in Fraud Magazine
Controlling opioid abuse is a challenge due to the sheer number of pharmacy claims and the woefully outdated manual methods used to review them. Next-generation analytics overcome these challenges by using multiple data points to identify and uncover purchasing and prescribing patterns that indicate a high probability of abuse.
Identity theft attracts fraudsters because they can steal significant amounts with extreme anonymity. The authors describe an investigation that yielded the arrest and prosecution of a fraudster who used "synthetic identity theft" and other crimes to steal millions. Learn about their practical methods and a stunning twist.
The ACFE has collaborated with COSO to produce the Fraud Risk Management Guide (FRMG) to help organizations focus their anti-fraud efforts. The ACFE also created a website to host interactive tools to complement the FRMG and assist organizations in applying its principles.
Lives Well is a fictional name for a real perpetrator of transaction laundering. It’s the kind of company that flies through automated application checks for most financial products because this thoroughly modern-day enterprise is nothing but a front — an empty shell company hiding a dark secret.
John D. Gill, J.D., CFE, Vice President – Education at the ACFE, discusses the motivations behind fraud schemes and why organizations should consider the human element when designing internal controls.
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