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Controlling opioid abuse is a challenge due to the sheer number of pharmacy claims and the woefully outdated manual methods used to review them.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.
The ACFE has collaborated with the Committee of Sponsoring Organizations of the Treadway Commission (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.
The Fight Against Fraud Goes Global
Fraud conferences in Japan and South Africa lead the way for international anti-fraud professionals.
CFEs Will Be Directly Affected by U.S. Supreme Court Amendment to Rule 26
Congress is expected to approve one of the most significant changes to expert witness discovery provisions under the Federal Rules of Civil Procedure.
Pulling the Plug on ATM Skimmers
These days a savvy fraudster need not physically steal a bank debit card to access its owner's account. Instead, the fraudster attaches an inconspicuous device to an automated teller machine (ATM) that copies a victim's account information when he uses the compromised machine. This article explains skimming techniques and devices and shows how to thwart them.
Help Clients Avoid Corruption and Prosper Overseas
In emerging markets where corruption is widespread – China is one – Western multinational corporations are particularly vulnerable to bribery, kickbacks, and other forms of fraud. But a growing international consensus holds that corruption harms all companies – domestic and foreign.
Sniffing for Cooked Books: Trend and Ratio Analysis
In June, Alton Sizemore Jr., CFE, CPA, sat down for a conversation with someone he had met before -- one of the primary architects of the $2.7 billion financial statement fraud at HealthSouth Corporation, headquartered in Birmingham, Ala. In this article, Sizemore supplies simple but powerful analytic techniques that fraud examiners could have used to possibly prevent this scheme.
Supreme Court Limits Widely Used Anti-fraud Law
On June 24 the Supreme Court scaled back an anti-fraud law that prosecutors have regularly relied upon to convict business executives and politicians: the “honest services” law. The decision could affect many past, current, and pending fraud cases.
Preventing Kickback Schemes: Know How to Stop Bribery in its Tracks
When an anonymous e-mail reached senior executives at National Steel Corporation (NSC), its charges were explosive. NSC's internal audit director took no chances; he called a trusted external specialist with the right credentials and experience -- Craig L. Greene, CFE.
Promote Yourself to the A-Team
When fraud strikes your employer or one of your corporate clients, be ready to step up to the plate and show the company why having a CFE on the team is crucial in times of crisis.
Robert Mazur, president of Chase & Associates, explains why he thinks the U.S. Department of Justice missed out on a prime opportunity to obtain even more essential intelligence from Swiss bank UBS, and what he hopes can be done now as it investigates Swiss bank Julius Baer.
Daniel Vinton, CFE, had no reason to worry when he boarded his flight at LaGuardia Airport in New York City. The weather was cold but clear that January afternoon, and he called his wife to let her know he would be home in time for dinner.
In a recent ACFE survey, Fraud Magazine readers were asked their opinions on how to improve Fraud Magazine, to rate its value as a membership benefit, and to explain how they use the information disseminated. The responses have been invaluable as we've worked to rebuild the magazine's website to reflect today's reader and meet your needs.
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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.
View the video.