 900.3 Antitrust, fraud, and tax and interagency claims excluded. (a) The standards...

17 CFR 240.15c1-2 - Fraud and misrepresentation.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 17 Commodity and Securities Exchanges 3 2010-04-01 2010-04-01 false Fraud and misrepresentation. 240.15c1-2 Section 240.15c1-2 Commodity and Securities Exchanges SECURITIES AND EXCHANGE COMMISSION... Securities Exchange Act of 1934 Rules Relating to Over-The-Counter Markets § 240.15c1-2 Fraud and...

17 CFR 39.7 - Fraud in connection with the clearing of transactions on a derivatives clearing organization.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 17 Commodity and Securities Exchanges 1 2010-04-01 2010-04-01 false Fraud in connection with the clearing of transactions on a derivatives clearing organization. 39.7 Section 39.7 Commodity and Securities Exchanges COMMODITY FUTURES TRADING COMMISSION DERIVATIVES CLEARING ORGANIZATIONS § 39.7 Fraud in connection...

76 FR 21373 - Privacy Act of 1974; Report of a New System of Records

Federal Register 2010, 2011, 2012, 2013, 2014

2011-04-15

... Information Security Management Act of 2002; the Computer Fraud and Abuse Act of 1986; the Health Insurance... 1974; the Federal Information Security Management Act of 2002; the Computer Fraud and Abuse Act of 1986... established by State law; (3) support litigation involving the Agency; (4) combat fraud, waste, and abuse in...

43 CFR 20.510 - Fraud or false statements in a Government matter.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 43 Public Lands: Interior 1 2014-10-01 2014-10-01 false Fraud or false statements in a Government matter. 20.510 Section 20.510 Public Lands: Interior Office of the Secretary of the Interior EMPLOYEE RESPONSIBILITIES AND CONDUCT Other Employee Conduct Provisions § 20.510 Fraud or false statements in a Government...

43 CFR 20.510 - Fraud or false statements in a Government matter.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 43 Public Lands: Interior 1 2011-10-01 2011-10-01 false Fraud or false statements in a Government matter. 20.510 Section 20.510 Public Lands: Interior Office of the Secretary of the Interior EMPLOYEE RESPONSIBILITIES AND CONDUCT Other Employee Conduct Provisions § 20.510 Fraud or false statements in a Government...

78 FR 68905 - Proposed Information Collection (Annual Certification of Veteran Status and Veteran-Relatives...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-11-15

... and Veteran- Relatives, VA Form 20-0344. OMB Control Number: 2900-0654. Type of Review: Revision of a... benefit records require special handling to guard against fraud, conflict of interest, improper influence...

TANTAMOUNT TO FRAUD?: EXPLORING NON-DISCLOSURE OF GENETIC INFORMATION IN LIFE INSURANCE APPLICATIONS AS GROUNDS FOR POLICY RESCISSION.

PubMed

Prince, Anya E R

2016-01-01

Many genetic counselors recommend that individuals secure desired insurance policies, such as life insurance, prior to undergoing predictive genetic testing. It has been argued, however, that this practice is "tantamount to fraud" and that failure to disclose genetic test results, or conspiring to secure a policy before testing, opens an individual up to legal recourse. This debate traps affected individuals in a Catch-22. If they apply for life insurance and disclose a genetic test result, they may be denied. If they apply without disclosing the information, they may have committed fraud. The consequences of life insurance fraud are significant: If fraud is found on an application, a life insurer can rescind the policy, in some cases even after the individual has passed away. Such a rescission could leave family members or beneficiaries without the benefits of the life insurance policy payment after the individual's death and place them in in economic difficulty. Although it is clear that lying in response to a direct question about genetic testing would be tantamount to fraud, few, if any, life insurance applications currently include broad questions about genetic testing. This paper investigates whether non-disclosure of unasked for genetic information constitutes fraud and explores varying types of insurance questions that could conceivably be interpreted as seeking genetic information. Life insurance applicants generally have no duty to disclose unasked for information, including genetic information, on an application. However, given the complexities of genetic information, individuals may be exposed to fraud and rescission of their life insurance policy despite honest attempts to truthfully and completely answer all application questions.

Individual and Institutional Liability of Researchers in the Case of Scientific Fraud: Values and Ethics

ERIC Educational Resources Information Center

Baier, Eric; Dupraz, Laure

2007-01-01

How have university institutions generally tackled the fight against scientific fraud? We intend to throw light on the very process of public disclosure of scientific fraud, as it has transformed in the last 30 years within the framework of scientific research institutions. By focusing our analysis on the "denunciation process", we intend to refer…

38 CFR 1.902 - Antitrust, fraud, and tax and interagency claims.

Code of Federal Regulations, 2010 CFR

2010-07-01

....900 through 1.953 do not apply to tax debts. (c) Sections 1.900 through 1.953 do not apply to claims... 38 Pensions, Bonuses, and Veterans' Relief 1 2010-07-01 2010-07-01 false Antitrust, fraud, and tax... Collection Effort, and Referral of Civil Claims for Money Or Property § 1.902 Antitrust, fraud, and tax and...

41 CFR 105-55.003 - Antitrust, fraud, tax, interagency claims, and claims over $100,000 excluded.

Code of Federal Regulations, 2010 CFR

2010-07-01

...) This part does not apply to tax debts. (c) This part does not apply to claims between GSA and other... 41 Public Contracts and Property Management 3 2010-07-01 2010-07-01 false Antitrust, fraud, tax... § 105-55.003 Antitrust, fraud, tax, interagency claims, and claims over $100,000 excluded. (a) The...

Training for Success: A Comparison of Anti-Fraud Knowledge Competencies

DTIC Science & Technology

2014-12-01

fraud, money laundering , and tax fraud. The section on punishing offenders contains two competencies: criminal prosecutions and the civil justice...investigations (Kittay, 2011). Money laundering investigations focus on the various methods individuals use to conceal proceeds earned from criminal ...Chartered Accowltants Cet·tified Anti - Money CAMS The Association of Cettified Laundering Specialist Anti - Money Latmdering Specialists Certified

17 CFR 1.1 - Fraud in or in connection with transactions in foreign currency subject to the Commodity Exchange...

Code of Federal Regulations, 2010 CFR

2010-04-01

... 17 Commodity and Securities Exchanges 1 2010-04-01 2010-04-01 false Fraud in or in connection with... Securities Exchanges COMMODITY FUTURES TRADING COMMISSION GENERAL REGULATIONS UNDER THE COMMODITY EXCHANGE ACT Definitions § 1.1 Fraud in or in connection with transactions in foreign currency subject to the...

Early Detection of Online Auction Opportunistic Sellers through the Use of Negative-Positive Feedback

ERIC Educational Resources Information Center

Reinert, Gregory J.

2010-01-01

Apparently fraud is a growth industry. The monetary losses from Internet fraud have increased every year since first officially reported by the Internet Crime Complaint Center (IC3) in 2000. Prior research studies and third-party reports of fraud show rates substantially higher than eBay's reported negative feedback rate of less than 1%. The…

Health Care Fraud: Characteristics, Sanctions, and Prevention. Briefing Report to the Honorable William V. Roth, Jr., U.S. Senate.

ERIC Educational Resources Information Center

General Accounting Office, Washington, DC. Accounting and Financial Management Div.

At the request of Senator William Roth, Jr., the General Accounting Office (GAO) reviewed Medicare and Medicaid fraud investigations that agency inspectors general referred to the Department of Justice for prosecution to identify characteristics of alleged fraud against the government and to determine actions taken against those caught defrauding…

Protecting your practice.

PubMed

Kerr, Joseph

2015-01-01

Dentists have much invested in their practices. They need to protect their practices from fraud and noncompliance. The author provides practical suggestions for how to significantly reduce the risk of fraud and theft in the practice without disrupting day-to-day operations. By adhering to nonintrusive policy and procedure changes, dental practice owners can reduce inherent risks of fraud and theft, while increasing financial and human resource knowledge regarding their practice. Practice owners with the appropriate policies and procedures benefit from significantly lower risk of loss from fraud and theft. Furthermore, they have a better understanding of their practice's finances and human resources. Copyright © 2015 American Dental Association. Published by Elsevier Inc. All rights reserved.

Shedding light on food fraud: spectrophotometric and spectroscopic methods as a tool against economically motivated adulteration of food

NASA Astrophysics Data System (ADS)

Petronijević, R. B.; Velebit, B.; Baltić, T.

2017-09-01

Intentional modification of food or substitution of food ingredients with the aim of gaining profit is food fraud or economically motivated adulteration (EMA). EMA appeared in the food supply chain, and following the global expansion of the food market, has become a world-scale problem for the global economy. Food frauds have involved oils, milk and meat products, infant formula, honey, juices, spices, etc. New legislation was enacted in the last decade in order to fight EMA. Effective analytical methods for food fraud detection are few and still in development. The majority of the methods in common use today for EMA detection are time consuming and inappropriate for use on the production line or out of the laboratory. The next step in the evolution of analytical techniques to combat food fraud is development of fast, accurate methods applicable using portable or handheld devices. Spectrophotometric and spectroscopic methods combined with chemometric analysis, and perhaps in combination with other rapid physico-chemical techniques, could be the answer. This review discusses some analytical techniques based on spectrophotometry and spectroscopy, which are used to reveal food fraud and EMA.

From Spin to Swindle: Identifying Falsification in Financial Text.

PubMed

Minhas, Saliha; Hussain, Amir

Despite legislative attempts to curtail financial statement fraud, it continues unabated. This study makes a renewed attempt to aid in detecting this misconduct using linguistic analysis with data mining on narrative sections of annual reports/10-K form. Different from the features used in similar research, this paper extracts three distinct sets of features from a newly constructed corpus of narratives (408 annual reports/10-K, 6.5 million words) from fraud and non-fraud firms. Separately each of these three sets of features is put through a suite of classification algorithms, to determine classifier performance in this binary fraud/non-fraud discrimination task. From the results produced, there is a clear indication that the language deployed by management engaged in wilful falsification of firm performance is discernibly different from truth-tellers. For the first time, this new interdisciplinary research extracts features for readability at a much deeper level, attempts to draw out collocations using n -grams and measures tone using appropriate financial dictionaries. This linguistic analysis with machine learning-driven data mining approach to fraud detection could be used by auditors in assessing financial reporting of firms and early detection of possible misdemeanours.

78 FR 9393 - Delegation of Authorities

Federal Register 2010, 2011, 2012, 2013, 2014

2013-02-08

... under Section 1128C(a)(2) of the Social Security Act (the Act) (42 U.S.C. 1320a-7c(a)(2)), as amended... to the Health Care Fraud and Abuse Control Program created by Section 201(a) of the Health Insurance...

Biometrics Technology: Understanding Dynamics Influencing Adoption for Control of Identification Deception within Nigeria

ERIC Educational Resources Information Center

Nwatu, Gideon U.

2011-01-01

One of the objectives of any government is the establishment of an effective solution to significantly control crime. Identity fraud in Nigeria has generated global attention and negative publicity toward its citizens. The research problem addressed in this study was the lack of understanding of the dynamics that influenced the adoption and…

Abuses in Federal Student Aid Programs: Hearings Before the Permanent Subcommittee on Investigations of the Committee on Governmental Affairs. United States Senate, One Hundred First Congress, Second Session (February 20, 26, 1990).

ERIC Educational Resources Information Center

Congress of the U.S., Washington, DC. Senate Committee on Governmental Affairs.

This document presents oral testimony and prepared statements on the subject of federal student loan programs identified as particularly vulnerable to fraud, waste, and abuse. Opening statements by the four Senators (Nunn, Kohl, Roth, and Levin) stress the seriousness of increasing student loan defaults and abuses by proprietary, for profit, trade…

Student and Exchange Visitor Program: DHS Needs to Assess Risks and Strengthen Oversight Functions. Report to Congressional Requesters. GAO-12-572

ERIC Educational Resources Information Center

Gambler, Rebecca

2012-01-01

As of January 2012, more than 850,000 active foreign students were in the United States enrolled at over 10,000 U.S. schools. ICE, within DHS, is responsible for managing SEVP and certifying schools to accept foreign students. GAO was asked to review ICE's fraud prevention and detection procedures for SEVP. This report examines the extent to which…

Reducing Homeland Insecurities: Ending Abuse of the Asylum and Credible Fear Program

DTIC Science & Technology

2015-03-01

Operations FDNS Fraud Detection and National Security FEMA Federal Emergency Management Agency FY Fiscal Year GAO Government Accounting...file applications. A 2002 Government Accounting Office (GAO) study on benefit fraud found that fraud was pervasive and routinely used in furtherance... Government Accountability Office, 2002), http://www.gao.gov/assets/240/233515.pdf. 7 Mark Motivans, Immigration Offenders in the Federal Justice

Misconduct accounts for the majority of retracted scientific publications

PubMed Central

Fang, Ferric C.; Steen, R. Grant; Casadevall, Arturo

2012-01-01

A detailed review of all 2,047 biomedical and life-science research articles indexed by PubMed as retracted on May 3, 2012 revealed that only 21.3% of retractions were attributable to error. In contrast, 67.4% of retractions were attributable to misconduct, including fraud or suspected fraud (43.4%), duplicate publication (14.2%), and plagiarism (9.8%). Incomplete, uninformative or misleading retraction announcements have led to a previous underestimation of the role of fraud in the ongoing retraction epidemic. The percentage of scientific articles retracted because of fraud has increased ∼10-fold since 1975. Retractions exhibit distinctive temporal and geographic patterns that may reveal underlying causes. PMID:23027971

Double-Entry Bookkeeping.

ERIC Educational Resources Information Center

Snyder, Herbert

1999-01-01

Explains the principles and mechanics of double-entry bookkeeping as a part of the accounting cycle to produce a functioning set of accounting records. Suggests that libraries need to have accurate and timely information about their spending to gain financial control and protect against fraud and abuse. (LRW)

Civil Division - Alaska Department of Law

Science.gov Websites

Attorney General Opinions Executive Branch Ethics Criminal Justice Alaska Medicaid Fraud Control Anchorage department and other agencies on the management, retention, communication, and disclosure of information matters. In addition, the legislative liaison coordinates responses to media requests. Natural Resources

Contracting for Navy Husbanding Services: An Analysis of the Fat Leonard Case

DTIC Science & Technology

2017-12-01

management and internal control frameworks. This research analyzes each alleged act of fraud in the Fat Leonard case and aligns the act with the contract...management phase in which the alleged act occurred and with the internal control component that most contributed to and allowed the alleged act to be...contract administration phases. Furthermore, the findings indicate that the internal control deficiencies were in the control environment and

Education Financial Management: Weak Internal Controls Led to Instances of Fraud and Other Improper Payments. Testimony before the Subcommittee on Select Education, Committee on Education and the Workforce, House of Representatives.

ERIC Educational Resources Information Center

Calbom, Linda

This testimony summarizes a report generated by the U.S. General Accounting Office concerned with internal control problems found in the U.S. Department of Education. Significant internal control weaknesses in the U.S. Department of Education's payment processes and poor physical control over its computer assets made the department vulnerable to…

Doctors aren't immune to theft and fraud

PubMed Central

Marcus, Gary

1995-01-01

A chartered accountant says the problem of fraud within medical practices is far from rare, even though prevention is relatively simple. Gary Marcus provides advice to physicians about ways to spot fraud within their practices and things they can do to prevent it. No matter how small your practice or how long you have had the same employees, says Marcus, given the right circumstances anyone might steal from you. Imagesp940-a PMID:7697586

Joint Contingency Contracting: Improving Through Ethics

DTIC Science & Technology

2009-05-04

sound ethical decisions. In order to avoid fraud, bribery , contractor kickbacks, or even any perception of activity that may not be in line with...avoid fraud, bribery , contractor kickbacks, or even any perception of activity that may not be in line with the proper use of U.S. Government funds, it...Efforts and Investments, released 11 Mar 2007. 1 INTRODUCTION Hardly a week goes by without a breaking news story dealing with fraud, bribery

Abuses in Federal Student Grant Programs. Hearings before the Permanent Subcommittee on Investigations of the Committee on Governmental Affairs, United States Senate, One Hundred Third Congress, First Session (October 27-28, 1993).

ERIC Educational Resources Information Center

Congress of the U.S., Washington, DC. Senate Committee on Governmental Affairs.

It appears that many of the problems plaguing the Federal Student Aid Programs are also undermining the Pell Grant program, not so much from dishonesty on the part of students, but by dishonesty on the part of schools. This document presents testimony and prepared statements concerning the allegations of fraud, abuse, and mismanagement in the…

Abuses in Federal Student Grant Programs: Proprietary School Abuses. Hearing before the Permanent Subcommittee on Investigations of the Committee on Governmental Affairs. United States Senate, One Hundred Fourth Congress, First Session.

ERIC Educational Resources Information Center

Congress of the U.S., Washington, DC. Senate Committee on Governmental Affairs.

The purpose of this hearing was to probe a pattern of fraud and abuse in the Pell Grant Program for postsecondary students, focusing specifically on the IADE American Schools, a for-profit vocational school with campuses in the Los Angeles (California) area and serving primarily Hispanic students. In his opening remarks Senator Roth detailed a…

Assessment of DoD Wounded Warrior Matters - Wounded Warrior Battalion - West Headquarters and Southern California Units

DTIC Science & Technology

2012-08-22

urine drug tesL~ (UDTs). A BUM ED Publication wi ll follow the lnterim Guidance for sustainment. Two training programs have also been created to...line DEPARTMENT OF DEFENSE 800.424.9098 Fraud, Waste, Mismanagement, Abuse of Authority Suspected Threats to Homeland Security Unauthorized...determined how many Service members were required to be interviewed, then we applied a simple random sample approach to determine the Service members we

Common Violations of the United States Code in Economic Crime Investigations. The Fraud, Waste and Abuse Monster.

DTIC Science & Technology

1983-11-15

person- nel in understanding the elements of the offense and the evidence necessary to establish or negate probable cause. For the benefit of OCONUS...gift, favor, entertainment, hospitality, transportation, loan, or other tangible benefit for which less than fair market value is paid. c...influenced. He may even refuse the offer, yet the offense is complete. Nor need the thing of value personally benefit the public official. However, the

32 CFR 516.4 - Responsibilities.

Code of Federal Regulations, 2011 CFR

2011-07-01

... other attorneys designated by the Chief will represent DA in all procurement fraud and corruption... procurement fraud and corruption. (o) Chief, Environmental Law Division, USALSA. The Chief, Environmental Law...

Managing Counterparty Risk in an Unstable Financial System

ERIC Educational Resources Information Center

Belmont, David

2012-01-01

The recent flow of headlines excoriating bankers and financiers for malfeasance, fraud, and collusion has been almost biblical in proportion. Counterparties that appeared creditworthy based on financial statements and ratings have revealed that they are impaired either due to computer errors, control failures, malfeasance, or potential regulatory…

Securing insurance protection against fraud and abuse liability.

PubMed

Callison, S

1999-07-01

Healthcare organizations concerned about corporate compliance need to review securing appropriate insurance coverage as part of their corporate compliance program. Provider organizations often mistakenly expect that their directors and officers liability (D&O), malpractice, or standard errors and omissions (E&O) insurance policies will cover the cost of Medicare fraud and abuse fines. The insurance industry has developed a specific billing E&O insurance product to cover providers that run afoul of government fraud and abuse statutes.

42 CFR 495.368 - Combating fraud and abuse.

Code of Federal Regulations, 2014 CFR

2014-10-01

... (CONTINUED) STANDARDS AND CERTIFICATION STANDARDS FOR THE ELECTRONIC HEALTH RECORD TECHNOLOGY INCENTIVE... laws and regulations designed to prevent fraud, waste, and abuse, including, but not limited to...

42 CFR 495.368 - Combating fraud and abuse.

Code of Federal Regulations, 2012 CFR

2012-10-01

... (CONTINUED) STANDARDS AND CERTIFICATION STANDARDS FOR THE ELECTRONIC HEALTH RECORD TECHNOLOGY INCENTIVE... laws and regulations designed to prevent fraud, waste, and abuse, including, but not limited to...

42 CFR 495.368 - Combating fraud and abuse.

Code of Federal Regulations, 2011 CFR

2011-10-01

... (CONTINUED) STANDARDS AND CERTIFICATION STANDARDS FOR THE ELECTRONIC HEALTH RECORD TECHNOLOGY INCENTIVE... laws and regulations designed to prevent fraud, waste, and abuse, including, but not limited to...

42 CFR 495.368 - Combating fraud and abuse.

Code of Federal Regulations, 2013 CFR

2013-10-01

... (CONTINUED) STANDARDS AND CERTIFICATION STANDARDS FOR THE ELECTRONIC HEALTH RECORD TECHNOLOGY INCENTIVE... laws and regulations designed to prevent fraud, waste, and abuse, including, but not limited to...

National Health Care Anti-Fraud Association

MedlinePlus

... a Glance Pre-Conference Programs Conference Sessions Registration Hotel & Travel Information Conference Tracks Credit Opportunities Anti-Fraud Expo Sponsors Programs Budget Adequately for 2018 Trainings NETS Webinars Launch Webinar ...

32 CFR 516.63 - Coordination with DOJ.

Code of Federal Regulations, 2011 CFR

2011-07-01

... PUBLIC RELATIONS LITIGATION Remedies in Procurement Fraud and Corruption § 516.63 Coordination with DOJ... significant fraud and corruption cases to accomplish the following: (1) Monitor criminal prosecutions. (2...

Department of Justice

MedlinePlus

... of Seized Property Submit a Complaint Report Waste, Fraud, Abuse or Misconduct Find a Form Register, Apply ... Preparer Sentenced to Prison For Tax and Bankruptcy Fraud Thursday, November 16, 2017 Assistant Attorney General Makan ...

27 CFR 19.561 - Losses in general.

Code of Federal Regulations, 2010 CFR

2010-04-01

... appropriate TTB officer finds that the theft occurred without connivance, collusion, fraud or negligence on..., collusion, fraud, or negligence on the part of the proprietor, owner, consignor, consignee, bailee, or...

Report: Review of Hotline Complaint Concerning the Region 4 Environmental Justice Small Grants Selection Process

EPA Pesticide Factsheets

Report #13-P-0299, June 21, 2013. Our review of the EPA’s Region 4 Office of Environmental Justice found that management had controls in place to protect against bias, fraud, and preselection of EJ Small Grants recipients during FYs 2010, 2011 and 2012.

Neural network applications in telecommunications

NASA Technical Reports Server (NTRS)

Alspector, Joshua

1994-01-01

Neural network capabilities include automatic and organized handling of complex information, quick adaptation to continuously changing environments, nonlinear modeling, and parallel implementation. This viewgraph presentation presents Bellcore work on applications, learning chip computational function, learning system block diagram, neural network equalization, broadband access control, calling-card fraud detection, software reliability prediction, and conclusions.

CERT Resilience Management Model - Mail-Specific Process Areas: International Mail Transportation (Version 1.0)

DTIC Science & Technology

2014-08-01

IMPC. These threats may include natural and man-made disasters, damage, theft, fraud, and terrorism. Natural disasters such as hurricanes, earthquakes ...controls for mail sanctity include surveillance cameras, metal detectors , and X-ray screening to detect dangerous goods. (See IMT:SG2.SP1 and

Should Cops Be Spies? Evaluating the Collection and Sharing of National Security Intelligence by State, Local and Tribal Law Enforcement

DTIC Science & Technology

2013-03-01

international organized crime , illegal immigration, financial institution fraud and money laundering. Policymakers increasingly view domestic law...approach to crime control, focusing upon the identification, analysis and management of persisting and developing problems or risks (de Lint, 2006

Food fraud and the perceived integrity of European food imports into China.

PubMed

Kendall, H; Naughton, P; Kuznesof, S; Raley, M; Dean, M; Clark, B; Stolz, H; Home, R; Chan, M Y; Zhong, Q; Brereton, P; Frewer, L J

2018-01-01

Persistent incidents of food fraud in China have resulted in low levels of consumer trust in the authenticity and safety of food that is domestically produced. We examined the relationship between the concerns of Chinese consumers regarding food fraud, and the role that demonstrating authenticity may play in relieving those concerns. A two-stage mixed method design research design was adopted. First, qualitative research (focus groups n = 7) was conducted in three Chinese cities, Beijing, Guangzhou and Chengdu to explore concerns held by Chinese consumers in relation to food fraud. A subsequent quantitative survey (n = 850) tested hypotheses derived from the qualitative research and theoretical literature regarding the relationship between attitudinal measures (including risk perceptions, social trust, and perceptions of benefit associated with demonstrating authenticity), and behavioral intention to purchase "authentic" European products using structural equation modelling. Chinese consumers perceive food fraud to be a hazard that represents a food safety risk. Food hazard concern was identified to be geographically influenced. Consumers in Chengdu (tier 2 city) possessed higher levels of hazard concern compared to consumers in Beijing and Guangzhou (tier 1). Structural trust (i.e. trust in actors and the governance of the food supply chain) was not a significant predictor of attitude and intention to purchase authenticated food products. Consumers were shown to have developed 'risk-relieving' strategies to compensate for the lack of trust in Chinese food and the dissonance experienced as a consequence of food fraud. Indexical and iconic authenticity cues provided by food manufacturers and regulators were important elements of product evaluations, although geographical differences in their perceived importance were observed. Targeted communication of authenticity assurance measures, including; regulations; enforcement; product testing; and actions taken by industry may improve Chinese consumer trust in the domestic food supply chain and reduce consumer concerns regarding the food safety risks associated with food fraud. To support product differentiation and retain prestige, European food manufactures operating within the Chinese market should recognise regional disparities in consumer risk perceptions regarding food fraud and the importance of personal risk mitigation strategies adopted by Chinese consumers to support the identification of authentic products.

Food fraud and the perceived integrity of European food imports into China

PubMed Central

Raley, M.; Dean, M.; Clark, B.; Stolz, H.; Home, R.; Chan, M. Y.; Zhong, Q.; Brereton, P.; Frewer, L. J.

2018-01-01

Background/Aims Persistent incidents of food fraud in China have resulted in low levels of consumer trust in the authenticity and safety of food that is domestically produced. We examined the relationship between the concerns of Chinese consumers regarding food fraud, and the role that demonstrating authenticity may play in relieving those concerns. Methods A two-stage mixed method design research design was adopted. First, qualitative research (focus groups n = 7) was conducted in three Chinese cities, Beijing, Guangzhou and Chengdu to explore concerns held by Chinese consumers in relation to food fraud. A subsequent quantitative survey (n = 850) tested hypotheses derived from the qualitative research and theoretical literature regarding the relationship between attitudinal measures (including risk perceptions, social trust, and perceptions of benefit associated with demonstrating authenticity), and behavioral intention to purchase “authentic” European products using structural equation modelling. Results Chinese consumers perceive food fraud to be a hazard that represents a food safety risk. Food hazard concern was identified to be geographically influenced. Consumers in Chengdu (tier 2 city) possessed higher levels of hazard concern compared to consumers in Beijing and Guangzhou (tier 1). Structural trust (i.e. trust in actors and the governance of the food supply chain) was not a significant predictor of attitude and intention to purchase authenticated food products. Consumers were shown to have developed ‘risk-relieving’ strategies to compensate for the lack of trust in Chinese food and the dissonance experienced as a consequence of food fraud. Indexical and iconic authenticity cues provided by food manufacturers and regulators were important elements of product evaluations, although geographical differences in their perceived importance were observed. Conclusions Targeted communication of authenticity assurance measures, including; regulations; enforcement; product testing; and actions taken by industry may improve Chinese consumer trust in the domestic food supply chain and reduce consumer concerns regarding the food safety risks associated with food fraud. To support product differentiation and retain prestige, European food manufactures operating within the Chinese market should recognise regional disparities in consumer risk perceptions regarding food fraud and the importance of personal risk mitigation strategies adopted by Chinese consumers to support the identification of authentic products. PMID:29791434

Eradicating Organized Criminal Gangs in Jamaica: Can Lessons be Learnt From a Successful Counterinsurgency

DTIC Science & Technology

2008-01-01

34’Sa’tanrrlCl-I’o • ;S0.t..rUt 1\\1ar ,,’ FrankJ’ield" !I; E’ort Antoa"io ~*I~$~’ ’~t:.;:;: "::f;i’I’,":; . ’.. ......... [ilu’c’ 7" IOt ;.s:uc/i’ CaL"es...dissemination), Crime Management Unit, Fraud Squad, Forensic Laboratory, Bureau of Special Investigation, Canine Division, Protective Services, and the National

76 FR 42469 - Conditions of Guarantee

Federal Register 2010, 2011, 2012, 2013, 2014

2011-07-19

... be liable for payments made by USDA to any holder in the event of ``material fraud, negligence or misrepresentation by the lender or the lender's participation in or condoning of such material fraud, negligence or...

76 FR 42593 - Conditions of Guarantee

Federal Register 2010, 2011, 2012, 2013, 2014

2011-07-19

... be liable for payments made by USDA to any holder in the event of ``material fraud, negligence or misrepresentation by the lender or the lender's participation in or condoning of such material fraud, negligence or...

Podcast: Scientific Integrity and Lab Fraud

EPA Pesticide Factsheets

Nov 25, 2015. Dr. Bruce Woods, a chemist in the Electronic Crimes Division within the OIG’s Office of Investigations discusses his recent webinar for the Association of Public Health Laboratories on lab fraud.

Science ethics education part I. Perception and attitude toward scientific fraud among medical researchers.

PubMed

Vuckovic-Dekic, L; Gavrilovic, D; Kezic, I; Bogdanovic, G; Brkic, S

2011-01-01

To assess the knowledge of basic principles of responsible conduct of research and attitude toward the violations of good scientific practice among graduate biomedical students. A total of 361 subjects entered the study. The study group consisted mainly of graduate students of Medicine (85%), and other biomedical sciences (15%). Most participants were on PhD training or on postdoctoral training. A specially designed anonymous voluntary multiple-choice questionnaire was distributed to them. The questionnaire consisted of 43 questions divided in 7 parts, each aimed to assess the participants' previous knowledge and attitudes toward ethical principles of science and the main types of scientific fraud, falsification, fabrication of data, plagiarism, and false authorship. Although they considered themselves as insufficiently educated on science ethics, almost all participants recognized all types of scientific fraud, qualified these issues as highly unethical, and expressed strong negative attitude toward them. Despite that, only about half of the participants thought that superiors-violators of high ethical standards of science deserve severe punishment, and even fewer declared that they would whistle blow. These percentages were much greater in cases when the students had personally been plagiarized. Our participants recognized all types of scientific fraud as violation of ethical standards of science, expressed strong negative attitude against fraud, and believed that they would never commit fraud, thus indicating their own high moral sense. However, the unwillingness to whistle blow and to punish adequately the violators might be characterized as opportunistic behavior.

Two barriers to realizing the benefits of biometrics: a chain perspective on biometrics and identity fraud as biometrics' real challenge

NASA Astrophysics Data System (ADS)

Grijpink, Jan

2004-06-01

Along at least twelve dimensions biometric systems might vary. We need to exploit this variety to manoeuvre biometrics into place to be able to realise its social potential. Subsequently, two perspectives on biometrics are proposed revealing that biometrics will probably be ineffective in combating identity fraud, organised crime and terrorism: (1) the value chain perspective explains the first barrier: our strong preference for large scale biometric systems for general compulsory use. These biometric systems cause successful infringements to spread unnoticed. A biometric system will only function adequately if biometrics is indispensable for solving the dominant chain problem. Multi-chain use of biometrics takes it beyond the boundaries of good manageability. (2) the identity fraud perspective exposes the second barrier: our traditional approach to identity verification. We focus on identity documents, neglecting the person and the situation involved. Moreover, western legal cultures have made identity verification procedures known, transparent, uniform and predictable. Thus, we have developed a blind spot to identity fraud. Biometrics provides good potential to better checking persons, but will probably be used to enhance identity documents. Biometrics will only pay off if it confronts the identity fraudster with less predictable verification processes and more risks of his identity fraud being spotted. Standardised large scale applications of biometrics for general compulsory use without countervailing measures will probably produce the reverse. This contribution tentatively presents a few headlines for an overall biometrics strategy that could better resist identity fraud.

Preventing fraud and abuse in low income weatherization programs: The proceedings of the EORI (Economic Opportunity Research Institute) Roundtable

DOE Office of Scientific and Technical Information (OSTI.GOV)

Not Available

1987-01-01

The Economic Opportunity Research Institute (EORI) sponsored a national Roundtable on ''Prevention of Fraud and Abuse in Low Income Weatherization Programs'' in Washington, DC on March 23-24, 1987. Funding for the Roundtable and these Proceedings was provided jointly by the US Departments of Health and Human Services/Office of Family Assistance and Energy through Grant FG01-85CE63438. The purpose of the Roundtable was two-fold: (1) to share successful and possible replicable state and local measures to prevent fraud and abuse in low income conservation programs; and (2) to identify any areas in these programs where the potential for fraud and abuse maymore » exist and examine methods to curb such potential. A Task Force representing eight states and including both state and local low income conservation program operators was chosen by EORI and the HHS Office of Family Assistance. The Agencies represented had developed successful preventive approaches to curbing fraud and abuse. Additional participants in the Roundtable included representatives from the US Department of Energy, Weatherization Assistance Program Office and the HHS Office of Energy Assistance, along with other state and local program operators.« less

Improving Fraud and Abuse Detection in General Physician Claims: A Data Mining Study

PubMed Central

Joudaki, Hossein; Rashidian, Arash; Minaei-Bidgoli, Behrouz; Mahmoodi, Mahmood; Geraili, Bijan; Nasiri, Mahdi; Arab, Mohammad

2016-01-01

Background: We aimed to identify the indicators of healthcare fraud and abuse in general physicians’ drug prescription claims, and to identify a subset of general physicians that were more likely to have committed fraud and abuse. Methods: We applied data mining approach to a major health insurance organization dataset of private sector general physicians’ prescription claims. It involved 5 steps: clarifying the nature of the problem and objectives, data preparation, indicator identification and selection, cluster analysis to identify suspect physicians, and discriminant analysis to assess the validity of the clustering approach. Results: Thirteen indicators were developed in total. Over half of the general physicians (54%) were ‘suspects’ of conducting abusive behavior. The results also identified 2% of physicians as suspects of fraud. Discriminant analysis suggested that the indicators demonstrated adequate performance in the detection of physicians who were suspect of perpetrating fraud (98%) and abuse (85%) in a new sample of data. Conclusion: Our data mining approach will help health insurance organizations in low-and middle-income countries (LMICs) in streamlining auditing approaches towards the suspect groups rather than routine auditing of all physicians. PMID:26927587

Improving Fraud and Abuse Detection in General Physician Claims: A Data Mining Study.

PubMed

Joudaki, Hossein; Rashidian, Arash; Minaei-Bidgoli, Behrouz; Mahmoodi, Mahmood; Geraili, Bijan; Nasiri, Mahdi; Arab, Mohammad

2015-11-10

We aimed to identify the indicators of healthcare fraud and abuse in general physicians' drug prescription claims, and to identify a subset of general physicians that were more likely to have committed fraud and abuse. We applied data mining approach to a major health insurance organization dataset of private sector general physicians' prescription claims. It involved 5 steps: clarifying the nature of the problem and objectives, data preparation, indicator identification and selection, cluster analysis to identify suspect physicians, and discriminant analysis to assess the validity of the clustering approach. Thirteen indicators were developed in total. Over half of the general physicians (54%) were 'suspects' of conducting abusive behavior. The results also identified 2% of physicians as suspects of fraud. Discriminant analysis suggested that the indicators demonstrated adequate performance in the detection of physicians who were suspect of perpetrating fraud (98%) and abuse (85%) in a new sample of data. Our data mining approach will help health insurance organizations in low-and middle-income countries (LMICs) in streamlining auditing approaches towards the suspect groups rather than routine auditing of all physicians. © 2016 by Kerman University of Medical Sciences.

A prescription fraud detection model.

PubMed

Aral, Karca Duru; Güvenir, Halil Altay; Sabuncuoğlu, Ihsan; Akar, Ahmet Ruchan

2012-04-01

Prescription fraud is a main problem that causes substantial monetary loss in health care systems. We aimed to develop a model for detecting cases of prescription fraud and test it on real world data from a large multi-center medical prescription database. Conventionally, prescription fraud detection is conducted on random samples by human experts. However, the samples might be misleading and manual detection is costly. We propose a novel distance based on data-mining approach for assessing the fraudulent risk of prescriptions regarding cross-features. Final tests have been conducted on adult cardiac surgery database. The results obtained from experiments reveal that the proposed model works considerably well with a true positive rate of 77.4% and a false positive rate of 6% for the fraudulent medical prescriptions. The proposed model has the potential advantages including on-line risk prediction for prescription fraud, off-line analysis of high-risk prescriptions by human experts, and self-learning ability by regular updates of the integrative data sets. We conclude that incorporating such a system in health authorities, social security agencies and insurance companies would improve efficiency of internal review to ensure compliance with the law, and radically decrease human-expert auditing costs. Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.

Pharmacy waste, fraud, and abuse in health care reform.

PubMed

Carpenter, Laura A; Edgar, Zachary; Dang, Christopher

2011-01-01

To describe the new Medicare and Medicaid waste, fraud, and abuse provisions of the Affordable Care Act (H. R. 3590) and Health Care and Education Affordability Reconciliation Act of 2010 (H. R. 4872), the preexisting law modified by H. R. 3590 and H. R. 4872, and applicable existing and proposed regulations. Waste, fraud, and abuse are substantial threats to the efficiency of the health care system. To combat these activities, the Department of Health and Human Services and Centers for Medicare & Medicaid Services promulgate and enforce guidelines governing the proper assessment and billing for Medicare and Medicaid services. These guidelines have a number of provisions that can catch even well-intentioned providers off guard, resulting in substantial fines. H. R. 3590 and H. R. 4872 augment preexisting waste, fraud, and abuse laws and regulations. This article reviews the new waste, fraud, and abuse laws and regulations to apprise pharmacists of the substantial changes affecting their practice. H. R. 3590 and H. R. 4872 modify screening requirements for providers; modify liability and penalties for the antikickback statute, federal False Claims Act, remuneration, and Stark Law; and create or extend auditing and management programs. Properly navigating these changes will be important in keeping pharmacies in compliance.

Analysis of Contracting Processes, Internal Controls, and Procurement Fraud Schemes

DTIC Science & Technology

2013-06-01

Government Accountability Office (GAO) has kept DoD Contract Management on its High Risk Series list since 1992 (GAO, 2009). In addition, the GAO also...adopted from the Committee of Sponsoring Organizations of the Treadway Commission ( COSO ) (1992). There are five components: control environment, risk ...2001). 2. Risk Assessment Risk assessment is the identification, analysis, and management of risk faced by an organization. It entails identifying

20 CFR 641.450 - Are there responsibility conditions that alone will disqualify an applicant?

Code of Federal Regulations, 2010 CFR

2010-04-01

.... Additionally, significant fraud or criminal activity will typically include coordinated patterns or behaviors... a case-by-case basis regardless of what party identifies the alleged fraud or criminal activity. ...

GAO audit not apt to find pervasive fraud in CARE Act.

PubMed

1999-12-24

After hearing a series of news reports suggesting financial improprieties in programs run by Ryan White CARE Act recipients, a General Accounting Office (GAO) review of the program was made. A preliminary GAO report found only a few cases of fraud in the administration of funding stemming from the CARE Act, but that the potential for fraud is very real because of the lack of safeguards. These findings are considered important since the House Commerce Committee is expected to conduct oversight hearings into further authorization of the CARE Act early in 2000.

DHEC: Tuberculosis

Science.gov Websites

Skip to content South Carolina Department of Health and Environmental Control Search Button RSS Services Programs/Divisions Report State Agency Fraud Health Health All Health Topics Child and Teen Health Data, Maps - SC Public Health Diseases and Conditions Flu Tuberculosis STD/HIV and Viral Hepatitis Zika

DHEC: Vaccinations

Science.gov Websites

Skip to content South Carolina Department of Health and Environmental Control Search Button RSS Services Programs/Divisions Report State Agency Fraud Health Health All Health Topics Child and Teen Health Data, Maps - SC Public Health Diseases and Conditions Flu Tuberculosis STD/HIV and Viral Hepatitis Zika

DHEC: Flu Data, Reports, Maps

Science.gov Websites

Skip to content South Carolina Department of Health and Environmental Control Search Button RSS Services Programs/Divisions Report State Agency Fraud Health Health All Health Topics Child and Teen Health Data, Maps - SC Public Health Diseases and Conditions Flu Tuberculosis STD/HIV and Viral Hepatitis Zika

DHEC: General Agency Information

Science.gov Websites

Skip to content South Carolina Department of Health and Environmental Control Search Button RSS Services Programs/Divisions Report State Agency Fraud Health Health All Health Topics Child and Teen Health Data, Maps - SC Public Health Diseases and Conditions Flu Tuberculosis STD/HIV and Viral Hepatitis Zika

77 FR 1555 - Administrative Simplification: Adoption of Standards for Health Care Electronic Funds Transfers...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-01-10

... terminal, telephone, computer, or magnetic tape, for the purpose of ordering, instructing, or authorizing a... Disadvantages of EFT According to the 2010 AFP Electronic Payments: Report of Survey Results, produced by the... checks; Fraud control: The above-cited AFP survey found that 90 percent of organizations that experienced...

25 CFR 542.16 - What are the minimum internal control standards for information technology?

Code of Federal Regulations, 2014 CFR

2014-04-01

... information technology? 542.16 Section 542.16 Indians NATIONAL INDIAN GAMING COMMISSION, DEPARTMENT OF THE... standards for information technology? Link to an amendment published at 73 FR 60498, Oct. 10, 2008. This... information technology procedures to go undetected or fraud to be concealed. (5) Non-information technology...

25 CFR 542.16 - What are the minimum internal control standards for information technology?

Code of Federal Regulations, 2013 CFR

2013-04-01

... information technology? 542.16 Section 542.16 Indians NATIONAL INDIAN GAMING COMMISSION, DEPARTMENT OF THE... standards for information technology? Link to an amendment published at 73 FR 60498, Oct. 10, 2008. This... information technology procedures to go undetected or fraud to be concealed. (5) Non-information technology...

25 CFR 542.16 - What are the minimum internal control standards for information technology?

Code of Federal Regulations, 2012 CFR

2012-04-01

... information technology? 542.16 Section 542.16 Indians NATIONAL INDIAN GAMING COMMISSION, DEPARTMENT OF THE... standards for information technology? Link to an amendment published at 73 FR 60498, Oct. 10, 2008. This... prevent error in general information technology procedures to go undetected or fraud to be concealed. (5...

State Student Incentive Grant Program: Issues in Partnership.

ERIC Educational Resources Information Center

Lee, John; And Others

Some of the issues concerning the evolving relationship between state and federal agencies in the field of student financial aid are examined, with attention to the State Student Incentive Grant Program (SSIG). After tracing the history of the SSIG, the following issues are considered: SSIG portability; state control of fraud, abuse, and error;…

The Separate and Cumulative Effects of TBI and PTSD on Cognitive Function and Emotional Control

DTIC Science & Technology

2009-04-01

CADDIE 80. SHY 80. BABY 80. HATRED 81. BOMB 81. TENANT 81. BUILDING 81. JOYFUL 81. SLIME 82. WMD 82. NFL 82. TOWER...82. SONG 82. FRAUD 83. BASRA 83. PARTISAN 83. HORSE 83. PLEASURE 83. MOLD 84. GUN 84. REDECORATE 84. SLUSH 84. COMEDY

Multiplex-PCR As a Rapid and Sensitive Method for Identification of Meat Species in Halal-Meat Products.

PubMed

Alikord, Mahsa; Keramat, Javad; Kadivar, Mahdi; Momtaz, Hassan; Eshtiaghi, Mohammad N; Homayouni-Rad, Aziz

2017-01-01

Species identification and authentication in meat products are important subjects for ensuring the health of consumers. The multiplex-PCR amplification and species- specific primer set were used for the identification of horse, donkey, pig and other ruminants in raw and processed meat products. Oligonucleotid primers were designed and patented for amplification of species-specific mitochondrial DNA sequences of each species and samples were prepared from binary meat mixtures. The results showed that meat species were accurately determined in all combinations by multiplex-PCR, and the sensitivity of this method was 0.001 ng, rendering this technique open to and suitable for use in industrial meat products. It is concluded that more fraud is seen in lower percentage industrial meat products than in higher percentage ones. There was also more fraud found in processed products than in raw ones. This rapid and useful test is recommended for quality control firms for applying more rigorous controls over industrial meat products, for the benefit of target consumers. Copyright© Bentham Science Publishers; For any queries, please email at epub@benthamscience.org.

The jurisprudential nature of fraud in biomedical publishing.

PubMed

Candlish, John

2008-06-01

When instances of fraud in biomedical publishing come to light there is widespread indignation, not least because the consequences seem usually only to be internal enquiries and professional displeasure. A number of bodies have been constituted to improve publishing ethics and but these are largely advisory. Potentially though, actions in the tort of deceit and negligence, possibly misfeasance in a public office, and loss of chance could be brought against those responsible. These aspects are examined in the context of English law. In addition the new Fraud Act (2006) appears to be wide enough in scope to cover publishing fraud as a criminal offence. Any organisation such as a drug company financing clinical trials which produce spurious results could face serious losses and might well look to remedies in contract as well as in tort. A theoretical scenario centered on a drug trial is presented in order to explore these issues.

42 CFR 455.14 - Preliminary investigation.

Code of Federal Regulations, 2010 CFR

2010-10-01

... Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL ASSISTANCE PROGRAMS PROGRAM INTEGRITY: MEDICAID Medicaid Agency Fraud Detection and Investigation Program § 455.14 Preliminary investigation. If the agency receives a complaint of Medicaid fraud...

Moral Violations Reduce Oral Consumption

PubMed Central

Chan, Cindy; Van Boven, Leaf; Andrade, Eduardo B.; Ariely, Dan

2014-01-01

Consumers frequently encounter moral violations in everyday life. They watch movies and television shows about crime and deception, hear news reports of corporate fraud and tax evasion, and hear gossip about cheaters and thieves. How does exposure to moral violations influence consumption? Because moral violations arouse disgust and because disgust is an evolutionarily important signal of contamination that should provoke a multi-modal response, we hypothesize that moral violations affect a key behavioral response to disgust: reduced oral consumption. In three experiments, compared with those in control conditions, people drank less water and chocolate milk while (a) watching a film portraying the moral violations of incest, (b) writing about moral violations of cheating or theft, and (c) listening to a report about fraud and manipulation. These findings imply that “moral disgust” influences consumption in ways similar to core disgust, and thus provide evidence for the associations between moral violations, emotions, and consumer behavior. PMID:25125931

Molecular assay to fraud identification of meat products.

PubMed

Doosti, Abbas; Ghasemi Dehkordi, Payam; Rahimi, Ebrahim

2014-01-01

Detection of species fraud in meat products is important for consumer protection and food industries. A molecular technique such as PCR method for detection of beef, sheep, pork, chicken, donkey, and horse meats in food products was established. The purpose of this study was to identification of fraud and adulteration in industrial meat products by PCR-RFLP assay in Iran. In present study, 224 meat products include 68 sausages, 48 frankfurters, 55 hamburgers, 33 hams and 20 cold cut meats were collected from different companies and food markets in Iran. Genomic DNA was extracted and PCR was performed for gene amplification of meat species using specific oligonucleotid primers. Raw meat samples are served as the positive control. For differentiation between donkey's and horse's meat, the mitochondrial DNA segment (cytochrome-b gene) was amplified and products were digested with AluI restriction enzyme. Results showed that 6 of 68 fermented sausages (8.82%), 4 of 48 frankfurters (8.33%), 4 of 55 hamburgers (7.27%), 2 of 33 hams (6.6%), and 1 of 20 cold cut meat (5%) were found to contain Haram (unlawful or prohibited) meat. These results indicate that 7.58% of the total samples were not containing Halal (lawful or permitted) meat and have another meat. These findings showed that molecular methods such as PCR and PCR-RFLP are potentially reliable techniques for detection of meat type in meat products for Halal authentication.

38 CFR 3.901 - Fraud.

Code of Federal Regulations, 2010 CFR

2010-07-01

..., Compensation, and Dependency and Indemnity Compensation Forfeiture § 3.901 Fraud. (a) Definition. An act... death benefit payable. (2) Amount of compensation payable but for the forfeiture. No benefits are... affidavit, declaration, certificate, statement, voucher, or paper, concerning any claim for benefits under...

76 FR 49522 - Self-Regulatory Organizations; NYSE Amex LLC; Notice of Filing of Proposed Rule Change Amending...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-08-10

... company. \\5\\ 15 U.S.C. 77a. Significant regulatory concerns, including accounting fraud allegations, have... listed company) is not engaged in undetected accounting fraud or subject to other concealed and...

Poster: Report Fraud Waste and Abuse to the EPA OIG Hotline

EPA Pesticide Factsheets

The EPA OIG hotline receives complaints of fraud, waste, and abuse in EPA and U.S. Chemical Safety Board programs and operations including mismanagement or violations of law, rules, or regulations by EPA employees or program participants.

Fraud and Australian Academics.

ERIC Educational Resources Information Center

Martin, Brian

1989-01-01

A series of highly publicized cases of alleged fraud in the Australian academic community are described. Each case reveals an apparent failure of peer review. The right to pursue investigations and make comments that may offend powerful figures within the scholarly community is precarious. (MLW)

Using Data Mining to Detect Health Care Fraud and Abuse: A Review of Literature

PubMed Central

Joudaki, Hossein; Rashidian, Arash; Minaei-Bidgoli, Behrouz; Mahmoodi, Mahmood; Geraili, Bijan; Nasiri, Mahdi; Arab, Mohammad

2015-01-01

Inappropriate payments by insurance organizations or third party payers occur because of errors, abuse and fraud. The scale of this problem is large enough to make it a priority issue for health systems. Traditional methods of detecting health care fraud and abuse are time-consuming and inefficient. Combining automated methods and statistical knowledge lead to the emergence of a new interdisciplinary branch of science that is named Knowledge Discovery from Databases (KDD). Data mining is a core of the KDD process. Data mining can help third-party payers such as health insurance organizations to extract useful information from thousands of claims and identify a smaller subset of the claims or claimants for further assessment. We reviewed studies that performed data mining techniques for detecting health care fraud and abuse, using supervised and unsupervised data mining approaches. Most available studies have focused on algorithmic data mining without an emphasis on or application to fraud detection efforts in the context of health service provision or health insurance policy. More studies are needed to connect sound and evidence-based diagnosis and treatment approaches toward fraudulent or abusive behaviors. Ultimately, based on available studies, we recommend seven general steps to data mining of health care claims. PMID:25560347

77 FR 39781 - Self-Regulatory Organizations; BATS Exchange, Inc.; Notice of Filing of Proposed Rule Change To...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-07-05

... would be for an IPO. \\3\\ 15 U.S.C. 77a. Significant regulatory concerns, including accounting fraud... accounting fraud or subject to other concealed and undisclosed legal or regulatory problems. For purposes of...

12 CFR 1731.2 - Definitions.

Code of Federal Regulations, 2010 CFR

2010-01-01

... AND SOUNDNESS MORTGAGE FRAUD REPORTING § 1731.2 Definitions. For purposes of this part— (a) Director... Association or the Federal Home Loan Mortgage Corporation. (c) Mortgage fraud means a material misstatement... mortgage, including a mortgage associated with a mortgage-backed security or similar financial instrument...

An Analysis of Fraud on the Internet.

ERIC Educational Resources Information Center

Baker, C. Richard

1999-01-01

Examines the issue of fraud on the Internet and discusses three areas with significant potential for misleading and fraudulent practices: securities sales and trading; electronic commerce, including privacy and information protection; and the rapid growth of Internet companies, including advertising issues. (Author/LRW)

28 CFR 68.2 - Definitions.

Code of Federal Regulations, 2011 CFR

2011-07-01

... IMMIGRATION-RELATED EMPLOYMENT PRACTICES, AND DOCUMENT FRAUD § 68.2 Definitions. For purposes of this part: Adjudicatory proceeding means an administrative judicial-type proceeding, before the Office of the Chief... law by an Administrative Law Judge or the Chief Administrative Hearing Officer; Document fraud cases...

28 CFR 68.2 - Definitions.

Code of Federal Regulations, 2010 CFR

2010-07-01

... IMMIGRATION-RELATED EMPLOYMENT PRACTICES, AND DOCUMENT FRAUD § 68.2 Definitions. For purposes of this part: Adjudicatory proceeding means an administrative judicial-type proceeding, before the Office of the Chief... law by an Administrative Law Judge or the Chief Administrative Hearing Officer; Document fraud cases...

Odometer Fraud: Traffic Safety Tips

DOT National Transportation Integrated Search

1996-01-01

This fact sheet, NHTSA Facts: Summer 1996, focuses on odometer fraud, which is a major problem for consumers. Some late model used cars have odometers that have been turned back. Any vehicle that has been driven a high number of miles but is only a f...

Adversary modeling: an analysis of criminal activities analogous to potential threats to nuclear safeguard systems

DOE Office of Scientific and Technical Information (OSTI.GOV)

Heineke, J.M.

1978-12-20

This study examines and analyzes several classes of incidents in which decision makers are confronted with adversaries. The classes are analogous to adversaries in a material control system in a nuclear facility. Both internal threats (bank frauds and embezzlements) and external threats (aircraft hijackings and hostage-type terrorist events were analyzed. (DLC)

77 FR 31738 - Supplemental Nutrition Assistance Program: Trafficking Controls and Fraud Investigations

Federal Register 2010, 2011, 2012, 2013, 2014

2012-05-30

... effects of their regulatory actions on State, local and tribal governments and the private sector. Under... by State, local or tribal governments, in the aggregate, or the private sector, of $100 million or... State, local and tribal governments or the private sector of $100 million or more in any one year. Thus...

Analysis of the Perception of Students about Biometric Identification

ERIC Educational Resources Information Center

Guillén-Gámez, Francisco D.; García-Magariño, Iván; Romero, Sonia J.

2015-01-01

Currently, there is a demand within distance education of control mechanisms for verifying the identity of students when conducting activities within virtual classrooms. Biometric authentication is one of the tools to meet this demand and prevent fraud. In this line of research, the present work is aimed at analyzing the perceptions of a group of…

The meteoric rise and dramatic fall of Theranos: lessons learned for the diagnostic industry.

PubMed

Fiala, Clare; Diamandis, Eleftherios P

2018-05-11

In this piece we discuss and reflect on the conclusion of the Theranos saga in the light of its fraud conviction. Theranos (founded in 2003 by Elizabeth Holmes) was supposed to disrupt the diagnostic testing industry by developing technology which could perform dozens of tests using a tiny amount of blood from a finger-prick. As a result, Ms. Holmes rose to fame, becoming the world's youngest female self-made billionaire and was plastered across magazine covers. However, in 2014, Theranos began to fall apart following increasingly damaging revelations regarding its lack of expertise, technology, framework, extreme secrecy and inaccurate test results. This led to the closure of two of its laboratories, investor and patient lawsuits and the devaluation of Ms. Holmes's wealth to nothing. In March 2018, the United States Security Exchange Commission ordered Ms. Holmes to pay $500,000 to settle the charge of massive fraud and barred her from being a director of a publicly owned company for 10 years, likely concluding Theranos's endeavors. We conclude our series of articles on this topic by reflecting on the lessons the laboratory medicine community can learn from Theranos.

A holistic approach to food safety risks: Food fraud as an example.

PubMed

Marvin, Hans J P; Bouzembrak, Yamine; Janssen, Esmée M; van der Fels-Klerx, H J; van Asselt, Esther D; Kleter, Gijs A

2016-11-01

Production of sufficient, safe and nutritious food is a global challenge faced by the actors operating in the food production chain. The performance of food-producing systems from farm to fork is directly and indirectly influenced by major changes in, for example, climate, demographics, and the economy. Many of these major trends will also drive the development of food safety risks and thus will have an effect on human health, local societies and economies. It is advocated that a holistic or system approach taking into account the influence of multiple "drivers" on food safety is followed to predict the increased likelihood of occurrence of safety incidents so as to be better prepared to prevent, mitigate and manage associated risks. The value of using a Bayesian Network (BN) modelling approach for this purpose is demonstrated in this paper using food fraud as an example. Possible links between food fraud cases retrieved from the RASFF (EU) and EMA (USA) databases and features of these cases provided by both the records themselves and additional data obtained from other sources are demonstrated. The BN model was developed from 1393 food fraud cases and 15 different data sources. With this model applied to these collected data on food fraud cases, the product categories that thus showed the highest probabilities of being fraudulent were "fish and seafood" (20.6%), "meat" (13.4%) and "fruits and vegetables" (10.4%). Features of the country of origin appeared to be important factors in identifying the possible hazards associated with a product. The model had a predictive accuracy of 91.5% for the fraud type and demonstrates how expert knowledge and data can be combined within a model to assist risk managers to better understand the factors and their interrelationships. Copyright © 2016 Elsevier Ltd. All rights reserved.

Equal Potential: A Collective Fraud.

ERIC Educational Resources Information Center

Gottfredson, Linda S.

2000-01-01

Critiques the College Board's report, "Reaching the Top," asserting that it illustrates collective fraud in the social sciences, which sustains an egalitarian fiction that intelligence is clustered equally across all human populations. Suggests that while the report omits certain popular falsehoods, it also omits crucial truths about…

20 CFR 627.500 - Scope and purpose.

Code of Federal Regulations, 2010 CFR

2010-04-01

... contained in this subpart shall be deemed to prejudice the separate exercise of other legal rights in...) Complaints and reports of criminal fraud, waste, and abuse. Information and complaints involving criminal fraud, waste, abuse or other criminal activity shall be reported through the Department's Incident...

17 CFR 48.8 - Conditions of registration.

Code of Federal Regulations, 2013 CFR

2013-04-01

...; prohibit fraud, abuse, and market manipulation and other disruptions of the market; and provide that such... any market manipulation, abuse, fraud, deceit, or conversion or that results in suspension or... continue to satisfy the criteria for a regulated market or licensed exchange pursuant to the regulatory...

17 CFR 48.8 - Conditions of registration.

Code of Federal Regulations, 2014 CFR

2014-04-01

...; prohibit fraud, abuse, and market manipulation and other disruptions of the market; and provide that such... any market manipulation, abuse, fraud, deceit, or conversion or that results in suspension or... continue to satisfy the criteria for a regulated market or licensed exchange pursuant to the regulatory...

17 CFR 48.8 - Conditions of registration.

Code of Federal Regulations, 2012 CFR

2012-04-01

...; prohibit fraud, abuse, and market manipulation and other disruptions of the market; and provide that such... any market manipulation, abuse, fraud, deceit, or conversion or that results in suspension or... continue to satisfy the criteria for a regulated market or licensed exchange pursuant to the regulatory...

Looking at Debit and Credit Card Fraud

ERIC Educational Resources Information Center

Porkess, Roger; Mason, Stephen

2012-01-01

This article, written jointly by a mathematician and a barrister, looks at some of the statistical issues raised by court cases based on fraud involving chip and PIN cards. It provides examples and insights that statistics teachers should find helpful. (Contains 4 tables and 1 figure.)

8 CFR 270.2 - Enforcement procedures.

Code of Federal Regulations, 2010 CFR

2010-01-01

... Aliens and Nationality DEPARTMENT OF HOMELAND SECURITY IMMIGRATION REGULATIONS PENALTIES FOR DOCUMENT FRAUD § 270.2 Enforcement procedures. (a) Procedures for the filing of complaints. Any person or entity... charges for document fraud committed by refugees at the time of entry. The Service shall not issue a...

Lock Up Those Lines: Protecting against Phone Fraud.

ERIC Educational Resources Information Center

Schleyer, Peggy E.; Hibner, Dale V.

1996-01-01

School business officials must be aware of potential liabilities associated with Centrex and Private Branch Exchange (PBX). This article describes these systems, presents guidelines for developing a telecommunications management plan, and discusses options to limit toll fraud exposure. PBX owners should implement manufacturers' recommended…

42 CFR 455.1 - Basis and scope.

Code of Federal Regulations, 2010 CFR

2010-10-01

... for a State fraud detection and investigation program, and for disclosure of information on ownership... Security Act, Subpart A provides State plan requirements for the identification, investigation, and referral of suspected fraud and abuse cases. In addition, the subpart requires that the State— (1) Report...

76 FR 80901 - Agency Information Collection Activities Under OMB Review

Federal Register 2010, 2011, 2012, 2013, 2014

2011-12-27

... monitoring legal proceedings involving the responsibilities imposed on contract markets and their officials... avoid fraud and misrepresentations. In addition, the Commission's rules impose obligations on contract markets that are designed to avoid manipulation and fraud. In order to ensure compliance with these rules...

20 CFR 625.14 - Overpayments; disqualification for fraud.

Code of Federal Regulations, 2010 CFR

2010-04-01

... DISASTER UNEMPLOYMENT ASSISTANCE § 625.14 Overpayments; disqualification for fraud. (a) Finding and... unemployment compensation law administered by the State agency, or from any assistance or allowance payable to the individual with respect to unemployment under any other Federal law administered by the State...

20 CFR 625.14 - Overpayments; disqualification for fraud.

Code of Federal Regulations, 2012 CFR

2012-04-01

... DISASTER UNEMPLOYMENT ASSISTANCE § 625.14 Overpayments; disqualification for fraud. (a) Finding and... unemployment compensation law administered by the State agency, or from any assistance or allowance payable to the individual with respect to unemployment under any other Federal law administered by the State...

20 CFR 625.14 - Overpayments; disqualification for fraud.

Code of Federal Regulations, 2014 CFR

2014-04-01

... DISASTER UNEMPLOYMENT ASSISTANCE § 625.14 Overpayments; disqualification for fraud. (a) Finding and... unemployment compensation law administered by the State agency, or from any assistance or allowance payable to the individual with respect to unemployment under any other Federal law administered by the State...

20 CFR 625.14 - Overpayments; disqualification for fraud.

Code of Federal Regulations, 2011 CFR

2011-04-01

... DISASTER UNEMPLOYMENT ASSISTANCE § 625.14 Overpayments; disqualification for fraud. (a) Finding and... unemployment compensation law administered by the State agency, or from any assistance or allowance payable to the individual with respect to unemployment under any other Federal law administered by the State...

20 CFR 625.14 - Overpayments; disqualification for fraud.

Code of Federal Regulations, 2013 CFR

2013-04-01

... DISASTER UNEMPLOYMENT ASSISTANCE § 625.14 Overpayments; disqualification for fraud. (a) Finding and... unemployment compensation law administered by the State agency, or from any assistance or allowance payable to the individual with respect to unemployment under any other Federal law administered by the State...

An appraisal of the performance of the economic and financial crimes commission in Nigeria.

PubMed

Sowunmi, Fatai Abiola; Adesola, Muniru Adekunle; Salako, Mudashiru Abiodun

2010-12-01

This article examines how an anti-graft body, the Economic and Financial Crime Commission (EFCC), has fared in reducing the incidence of corruption in Nigeria, in particular, bank fraud, Internet scam, and bad governance. It first discusses the corruption situation in Nigeria by highlighting public office holders who have been associated with corruption charges. A Likert-type scale is used in designing the questionnaire for data collection. Descriptive and chi-square analyses are used, and results reveal that the performance of the EFCC has been affected by government interference (p < .05). However, although the anti-graft body has not been able to reduce the incidence of bank fraud (p > .05), bad governance and advance fee fraud have recorded appreciable reduction (p < .05). Areas of success as well as challenges that need to be addressed are identified. Specifically, it is recommended that the bill that established EFCC should be amended to reduce government interference and improve its manpower development, especially in the areas of fraud and Internet scam detection.

An inequality for detecting financial fraud, derived from the Markowitz Optimal Portfolio Theory

NASA Astrophysics Data System (ADS)

Bard, Gregory V.

2016-12-01

The Markowitz Optimal Portfolio Theory, published in 1952, is well-known, and was often taught because it blends Lagrange Multipliers, matrices, statistics, and mathematical finance. However, the theory faded from prominence in American investing, as Business departments at US universities shifted from techniques based on mathematics, finance, and statistics, to focus instead on leadership, public speaking, interpersonal skills, advertising, etc… The author proposes a new application of Markowitz's Theory: the detection of a fairly broad category of financial fraud (called "Ponzi schemes" in American newspapers) by looking at a particular inequality derived from the Markowitz Optimal Portfolio Theory, relating volatility and expected rate of return. For example, one recent Ponzi scheme was that of Bernard Madoff, uncovered in December 2008, which comprised fraud totaling 64,800,000,000 US dollars [23]. The objective is to compare investments with the "efficient frontier" as predicted by Markowitz's theory. Violations of the inequality should be impossible in theory; therefore, in practice, violations might indicate fraud.

Document fraud deterrent strategies: four case studies

NASA Astrophysics Data System (ADS)

Mercer, John W.

1998-04-01

This paper discusses the approaches taken to deter fraud committed against four documents: the machine-readable passport; the machine-readable visa; the Consular Report of Birth Abroad; and the Border Crossing Card. General approaches are discussed first, with an emphasis on the reasons for the document, the conditions of its use and the information systems required for it to function. A cost model of counterfeit deterrence is introduced. Specific approaches to each of the four documents are then discussed, in light of the issuance circumstances and criteria, the intent of the issuing authority, the applicable international standards and the level of protection and fraud resistance appropriate for the document.

32 CFR 516.58 - Policies.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 32 National Defense 3 2010-07-01 2010-07-01 true Policies. 516.58 Section 516.58 National Defense Department of Defense (Continued) DEPARTMENT OF THE ARMY AID OF CIVIL AUTHORITIES AND PUBLIC RELATIONS LITIGATION Remedies in Procurement Fraud and Corruption § 516.58 Policies. (a) Procurement fraud and...

7 CFR 1773.9 - Disclosure of fraud, illegal acts, and other noncompliance.

Code of Federal Regulations, 2010 CFR

2010-01-01

..., the auditor must design the audit to provide reasonable assurance of detecting fraud that is material... UTILITIES SERVICE, DEPARTMENT OF AGRICULTURE (CONTINUED) POLICY ON AUDITS OF RUS BORROWERS RUS Audit... statements, auditors should apply audit procedures specifically directed to ascertaining whether an illegal...

Academic Misconduct in Teaching Portfolios

ERIC Educational Resources Information Center

Erikson, Martin G.; Erlandson, Peter; Erikson, Malgorzata

2015-01-01

Within academia, clear and standardised communication is vital. From this point of departure, we discuss the trustworthiness of teaching portfolios when used in assessment. Here, misconduct and fraud are discussed in terms of fabrication, falsification, and plagiarism, following the literature on research fraud. We argue that the portfolio's…

12 CFR 1731.3 - Unsafe and unsound conduct.

Code of Federal Regulations, 2010 CFR

2010-01-01

... DEVELOPMENT SAFETY AND SOUNDNESS MORTGAGE FRAUD REPORTING § 1731.3 Unsafe and unsound conduct. An Enterprise may not require the repurchase of or may not decline to purchase a mortgage, mortgage backed security, or similar financial instrument because of possible mortgage fraud without promptly reporting to the...

16 CFR 660.4 - Direct disputes.

Code of Federal Regulations, 2011 CFR

2011-01-01

... direct disputes relating to whether there is or has been identity theft or fraud against the consumer... direct disputes relating to the type of account, principal balance, scheduled payment amount on an... relationship with the consumer); (v) Information related to fraud alerts or active duty alerts; or (vi...

12 CFR 222.43 - Direct disputes.

Code of Federal Regulations, 2011 CFR

2011-01-01

... fraud against the consumer, whether there is individual or joint liability on an account, or whether the... the furnisher, such as direct disputes relating to the type of account, principal balance, scheduled... relationship with the consumer); (v) Information related to fraud alerts or active duty alerts; or (vi...

12 CFR 334.43 - Direct disputes.

Code of Federal Regulations, 2011 CFR

2011-01-01

... furnisher, such as direct disputes relating to whether there is or has been identity theft or fraud against... furnisher, such as direct disputes relating to the type of account, principal balance, scheduled payment... relationship with the consumer); (v) Information related to fraud alerts or active duty alerts; or (vi...

48 CFR 849.106 - Fraud or other criminal conduct.

Code of Federal Regulations, 2010 CFR

2010-10-01

... CONTRACT MANAGEMENT TERMINATION OF CONTRACTS General Principles 849.106 Fraud or other criminal conduct. (a... following: (i) The DSPE. (ii) The Director, Office of Construction and Facilities Management, in the case of contracting officers from the Office of Construction and Facilities Management. (3) Follow procedures as...

7 CFR 4279.72 - Conditions of guarantee.

Code of Federal Regulations, 2010 CFR

2010-01-01

... unenforceable by the lender to the extent any loss is occasioned by the violation of usury laws, negligent... participates or condones. In the event of material fraud, negligence or misrepresentation by the lender or the lender's participation in or condoning of such material fraud, negligence or misrepresentation, the...

Internet Fraud: Information for Teachers and Students

ERIC Educational Resources Information Center

Nkotagu, Gabriel Hudson

2011-01-01

Internet fraud takes a number of forms with the responsible individuals changing tactics rapidly to avoid detection. The perpetrators rely on telemarketing, emails, as well as presenting themselves personally to unsuspecting people. The evolution of internet marketing as well as ecommerce and the ease of connectivity create increasing…

The evaluation of trustworthiness to identify health insurance fraud in dentistry.

PubMed

Wang, Shu-Li; Pai, Hao-Ting; Wu, Mei-Fang; Wu, Fan; Li, Chen-Lin

2017-01-01

According to the investigations of the U.S. Government Accountability Office (GAO), health insurance fraud has caused an enormous pecuniary loss in the U.S. In Taiwan, in dentistry the problem is getting worse if dentists (authorized entities) file fraudulent claims. Several methods have been developed to solve health insurance fraud; however, these methods are like a rule-based mechanism. Without exploring the behavior patterns, these methods are time-consuming and ineffective; in addition, they are inadequate for managing the fraudulent dentists. Based on social network theory, we develop an evaluation approach to solve the problem of cross-dentist fraud. The trustworthiness score of a dentist is calculated based upon the amount and type of dental operations performed on the same patient and the same tooth by that dentist and other dentists. The simulation provides the following evidence. (1) This specific type of fraud can be identified effectively using our evaluation approach. (2) A retrospective study for the claims is also performed. (3) The proposed method is effective in identifying the fraudulent dentists. We provide a new direction for investigating the genuineness of claims data. If the insurer can detect fraudulent dentists using the traditional method and the proposed method simultaneously, the detection will be more transparent and ultimately reduce the losses caused by fraudulent claims. Copyright © 2016 Elsevier B.V. All rights reserved.

Security systems engineering overview

DOE Office of Scientific and Technical Information (OSTI.GOV)

Steele, B.J.

Crime prevention is on the minds of most people today. The concern for public safety and the theft of valuable assets are being discussed at all levels of government and throughout the public sector. There is a growing demand for security systems that can adequately safeguard people and valuable assets against the sophistication of those criminals or adversaries who pose a threat. The crime in this country has been estimated at $70 billion in direct costs and up to $300 billion in indirect costs. Health insurance fraud alone is estimated to cost American businesses $100 billion. Theft, warranty fraud, andmore » counterfeiting of computer hardware totaled $3 billion in 1994. A threat analysis is a prerequisite to any security system design to assess the vulnerabilities with respect to the anticipated threat. Having established a comprehensive definition of the threat, crime prevention, detection, and threat assessment technologies can be used to address these criminal activities. This talk will outline the process used to design a security system regardless of the level of security. This methodology has been applied to many applications including: government high security facilities; residential and commercial intrusion detection and assessment; anti-counterfeiting/fraud detection technologies (counterfeit currency, cellular phone billing, credit card fraud, health care fraud, passport, green cards, and questionable documents); industrial espionage detection and prevention (intellectual property, computer chips, etc.); and security barrier technology (creation of delay such as gates, vaults, etc.).« less

14 CFR 60.33 - Applications, logbooks, reports, and records: Fraud, falsification, or incorrect statements.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 14 Aeronautics and Space 2 2011-01-01 2011-01-01 false Applications, logbooks, reports, and records: Fraud, falsification, or incorrect statements. 60.33 Section 60.33 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION (CONTINUED) AIRMEN FLIGHT SIMULATION TRAINING DEVICE...

14 CFR 60.33 - Applications, logbooks, reports, and records: Fraud, falsification, or incorrect statements.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 14 Aeronautics and Space 2 2013-01-01 2013-01-01 false Applications, logbooks, reports, and records: Fraud, falsification, or incorrect statements. 60.33 Section 60.33 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION (CONTINUED) AIRMEN FLIGHT SIMULATION TRAINING DEVICE...

14 CFR 60.33 - Applications, logbooks, reports, and records: Fraud, falsification, or incorrect statements.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 14 Aeronautics and Space 2 2012-01-01 2012-01-01 false Applications, logbooks, reports, and records: Fraud, falsification, or incorrect statements. 60.33 Section 60.33 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION (CONTINUED) AIRMEN FLIGHT SIMULATION TRAINING DEVICE...

14 CFR 60.33 - Applications, logbooks, reports, and records: Fraud, falsification, or incorrect statements.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 14 Aeronautics and Space 2 2010-01-01 2010-01-01 false Applications, logbooks, reports, and records: Fraud, falsification, or incorrect statements. 60.33 Section 60.33 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION (CONTINUED) AIRMEN FLIGHT SIMULATION TRAINING DEVICE...

14 CFR 60.33 - Applications, logbooks, reports, and records: Fraud, falsification, or incorrect statements.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 14 Aeronautics and Space 2 2014-01-01 2014-01-01 false Applications, logbooks, reports, and records: Fraud, falsification, or incorrect statements. 60.33 Section 60.33 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION (CONTINUED) AIRMEN FLIGHT SIMULATION TRAINING DEVICE...

45 CFR 79.1 - Basis and purpose.

Code of Federal Regulations, 2014 CFR

2014-10-01

... Welfare Department of Health and Human Services GENERAL ADMINISTRATION PROGRAM FRAUD CIVIL REMEDIES § 79.1 Basis and purpose. (a) Basis. This part implements the Program Fraud Civil Remedies Act of 1986, Pub. L... for imposing civil penalties and assessments against persons who make, submit, or present, or cause to...

45 CFR 79.1 - Basis and purpose.

Code of Federal Regulations, 2013 CFR

2013-10-01

... Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION PROGRAM FRAUD CIVIL REMEDIES § 79.1 Basis and purpose. (a) Basis. This part implements the Program Fraud Civil Remedies Act of 1986, Pub. L... for imposing civil penalties and assessments against persons who make, submit, or present, or cause to...

45 CFR 79.1 - Basis and purpose.

Code of Federal Regulations, 2012 CFR

2012-10-01

... Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION PROGRAM FRAUD CIVIL REMEDIES § 79.1 Basis and purpose. (a) Basis. This part implements the Program Fraud Civil Remedies Act of 1986, Pub. L... for imposing civil penalties and assessments against persons who make, submit, or present, or cause to...

45 CFR 79.1 - Basis and purpose.

Code of Federal Regulations, 2011 CFR

2011-10-01

... Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION PROGRAM FRAUD CIVIL REMEDIES § 79.1 Basis and purpose. (a) Basis. This part implements the Program Fraud Civil Remedies Act of 1986, Pub. L... for imposing civil penalties and assessments against persons who make, submit, or present, or cause to...

The Maintenance of High Ethical Standards in the Conduct of Research.

ERIC Educational Resources Information Center

Journal of Medical Education, 1982

1982-01-01

A statement adopted by the Executive Council of the Association of American Medical Colleges addresses the issues of accountability, investigation, and discipline in cases of research fraud and misconduct. Guidelines are given for institutions to develop policy and procedures for detecting and responding to alleged fraud. (MSE)

To Cheat or Not to Cheat: Rationalizing Academic Impropriety

ERIC Educational Resources Information Center

MacGregor, Jason; Stuebs, Martin

2012-01-01

Academic cheating and fraud are becoming more prevalent. The Internet removes barriers and opens access to information and increases the opportunities for academic fraud. The incentives to succeed academically also are increasing as higher education continues to grow in importance. A student's rationalization is the last, critical piece needed to…

42 CFR 455.23 - Withholding of payments in cases of fraud or willful misrepresentation.

Code of Federal Regulations, 2010 CFR

2010-10-01

... willful misrepresentation. 455.23 Section 455.23 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL ASSISTANCE PROGRAMS PROGRAM INTEGRITY: MEDICAID Medicaid Agency Fraud Detection and Investigation Program § 455.23 Withholding of payments in cases of...

29 CFR 2580.412-9 - Meaning of fraud or dishonesty.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 29 Labor 9 2010-07-01 2010-07-01 false Meaning of fraud or dishonesty. 2580.412-9 Section 2580.412-9 Labor Regulations Relating to Labor (Continued) EMPLOYEE BENEFITS SECURITY ADMINISTRATION, DEPARTMENT OF LABOR TEMPORARY BONDING RULES UNDER THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974...

7 CFR 3565.502 - Incontestability.

Code of Federal Regulations, 2010 CFR

2010-01-01

... Securities § 3565.502 Incontestability. In the case of loans that back Ginnie Mae securities or loans that... incontestable except that the guarantee may not be enforced by a lender who commits fraud or misrepresentation or by a lender who had knowledge of the fraud or misrepresentation at the time such a lender acquired...

20 CFR 416.1488 - Conditions for reopening.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 416.1488 Employees' Benefits SOCIAL SECURITY ADMINISTRATION SUPPLEMENTAL SECURITY INCOME FOR THE AGED... case; or (c) At any time if it was obtained by fraud or similar fault. In determining whether a determination or decision was obtained by fraud or similar fault, we will take into account any physical, mental...

Educators' Degrees Earned on Internet Raise Fraud Issues

ERIC Educational Resources Information Center

Trotter, Andrew

2004-01-01

This article discusses how the degrees earned by a dozen educators on the Internet have raised fraud issues. Small firms known as "credential evaluators" help states and school districts detect educators who present phony or flimsy academic credentials from overseas institutions--a safeguard that is becoming more important with the…

12 CFR 41.43 - Direct disputes.

Code of Federal Regulations, 2011 CFR

2011-01-01

... relating to whether there is or has been identity theft or fraud against the consumer, whether there is... relating to the type of account, principal balance, scheduled payment amount on an account, or the amount... relationship with the consumer); (v) Information related to fraud alerts or active duty alerts; or (vi...

29 CFR 100.603 - Debts that are covered.

Code of Federal Regulations, 2010 CFR

2010-07-01

... proceedings. (Regulations concerning the collection of these types of debts are found in 29 CFR Part 102, Subparts U and V.); (2) A debt involving criminal actions of fraud, the presentation of a false claim, or... fraud, false claims, misrepresentation, or which violate antitrust laws will be promptly referred to the...

12 CFR 717.43 - Direct disputes.

Code of Federal Regulations, 2011 CFR

2011-01-01

..., such as direct disputes relating to whether there is or has been identity theft or fraud against the... as direct disputes relating to the type of account, principal balance, scheduled payment amount on an... relationship with the consumer); (v) Information related to fraud alerts or active duty alerts; or (vi...

29 CFR 100.603 - Debts that are covered.

Code of Federal Regulations, 2011 CFR

2011-07-01

... proceedings. (Regulations concerning the collection of these types of debts are found in 29 CFR Part 102, Subparts U and V.); (2) A debt involving criminal actions of fraud, the presentation of a false claim, or... fraud, false claims, misrepresentation, or which violate antitrust laws will be promptly referred to the...

12 CFR 571.43 - Direct disputes.

Code of Federal Regulations, 2011 CFR

2011-01-01

... relating to whether there is or has been identity theft or fraud against the consumer, whether there is... relating to the type of account, principal balance, scheduled payment amount on an account, or the amount... relationship with the consumer); (v) Information related to fraud alerts or active duty alerts; or (vi...

Avoiding Consumer Frauds and Misrepresentations. A Learning Module.

ERIC Educational Resources Information Center

Garman, E. Thomas; Monroe, Sarah D.

Focusing on avoiding consumer frauds and misrepresentations, this document is one in a series of three consumer education modules developed to educate individual adult consumers in important areas of consumer affairs. An introductory section provides an overview of the module contents, suggested approaches for using the module, and suggestions for…

12 CFR 235.4 - Fraud-prevention adjustment.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 12 Banks and Banking 4 2012-01-01 2012-01-01 false Fraud-prevention adjustment. 235.4 Section 235.4 Banks and Banking FEDERAL RESERVE SYSTEM (CONTINUED) BOARD OF GOVERNORS OF THE FEDERAL RESERVE... in paragraph (b) of this section must certify such compliance to its payment card networks on an...

7 CFR 1980.469 - Loan servicing.

Code of Federal Regulations, 2014 CFR

2014-01-01

... necessary investigations to help establish the fraud. 5. In order to decide whether to file suit, the... the lender or holder? How much did the scheme cost the Government? What is the difference in money... fraud precludes the Government from just suing to recover the money wrongfully or mistakenly paid by its...

7 CFR 1980.469 - Loan servicing.

Code of Federal Regulations, 2012 CFR

2012-01-01

... necessary investigations to help establish the fraud. 5. In order to decide whether to file suit, the... the lender or holder? How much did the scheme cost the Government? What is the difference in money... fraud precludes the Government from just suing to recover the money wrongfully or mistakenly paid by its...

7 CFR 1980.469 - Loan servicing.

Code of Federal Regulations, 2013 CFR

2013-01-01

... necessary investigations to help establish the fraud. 5. In order to decide whether to file suit, the... the lender or holder? How much did the scheme cost the Government? What is the difference in money... fraud precludes the Government from just suing to recover the money wrongfully or mistakenly paid by its...

32 CFR 277.3 - Policy.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 32 National Defense 2 2010-07-01 2010-07-01 false Policy. 277.3 Section 277.3 National Defense Department of Defense (Continued) OFFICE OF THE SECRETARY OF DEFENSE (CONTINUED) MISCELLANEOUS IMPLEMENTATION OF THE PROGRAM FRAUD CIVIL REMEDIES ACT § 277.3 Policy. It is DoD policy to redress fraud in DoD...

78 FR 73923 - Privacy Act of 1974, as Amended; System of Records

Federal Register 2010, 2011, 2012, 2013, 2014

2013-12-09

... data sources, as well as access to analytical services designed to detect fraud and systemic improper... systemic fraud, waste, and abuse within Federal programs; (d) Disclosure to (1) a Federal agency, its... prosecuting violations of, or for enforcing or implementing, a statute, rule, regulation, order, or license...

Government Increases Reliance on Universities to Detect and Probe Fraud by Own Researchers; Critics Are Wary.

ERIC Educational Resources Information Center

Wheeler, David L.

1987-01-01

University administrators are expected by federal agencies to detect, investigate, and judge scientific fraud and misconduct on their campuses. Both National Science Foundation and National Institutes of Health place primary responsibility on universities for spotting cases of scientific misconduct. (MLW)

22 CFR 34.18 - Waivers of indebtedness.

Code of Federal Regulations, 2010 CFR

2010-04-01

... there exists in connection with the claim an indication of fraud, misrepresentation, fault, or lack of... known through the exercise of due diligence that an error existed but failed to take corrective action... payment. (iv) If the deciding official finds no indication of fraud, misrepresentation, fault, or lack of...

75 FR 20925 - Petition for Approval of Alternate Odometer Disclosure Requirements

Federal Register 2010, 2011, 2012, 2013, 2014

2010-04-22

... the online instructions for accessing the dockets. FOR FURTHER INFORMATION CONTACT: Andrew DiMarsico... provisions to limit odometer fraud and assure that the purchaser of a motor vehicle knows the true mileage of... statements did not necessarily deter odometer fraud employing altered documents, discarded titles, and title...

Firm's health going south. Federal authorities charge HealthSouth, leader Scrushy with 'massive accounting fraud,' systematic betrayal of investors.

PubMed

Romano, Michael

2003-03-24

HealthSouth and its chief executive Richard Scrushy, left, find themselves coping with a public relations nightmare after federal officials last week charged the rehabilitation giant with "massive accounting fraud" and a systematic betrayal of tens of thousands of investors.

78 FR 51649 - Supplemental Nutrition Assistance Program: Trafficking Controls and Fraud Investigations

Federal Register 2010, 2011, 2012, 2013, 2014

2013-08-21

... card, a household's shopping behavior is three times more likely to be flagged as potential [[Page... many first-time users do not understand how to use the card and a grace period in the beginning would... that a replacement card is not needed every time the benefits are spent down or that once a card is...

Interventional pain management at crossroads: the perfect storm brewing for a new decade of challenges.

PubMed

Manchikanti, Laxmaiah; Singh, Vijay; Boswell, Mark V

2010-01-01

The health care industry in general and care of chronic pain in particular are described as recession-proof. However, a perfect storm with a confluence of many factors and events -none of which alone is particularly devastating - is brewing and may create a catastrophic force, even in a small specialty such as interventional pain management. Multiple challenges related to interventional pain management in the current decade will include individual and group physicians, office practices, ambulatory surgery centers (ASCs), and hospital outpatient departments (HOPD). Rising health care costs are discussed on a daily basis in the United States. The critics have claimed that health outcomes are the same as or worse than those in other countries, but others have presented the evidence that the United States has the best health care system. All agree it is essential to reduce costs. Numerous factors contribute to increasing health care costs. They include administrative costs, waste, abuse, and fraud. It has been claimed the U.S. health care system wastes up to $800 billion a year. Of this, fraud accounts for approximately $200 billion a year, involving fraudulent Medicare claims, kickbacks for referrals for unnecessary services, and other scams. Administrative inefficiency and redundant paperwork accounts for 18% of health care waste, whereas medical mistakes account for $50 billion to $100 billion in unnecessary spending each year, or 11% of the total. Further, American physicians spend nearly 8 hours per week on paperwork and employ 1.66 clerical workers per doctor, more than any other country. It has been illustrated that it takes $60,000 to $88,000 per physician per year, equal to one-third of a family practitioner's gross income, and $23 to $31 billion each year in total to interact with health insurance plans. The studies have illustrated that an average physician spends $68,274 per year communicating with insurance companies and performing other non-medical functions. For an office-based practice, the overall total in the United States is $38.7 billion, or $85,276 per physician. In the United States there are 2 types of physician payment systems: private health care and Medicare. Medicare has moved away from the Medicare Economic Index (MEI) and introduced the sustainable growth rate (SGR) formula which has led to cuts in physician payments on a yearly basis. In 2010 and beyond into the new decade, interventional pain management will see significant changes in how we practice medicine. There is focus on avoiding waste, abuse, fraud, and also cutting costs. Evidence-based medicine (EBM) and comparative effectiveness research (CER) have been introduced as cost-cutting and rationing measures, however, with biased approaches. This manuscript will analyze various issues related to interventional pain management with a critical analysis of physician payments, office facility payments, and ASC payments by various payor groups.

[Beautification of data: Minimal fraud, incompetence or mixture of both].

PubMed

Seror, Raphaèle; Ravaud, Philippe

2012-09-01

The beautification of data is the process of reporting results of a research in a way that does not correspond to reality, in order to present them in a more favorable or attractive way. The border between errors due to methodological ignorance, embellishment of reality and fraud is sometimes difficult to determine. It is the intentional nature and the repetition of these "arrangements" that are the real switch to deliberate fraud. The emergence of regulatory procedures, such as clinical trial registries, "reporting guidelines", improvement of "peer review" and data sharing, are some of the measures used to fight against and improve transparency of clinical research. Copyright © 2012. Published by Elsevier Masson SAS.

78 FR 46585 - Agency Information Collection Activities; Submission for OMB Review; Comment Request

Federal Register 2010, 2011, 2012, 2013, 2014

2013-08-01

... will add to this knowledge. \\1\\ The Commission has conducted three surveys designed to estimate the prevalence of consumer fraud among U.S. adults. The most recent survey was conducted between November 2011... the problem of fraud, the surveys included questions designed to help address questions of whether...

20 CFR 632.125 - Responsibilities of Native American grantees, subgrantees and contractors for preventing fraud...

Code of Federal Regulations, 2010 CFR

2010-04-01

... management information system in accordance with the requirements of § 632.32. (c) Any person having..., subgrantees and contractors for preventing fraud and program abuse and for general program management. 632.125... and for general program management. (a) Each Native American grantee shall establish and use internal...

5 CFR 831.1808 - Special processing for fraud claims.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 5 Administrative Personnel 2 2010-01-01 2010-01-01 false Special processing for fraud claims. 831.1808 Section 831.1808 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) RETIREMENT Agency Requests to OPM for Recovery of a Debt from the Civil Service Retirement and Disability Fund § 831.1808...

5 CFR 845.408 - Special processing for fraud claims.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 5 Administrative Personnel 2 2010-01-01 2010-01-01 false Special processing for fraud claims. 845.408 Section 845.408 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) FEDERAL EMPLOYEES RETIREMENT SYSTEM-DEBT COLLECTION Agency Requests to OPM for Recovery of a Debt From the Civil Service...

45 CFR 79.1 - Basis and purpose.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 45 Public Welfare 1 2010-10-01 2010-10-01 false Basis and purpose. 79.1 Section 79.1 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION PROGRAM FRAUD CIVIL REMEDIES § 79.1 Basis and purpose. (a) Basis. This part implements the Program Fraud Civil Remedies Act of 1986, Pub. L...

42 CFR 401.601 - Basis and scope.

Code of Federal Regulations, 2010 CFR

2010-10-01

... the General Accounting Office for the compromise of claims, or the suspension or termination of...) Affect any rights that CMS may have under common law as a creditor. (f) Fraud. The regulations in this subpart do not apply to claims in which there is an indication of fraud, the presentation of a false claim...

3 CFR 13519 - Executive Order 13519 of November 17, 2009. Establishment of the Financial Fraud Enforcement Task...

Code of Federal Regulations, 2010 CFR

2010-01-01

...; (m) the Federal Housing Finance Agency; (n) the Office of Thrift Supervision; (o) the Office of the... outreach with representatives of financial institutions, corporate entities, nonprofit organizations, State... Corporate Fraud Task Force created by Executive Order 13271 of July 9, 2002. Executive Order 13271 is hereby...

45 CFR 30.3 - Antitrust, fraud, exception in the account of an accountable official, and interagency claims...

Code of Federal Regulations, 2010 CFR

2010-10-01

... accountable official, and interagency claims excluded. 30.3 Section 30.3 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION CLAIMS COLLECTION General Provisions § 30.3 Antitrust, fraud, exception in the account of an accountable official, and interagency claims excluded. (a) Claims involving...

Store Security. Credit Card Fraud.

ERIC Educational Resources Information Center

Brockway, Jerry

The manual, intended for use by adults and not in the high school classroom situation, presents material directed toward assisting in the reduction of credit card crime. This teaching guide is organized in three sections which deal with the nature of and major reasons for credit card fraud, the types of hot card runners, and methods of reducing…

31 CFR 306.105 - Requests for suspension of transactions in registered securities.

Code of Federal Regulations, 2010 CFR

2010-07-01

... assignment was affected by fraud, the transaction for which the security was received will be suspended. The... notifies the Bureau that the assignment was affected by fraud or that the security had been lost or stolen... transactions in registered securities. 306.105 Section 306.105 Money and Finance: Treasury Regulations Relating...

78 FR 35179 - Negotiated Rulemaking Committee, Negotiator Nominations and Schedule of Committee Meetings-Title...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-06-12

... title IV Federal Student Aid programs; regulations designed to prevent fraud; State authorization for... Against Women Reauthorization Act of 2013 to the campus safety and security reporting requirements in the... regulations designed to prevent fraud and otherwise ensure proper use of title IV Federal Student Aid program...

78 FR 14556 - Cheng Yi Liang: Debarment Order

Federal Register 2010, 2011, 2012, 2013, 2014

2013-03-06

.... 1001 and securities fraud, a Federal felony offense under 15 U.S.C. 78j(b) and 78ff. FDA's finding that debarment is appropriate is based on the felony conviction for securities fraud referenced herein for... execution of trades on national securities exchanges, resulting in total profits and losses avoided of $3...

6 CFR 13.1 - Basis, purpose, scope and effect.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 6 Domestic Security 1 2010-01-01 2010-01-01 false Basis, purpose, scope and effect. 13.1 Section 13.1 Domestic Security DEPARTMENT OF HOMELAND SECURITY, OFFICE OF THE SECRETARY PROGRAM FRAUD CIVIL... Security on or after October 12, 2005. (2) Program fraud cases initiated by any component of the Department...

26 CFR 1.7519-2T - Required payments-procedures and administration (temporary).

Code of Federal Regulations, 2010 CFR

2010-04-01

... payment under section 7519 for an applicable election year, the partnership or S corporation should type... termination of the section 444 election. (d) Negligence and fraud penalties made applicable. For purposes of section 6653, relating to additions to tax for negligence and fraud, any payment required by this section...

A System Like No Other: Fraud and Misconduct by New York City School Custodians.

ERIC Educational Resources Information Center

Flamm, Suzan R.; And Others

Findings of a study that investigated cases of fraud and misconduct in the New York City school custodial system are presented in this document. Custodial services are provided through a "quasi-independent" contractor, or an "indirect system." Although custodians are public employees, they have great independence and lack…

76 FR 82028 - Request for Information for the 2012 Trafficking in Persons Report

Federal Register 2010, 2011, 2012, 2013, 2014

2011-12-29

... equally and adequately to victims of labor and sex trafficking? Men, women, and children? Citizen and... therefore not seeking, information on prostitution, human smuggling, visa fraud, or child abuse, unless such... any act of sex trafficking involving force, fraud, coercion, or in which the victim of sex trafficking...

17 CFR 39.7 - Fraud in connection with the clearing of transactions on a derivatives clearing organization.

Code of Federal Regulations, 2011 CFR

2011-04-01

... clearing of transactions on a derivatives clearing organization. 39.7 Section 39.7 Commodity and Securities Exchanges COMMODITY FUTURES TRADING COMMISSION DERIVATIVES CLEARING ORGANIZATIONS § 39.7 Fraud in connection with the clearing of transactions on a derivatives clearing organization. It shall be unlawful for any...

20 CFR 656.31 - Labor certification applications involving fraud, willful misrepresentation, or violations of...

Code of Federal Regulations, 2012 CFR

2012-04-01

... certification regulations. (b) Possible fraud or willful misrepresentation. (1) If the Department learns an... these cases, or if the Department learns an employer, attorney, or agent is under investigation by the...) Criminal indictment or information. If the Department learns that an employer, attorney, or agent is named...

20 CFR 656.31 - Labor certification applications involving fraud, willful misrepresentation, or violations of...

Code of Federal Regulations, 2011 CFR

2011-04-01

... certification regulations. (b) Possible fraud or willful misrepresentation. (1) If the Department learns an... these cases, or if the Department learns an employer, attorney, or agent is under investigation by the...) Criminal indictment or information. If the Department learns that an employer, attorney, or agent is named...

20 CFR 656.31 - Labor certification applications involving fraud, willful misrepresentation, or violations of...

Code of Federal Regulations, 2013 CFR

2013-04-01

... certification regulations. (b) Possible fraud or willful misrepresentation. (1) If the Department learns an... these cases, or if the Department learns an employer, attorney, or agent is under investigation by the...) Criminal indictment or information. If the Department learns that an employer, attorney, or agent is named...

20 CFR 656.31 - Labor certification applications involving fraud, willful misrepresentation, or violations of...

Code of Federal Regulations, 2014 CFR

2014-04-01

... certification regulations. (b) Possible fraud or willful misrepresentation. (1) If the Department learns an... these cases, or if the Department learns an employer, attorney, or agent is under investigation by the...) Criminal indictment or information. If the Department learns that an employer, attorney, or agent is named...

13 CFR 120.197 - Notifying SBA's Office of Inspector General of suspected fraud.

Code of Federal Regulations, 2010 CFR

2010-01-01

... Inspector General of suspected fraud. 120.197 Section 120.197 Business Credit and Assistance SMALL BUSINESS ADMINISTRATION BUSINESS LOANS Policies Applying to All Business Loans Reporting § 120.197 Notifying SBA's Office... with a 7(a) or 504 loan. Send the notification to the Assistant Inspector General for Investigations...

13 CFR 120.197 - Notifying SBA's Office of Inspector General of suspected fraud.

Code of Federal Regulations, 2013 CFR

2013-01-01

... Inspector General of suspected fraud. 120.197 Section 120.197 Business Credit and Assistance SMALL BUSINESS ADMINISTRATION BUSINESS LOANS Policies Applying to All Business Loans Reporting § 120.197 Notifying SBA's Office... with a 7(a) or 504 loan. Send the notification to the Assistant Inspector General for Investigations...

13 CFR 120.197 - Notifying SBA's Office of Inspector General of suspected fraud.

Code of Federal Regulations, 2012 CFR

2012-01-01

... Inspector General of suspected fraud. 120.197 Section 120.197 Business Credit and Assistance SMALL BUSINESS ADMINISTRATION BUSINESS LOANS Policies Applying to All Business Loans Reporting § 120.197 Notifying SBA's Office... with a 7(a) or 504 loan. Send the notification to the Assistant Inspector General for Investigations...

13 CFR 120.197 - Notifying SBA's Office of Inspector General of suspected fraud.

Code of Federal Regulations, 2011 CFR

2011-01-01

... Inspector General of suspected fraud. 120.197 Section 120.197 Business Credit and Assistance SMALL BUSINESS ADMINISTRATION BUSINESS LOANS Policies Applying to All Business Loans Reporting § 120.197 Notifying SBA's Office... with a 7(a) or 504 loan. Send the notification to the Assistant Inspector General for Investigations...

13 CFR 120.197 - Notifying SBA's Office of Inspector General of suspected fraud.

Code of Federal Regulations, 2014 CFR

2014-01-01

... Inspector General of suspected fraud. 120.197 Section 120.197 Business Credit and Assistance SMALL BUSINESS ADMINISTRATION BUSINESS LOANS Policies Applying to All Business Loans Reporting § 120.197 Notifying SBA's Office... with a 7(a) or 504 loan. Send the notification to the Assistant Inspector General for Investigations...

Expanding physician education in health care fraud and program integrity.

PubMed

Agrawal, Shantanu; Tarzy, Bruce; Hunt, Lauren; Taitsman, Julie; Budetti, Peter

2013-08-01

Program integrity (PI) spans the entire spectrum of improper payments from fraud to abuse, errors, and waste in the health care system. Few physicians will perpetrate fraud or abuse during their careers, but nearly all will contribute to the remaining spectrum of improper payments, making preventive education in this area vital. Despite the enormous impact that PI issues have on government-sponsored and private insurance programs, physicians receive little formal education in this area. Physicians' lack of awareness of PI issues not only makes them more likely to submit inappropriate claims, generate orders that other providers and suppliers will use to submit inappropriate claims, and document improperly in the medical record but also more likely to become victims of fraud schemes themselves.In this article, the authors provide an overview of the current state of PI issues in general, and fraud in particular, as well as a description of the state of formal education for practicing physicians, residents, and fellows. Building on the lessons from pilot programs conducted by the Centers for Medicare and Medicaid Services and partner organizations, the authors then propose a model PI education curriculum to be implemented nationwide for physicians at all levels. They recommend that various stakeholder organizations take part in the development and implementation process to ensure that all perspectives are included. Educating physicians is an essential step in establishing a broader culture of compliance and improved integrity in the health care system, extending beyond Medicare and Medicaid.

Males Are Overrepresented among Life Science Researchers Committing Scientific Misconduct

PubMed Central

Fang, Ferric C.; Bennett, Joan W.; Casadevall, Arturo

2013-01-01

ABSTRACT A review of the United States Office of Research Integrity annual reports identified 228 individuals who have committed misconduct, of which 94% involved fraud. Analysis of the data by career stage and gender revealed that misconduct occurred across the entire career spectrum from trainee to senior scientist and that two-thirds of the individuals found to have committed misconduct were male. This exceeds the overall proportion of males among life science trainees and faculty. These observations underscore the need for additional efforts to understand scientific misconduct and to ensure the responsible conduct of research. PMID:23341553

Patient perspectives: Tijuana cancer clinics in the post-NAFTA era.

PubMed

Moss, Ralph W

2005-03-01

This article contains observations and historical considerations on cancer and complementary and alternative medicine (CAM) in the Tijuana, Mexico, area. There are approximately 2 dozen such clinics in Tijuana, some of which have been treating international cancer patients since 1963. Among the first clinics to be established were the Bio-Medical Center (Hoxsey therapy), Oasis of Hope (a Laetrile-oriented clinic), and a series of clinics affiliated with the Gerson diet therapy. These original clinics were established mainly by American citizens in response to increased regulation of nonstandard therapies in the United States, particularly after passage of the Kefauver-Harris Amendments to the Food, Drug and Cosmetics Act in 1962. In the 1970s, the Tijuana clinics proliferated with the upsurge of interest in Laetrile (amygdalin). By 1978, 70,000 US cancer patients had taken Laetrile for cancer treatment, and many of those had gone to Tijuana to receive it. The popularity of the Tijuana clinics peaked in the mid-1980s. Although many new clinics opened after then, a dozen have folded in the past 10 years alone. The turning point for the clinics came with passage of the North American Free Trade Agreement (NAFTA), which facilitated greater cooperation among the antifraud authorities of Canada, the United States, and Mexico. In 1994, the tripartite members of NAFTA formed the Mexico-United States-Canada Health Fraud Work Group, or MUCH, whose brief is to strengthen the 3 countries' ability to prevent cross-border health fraud. Under the auspices of MUCH and its members, regulatory crackdowns began in earnest early in 2001. The clinics were also badly affected by the general downturn in travel after 9/11. If these trends continue, many Tijuana clinics are unlikely to survive. Some suggestions are made for how the Tijuana clinics could be reorganized and reformed to minimize the likelihood of governmental actions and to maximize public support. Such reforms center on 5 main areas: (1) research, (2) physical plant, (3) finances, (4) ethics, and (5) education.

An Informational Analysis and Communications Squadron Survey of Cyberspace Mission Assurance

DTIC Science & Technology

2010-06-01

such things as fraud, 11 business ethics, financial reporting, internal controls, and enterprise risk management . COSO is an organization...recognized world-wide and is highly respected. In 1992, COSO published a framework for risk management . It reopened the framework for modification to...The enterprise risk management facet of the COSO framework is pertinent to the cyber mission assurance discussion. COSO recognized the importance

College Scholarship Fraud Prevention Act of 2000: Annual Report to Congress. May 2005

ERIC Educational Resources Information Center

US Department of Education, 2005

2005-01-01

Every year, millions of high school graduates seek ways to finance the rising costs of a college education, at times falling prey to scholarship and financial aid scams. To help students and their families, on November 5, 2000, Congress passed the College Scholarship Fraud Prevention Act of 2000 (Act) to establish stricter sentencing guidelines…

13 CFR 101.301 - Who should receive information or allegations of waste, fraud, and abuse?

Code of Federal Regulations, 2010 CFR

2010-01-01

... 13 Business Credit and Assistance 1 2010-01-01 2010-01-01 false Who should receive information or allegations of waste, fraud, and abuse? 101.301 Section 101.301 Business Credit and Assistance SMALL BUSINESS ADMINISTRATION ADMINISTRATION Inspector General § 101.301 Who should receive information or allegations of waste...

13 CFR 101.301 - Who should receive information or allegations of waste, fraud, and abuse?

Code of Federal Regulations, 2011 CFR

2011-01-01

... 13 Business Credit and Assistance 1 2011-01-01 2011-01-01 false Who should receive information or allegations of waste, fraud, and abuse? 101.301 Section 101.301 Business Credit and Assistance SMALL BUSINESS ADMINISTRATION ADMINISTRATION Inspector General § 101.301 Who should receive information or allegations of waste...

40 CFR 403.12 - Reporting requirements for POTW's and industrial users.

Code of Federal Regulations, 2013 CFR

2013-07-01

...)], I certify that, to the best of my knowledge and belief, there has been no increase in the level of...) Provisions Governing Fraud and False Statements: The reports and other documents required to be submitted or... fraud and false statements; (2) The provisions of sections 309(c)(4) of the Act, as amended, governing...

20 CFR Appendix C to Part 617 - Standard for Fraud and Overpayment Detection

Code of Federal Regulations, 2012 CFR

2012-04-01

... cases to test the effectiveness of the agency's procedures for the prevention of payments which are not... might, for example: (a) Investigate information on suspected benefit fraud received from any agency... records are comonly made either by post-audit or by industry surveys. The so-called “post-audit” is a...

20 CFR Appendix C to Part 617 - Standard for Fraud and Overpayment Detection

Code of Federal Regulations, 2014 CFR

2014-04-01

... cases to test the effectiveness of the agency's procedures for the prevention of payments which are not... might, for example: (a) Investigate information on suspected benefit fraud received from any agency... records are comonly made either by post-audit or by industry surveys. The so-called “post-audit” is a...

The Liability of Colleges and Universities for Fraud, Waste, and Abuse in Federally Funded Grants and Projects.

ERIC Educational Resources Information Center

Gordon, Steven D.

1996-01-01

The federal government's war on fraud, waste, and abuse in expenditure of federal funds has reached college campuses. Institutions that fail to heed this development are vulnerable to harsh sanctions. They must tighten accounting practices and recognize their liability for fraudulent practices of faculty and students. Internal investigations and…

76 FR 49513 - Self-Regulatory Organizations; New York Stock Exchange LLC; Notice of Filing of Proposed Rule...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-08-10

... listed company) is not engaged in undetected accounting fraud or subject to other concealed and... with a public shell company. \\5\\ 15 U.S.C. 77a. Significant regulatory concerns, including accounting fraud allegations, have arisen with respect to a number of reverse merger companies in recent times. The...

45 CFR 2540.230 - What grievance procedures must recipients of Corporation assistance establish?

Code of Federal Regulations, 2010 CFR

2010-10-01

... fraud or criminal activity, it must immediately be brought to the attention of the Corporation's... grievance that alleges fraud or criminal activity, a grievance must be made no later than one year after the... begins. (3) The cost. The cost of the arbitration proceeding must be divided evenly between the parties...

Frauds, Hoaxes, Myths, and Chain Letters: or, What's This Doing in My E-Mail Box?

ERIC Educational Resources Information Center

Ebbinghouse, Carol

1998-01-01

Looks at the equivalent of junk mail on the Internet, including hoaxes, myths and urban legends, frauds, chain letters, and spam. Sidebars include "False Flaming of the FCC" (Barbara Quint) and a list of Web sites useful for determining the legitimacy of questionable mailings and for eliminating unwanted solicitations. (JAK)

An Educational Program to Assist Clinicians in Identifying Elder Investment Fraud and Financial Exploitation

ERIC Educational Resources Information Center

Mills, Whitney L.; Roush, Robert E.; Moye, Jennifer; Kunik, Mark E.; Wilson, Nancy L.; Taffet, George E.; Naik, Aanand D.

2012-01-01

Due to age-related factors and illnesses, older adults may become vulnerable to elder investment fraud and financial exploitation (EIFFE). The authors describe the development and preliminary evaluation of an educational program to raise awareness and assist clinicians in identifying older adults at risk. Participants (n = 127) gave high ratings…

26 CFR 1.7519-2T - Required payments-procedures and administration (temporary).

Code of Federal Regulations, 2011 CFR

2011-04-01

... should type or legibly print “zero” on the appropriate line of the prescribed form. (3) Time and place... termination of the section 444 election. (d) Negligence and fraud penalties made applicable. For purposes of section 6653, relating to additions to tax for negligence and fraud, any payment required by this section...

34 CFR 668.25 - Contracts between an institution and a third-party servicer.

Code of Federal Regulations, 2011 CFR

2011-07-01

... there is reasonable cause to believe that the institution might have engaged in fraud or other criminal... for Title IV, HEA program assistance might have engaged in fraud or other criminal misconduct in connection with his or her application. Examples of the type of information that must be referred are— (i...

34 CFR 668.25 - Contracts between an institution and a third-party servicer.

Code of Federal Regulations, 2010 CFR

2010-07-01

... there is reasonable cause to believe that the institution might have engaged in fraud or other criminal... for Title IV, HEA program assistance might have engaged in fraud or other criminal misconduct in connection with his or her application. Examples of the type of information that must be referred are— (i...

19 CFR 210.69 - Approval of complainant's temporary relief bond.

Code of Federal Regulations, 2011 CFR

2011-04-01

...; (3) Failure of an individual surety to execute and file with the bond, an affidavit of the type shown... surety, or any question of fraud, misrepresentation, or perjury which comes to light as a result of the... matter to the U.S. Department of Justice if there is a suggestion of fraud, perjury, or related conduct. ...

College Scholarship Fraud Prevention Act of 2000: Annual Report to Congress. May 2006

ERIC Educational Resources Information Center

US Department of Education, 2006

2006-01-01

Every year, millions of high school graduates seek ways to finance the rising costs of a college education, at times falling prey to scholarship and financial aid scams. To help students and their families, on November 5, 2000, Congress passed the College Scholarship Fraud Prevention Act of 2000 (Act) to establish stricter sentencing guidelines…

75 FR 66391 - Regulations Containing Procedures for Handling of Retaliation Complaints; Extension of the Office...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-10-28

..., Procedures for Handling of Discrimination Complaints Under Section 806 of the Corporate and Criminal Fraud... Systems Security Act of 2007, Enacted as Section 1413 of the Implementing Recommendations of the 9/11... Complaints Under Section 806 of the Corporate and Criminal Fraud Accountability Act of 2002, Title VIII of...