Group items tagged Cases - Koyal Private Training Group

The Koyal Group Training: Social Media, a Trove of Clues and Confessions - 4 views

Source: http://www.nytimes.com/2014/02/16/sunday-review/social-media-a-trove-of-clues-and-confessions.html?hpw&rref=opinion&_r=0 IT seems as if every week there's a news story about someone commit...

Private Training at Koyal Group Social Media a Trove of Clues and Confessions

started by Skye Schmeitz on 21 Feb 14 no follow-up yet

Erin Cuddy, Stanley Friel, and Doreen Wolf liked it

Texas Investigated Insurance Fraud Cases in 2013 by Koyal Group Training Services - 4 views

Texas Investigated More than 550 Insurance Fraud Cases in 2013 Texas Department of Insurance Fraud Unit opened investigations into more than 550 insurance fraud cases in 2013. More than $10.3 mil...

Texas Investigated More than 550 Insurance Fraud Cases in 2013 Koyal Group Training Services

started by Daniel Schweizer on 31 May 14 no follow-up yet

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The Koyal Training Group, Health care fraud a growing criminal enterprise - 1 views

beta.mirror.augusta.com/...ud-growing-criminal-enterprise

The Koyal Training Group Health care fraud a growing criminal enterprise

shared by Stanley Friel on 03 Feb 14 - No Cached

Stanley Friel on 03 Feb 14

Since March 2007, federal investigators have uncovered more than $5 billion in Medicare fraud, but they suspect that might just be the tip of the iceberg. As the prolific bank robber Willie Sutton reportedly said of robbing banks - because that's where the money is - health care fraud has become a huge problem throughout the country. According to the U.S. Department of Justice, Georgia ranks 12th in investigations, seventh in the number of fraud cases and sixth in total recovered - almost $98.95 million in 2012. In the Southern District of Georgia, more than $27 million in restitution was collected last year in one of the country's largest Medicare fraud prosecutions in 2005 - The Bio-Med Plus in Savannah. In Augusta, optometrist Jeffrey Sponseller was sentenced Jan. 9 to 33 months in prison and ordered to pay $441,000 in restitution for bilking Medicare. Federal investigations into Medicare fraud have exploded in response to the problem, said David Stewart, who recently left the U.S. attorney's office where one of his duties was health care fraud coordinator. Medicare fraud affects everyone because Medicare has become the primary health care coverage for most Americans when they turn 65, said Kenneth Crowder, who recently left the U.S. attorney's office and joined Stewart in private practice. When Medicare coverage started in 1966, 19.1 million were enrolled. In 2013, that number was 43.5 million, according to the Centers for Medicare and Medicaid Services. With the last of the baby boomer generation turning 50 this year and increased health insurance coverage through the Affordable Care Act, Stewart and Crowder said fraud is expected to expand. Going after health care fraud holds the promise of getting money back for the government, Stewart said, which is another reason the Justice Department has set that as a top goal. The attack on those defrauding Medicare and military health care provider TriCare occurs in crimina

<div class="cArrow"> </div><div class="cContentInner">Since March 2007, federal investigators have uncovered more than $5 billion in Medicare fraud, but they suspect that might just be the tip of the iceberg. As the prolific bank robber Willie Sutton reportedly said of robbing banks - because that's where the money is - health care fraud has become a huge problem throughout the country. According to the U.S. Department of Justice, Georgia ranks 12th in investigations, seventh in the number of fraud cases and sixth in total recovered - almost $98.95 million in 2012. In the Southern District of Georgia, more than $27 million in restitution was collected last year in one of the country's largest Medicare fraud prosecutions in 2005 - The Bio-Med Plus in Savannah. In Augusta, optometrist Jeffrey Sponseller was sentenced Jan. 9 to 33 months in prison and ordered to pay $441,000 in restitution for bilking Medicare. Federal investigations into Medicare fraud have exploded in response to the problem, said David Stewart, who recently left the U.S. attorney's office where one of his duties was health care fraud coordinator. Medicare fraud affects everyone because Medicare has become the primary health care coverage for most Americans when they turn 65, said Kenneth Crowder, who recently left the U.S. attorney's office and joined Stewart in private practice. When Medicare coverage started in 1966, 19.1 million were enrolled. In 2013, that number was 43.5 million, according to the Centers for Medicare and Medicaid Services. With the last of the baby boomer generation turning 50 this year and increased health insurance coverage through the Affordable Care Act, Stewart and Crowder said fraud is expected to expand. Going after health care fraud holds the promise of getting money back for the government, Stewart said, which is another reason the Justice Department has set that as a top goal. The attack on those defrauding Medicare and military health care provider TriCare occurs in crimina</div>

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Travel Agent: A Veteran Private Investigator Goes on Trial. But Some Say It's a Set-Up - 2 views

Private Training at Koyal Group Travel Agent: Veteran Investigator Goes on Trial. But Some Say It's a Set-Up

started by Skye Schmeitz on 17 Feb 14 no follow-up yet

Koyal Group Training Services: My Biz: Making private investigation a family business - 1 views

Hunting down a witness, catching a cheating spouse, finding out if someone is really injured - Jeff Marlin of Marlin's Special Investigation doesn't have a typical job. Marlin's father, Mike Marl...

Koyal Group Training Services My Biz: Making private investigation a family business

started by Dirk Braun on 09 Apr 14 no follow-up yet

The Koyal Training Group,Tis The Season For Tax Identity Theft - 1 views

www.forbes.com/...-season-for-tax-identity-theft

http:__www.forbes.com_sites_irswatch_2014_01_28_tis-the-season-for-tax-identity-theft_

shared by Daniel Schweizer on 04 Feb 14 - No Cached

Daniel Schweizer on 04 Feb 14

"Identity Thief" is a 2013 movie starring Jason Bateman and Melissa McCarthy about a woman who steals the identity of a man named "Sandy." After the McCarthy character steals the Bateman character's identity, all types of high-jinx ensue. In real life, identity fraud is a very serious matter that frequently ruins the credit of the victim and takes a great deal of time and effort to resolve. With the 2013 tax filing season starting on January 31, 2014, the season for tax identity fraud is also upon us. Stolen identity refund fraud (SIRF) is a subset of identity theft that involves the criminal stealing the tax "identity" of an individual. Similar to any identity fraud, a criminal committing tax identity fraud obtains key information about the victim. In the tax context, the key is obtaining the individual's name matched with his or her social security number. Once that is obtained, the SIRF thief submits a false tax return in the name of the victim claiming a tax refund. Unfortunately, in many instances the refunds are issued. The fraud may be discovered when the unsuspecting victim files his or her own return and discovers that the IRS will not issue a refund because a return has already been filed under their social security number. It can be very difficult for the individual to get this straightened out with the IRS once the tax identity theft has been committed. Like other identity theft, tax identity theft frequently causes the victim a number of problems including damaging credit ratings, and reducing state or federal benefits. The victims of tax identity fraud are frequently the elderly, or individuals collecting subsistence payments who are not required to file federal income tax returns. For the elderly and those who are not required to file tax returns, it may take much longer for such individuals to discover that they were victims of tax identity fraud. Nevertheless, the fraud may impact those individuals by reducing state or

<div class="cArrow"> </div><div class="cContentInner">"Identity Thief" is a 2013 movie starring Jason Bateman and Melissa McCarthy about a woman who steals the identity of a man named "Sandy." After the McCarthy character steals the Bateman character's identity, all types of high-jinx ensue. In real life, identity fraud is a very serious matter that frequently ruins the credit of the victim and takes a great deal of time and effort to resolve. With the 2013 tax filing season starting on January 31, 2014, the season for tax identity fraud is also upon us. Stolen identity refund fraud (SIRF) is a subset of identity theft that involves the criminal stealing the tax "identity" of an individual. Similar to any identity fraud, a criminal committing tax identity fraud obtains key information about the victim. In the tax context, the key is obtaining the individual's name matched with his or her social security number. Once that is obtained, the SIRF thief submits a false tax return in the name of the victim claiming a tax refund. Unfortunately, in many instances the refunds are issued. The fraud may be discovered when the unsuspecting victim files his or her own return and discovers that the IRS will not issue a refund because a return has already been filed under their social security number. It can be very difficult for the individual to get this straightened out with the IRS once the tax identity theft has been committed. Like other identity theft, tax identity theft frequently causes the victim a number of problems including damaging credit ratings, and reducing state or federal benefits. The victims of tax identity fraud are frequently the elderly, or individuals collecting subsistence payments who are not required to file federal income tax returns. For the elderly and those who are not required to file tax returns, it may take much longer for such individuals to discover that they were victims of tax identity fraud. Nevertheless, the fraud may impact those individuals by reducing state or </div>

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The Koyal Training Group: Law enforcement officials: Cell phone disclosures would hurt ... - 4 views

Source: http://www.mydesert.com/article/20140215/BUSINESS0301/302150051/Private-cell-phone-tower-dump-Inland-Empire-police-disclosure-investigations?nclick_check=1 An Inland Empire sheriff's depar...

Private Training at Koyal Group Law enforcement officials: Cell phone disclosures would hurt investigations

started by Skye Schmeitz on 20 Feb 14 no follow-up yet

Erin Cuddy, Stanley Friel, and Doreen Wolf liked it

The Koyal Group Private Training Services: How To Manage A Cash Windfall - 0 views

Many of us fantasize about winning a big lottery jackpot. Let's say that actually happened? What would you do with the money? How would you manage it?   While winning the lottery is a real ...

How To Manage A Cash Windfall The Koyal Group Private Training Services

started by Dirk Braun on 05 Jan 15 no follow-up yet

The Koyal Group Private Training Services on Fraud investigation tips from Deloitte's M... - 1 views

www.fiercehealthpayer.com/...2014-06-24

The Koyal Group Private Training Services Fraud investigation tips Deloitte's Mike Little

shared by Daniel Schweizer on 30 Jun 14 - No Cached

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Daniel Schweizer on 30 Jun 14

FierceHealthPayer: Anti-Fraud: What are some early indicators SIUs can watch for signaling that reports of potential fraud, waste and abuse may become significant or urgent cases? Mike Little: Assessing allegations early is a challenge, but taking some specific and general steps can help SIUs determine if a case may become a priority. The first specific step is assessing the allegation. What's involved, and what's the scope of the issue? Could it be part of a larger problem or national scheme with the potential for media attention? Also check if patient safety is at risk. Financial harm at the expense of patients is an area that becomes urgent very quickly. And different case steps are necessary if patient safety issues are involved as opposed to financial issues alone. Are there signs that unlicensed individuals are at work? This can raise questions about your company's credentialing and due diligence processes that affect patient safety. And lastly, determine if employees from your organization may be implicated. That may cause reputational harm and indicate internal control weaknesses. But insurers and the federal government can no longer wait for complaints to arrive because often by then there's been significant loss. So SIUs should also take general steps to spot trends and risks. These steps involve knowledge. First, plug into a healthcare fraud task force. These exist nationwide and include other SIUs and federal and state law enforcers and regulators. These groups are the wave of the future in terms of public and private partnerships. There's a great deal of information shared about what's happening at other companies or in other segments of the community.

<div class="cArrow"> </div><div class="cContentInner">FierceHealthPayer: Anti-Fraud: What are some early indicators SIUs can watch for signaling that reports of potential fraud, waste and abuse may become significant or urgent cases? Mike Little: Assessing allegations early is a challenge, but taking some specific and general steps can help SIUs determine if a case may become a priority. The first specific step is assessing the allegation. What's involved, and what's the scope of the issue? Could it be part of a larger problem or national scheme with the potential for media attention? Also check if patient safety is at risk. Financial harm at the expense of patients is an area that becomes urgent very quickly. And different case steps are necessary if patient safety issues are involved as opposed to financial issues alone. Are there signs that unlicensed individuals are at work? This can raise questions about your company's credentialing and due diligence processes that affect patient safety. And lastly, determine if employees from your organization may be implicated. That may cause reputational harm and indicate internal control weaknesses. But insurers and the federal government can no longer wait for complaints to arrive because often by then there's been significant loss. So SIUs should also take general steps to spot trends and risks. These steps involve knowledge. First, plug into a healthcare fraud task force. These exist nationwide and include other SIUs and federal and state law enforcers and regulators. These groups are the wave of the future in terms of public and private partnerships. There's a great deal of information shared about what's happening at other companies or in other segments of the community.</div>

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The Koyal Group Private Training Services: Bringing the fraudsters to book - 1 views

How one company is helping Thai businesses battle a problem that costs billions of baht every year A car parts manufacturer in Thailand was puzzled when it found that despite turnover increasi...

Koyal Group Private Training Services Bringing the fraudsters to book

started by Skye Schmeitz on 19 Jul 14 no follow-up yet

The Koyal Training Group: Professional help is at hand - 2 views

Source: http://www.theage.com.au/national/education/professional-help-is-at-hand-20140214-32q1k.html Jack is in grade 2 and can't read simple three-letter words, but he seems quite smart. His t...

Private Training at Koyal Group Professional help is hand

started by Skye Schmeitz on 19 Feb 14 no follow-up yet

Doreen Wolf liked it

Insurance Fraud Certified at Koyal Group: JPMorgan whistle-blower gets $64M for mortgag... - 5 views

Triblive.com NEW YORK - A whistle-blower will be paid $63.9 million for providing tips that led to JPMorgan Chase & Co's agreement to pay $614 million and tighten oversight to resolve charges ...

JPMorgan whistle-blower gets $64M for mortgage tips Insurance Fraud Certified at Koyal Group

started by Wendy Johnson on 11 Mar 14 no follow-up yet

Erin Cuddy, Daniel Schweizer, Doreen Wolf, and karizavala liked it

The Koyal Training Group, How to pay off multiple credit cards - 1 views

www.latimes.com/...talk-20140202,0,4575804.column

The Koyal Training Group How to pay off multiple credit cards

shared by Doreen Wolf on 07 Feb 14 - No Cached

Doreen Wolf on 07 Feb 14

Dear Liz: I'm confused about paying down credit card debt. Some say to pay the lowest-balance cards first and others say the highest balance or the one with the highest interest. I have almost $16,000 on credit cards ranging from a $4,930 balance on a card with an 8.24% interest rate to $660 on a card with an 18% rate. Answer: Actually, the first question you should ask is "How much credit card debt do I have compared to my income?" If your balances equal half or more of your annual earnings, you may not be able to pay it all off. You should make appointments with a legitimate credit counselor (such as one affiliated with the National Foundation for Credit Counseling at http://www.nfcc.org) and a bankruptcy attorney (referrals from the National Assn. of Consumer Bankruptcy Attorneys at http://www.nacba.org). If your situation isn't that dire, the fastest way out of debt is to pay the minimums on your lower-rate cards and send as much money as possible to your highest-rate card. Once that's paid off, concentrate on paying off the next-highest-rate card, and so on. Some people instead like to target balances from smallest to largest to get a quicker feeling of victory, but you typically pay more in interest with that approach. Ranking credit card firms Dear Liz: My wife and I have had our bank's airline cards a long time, but we want to change because it's become almost impossible to cash in the miles. What I don't see in various card-comparison articles are ratings of the card issuers for customer service and fraud protection. Our bank has been quite good at both, but what about the other issuers? Answer: People are often unduly impressed when their credit card issuers contact them frequently about possibly fraudulent charges. The issuers are the only ones at risk in these situations, since under "zero liability" policies you can't be held responsible for bogus charges. Also, if their software were better, they might do a better job of separating legitimate f

<div class="cArrow"> </div><div class="cContentInner">Dear Liz: I'm confused about paying down credit card debt. Some say to pay the lowest-balance cards first and others say the highest balance or the one with the highest interest. I have almost $16,000 on credit cards ranging from a $4,930 balance on a card with an 8.24% interest rate to $660 on a card with an 18% rate. Answer: Actually, the first question you should ask is "How much credit card debt do I have compared to my income?" If your balances equal half or more of your annual earnings, you may not be able to pay it all off. You should make appointments with a legitimate credit counselor (such as one affiliated with the National Foundation for Credit Counseling at <a href="http://www.nfcc.org" rel="nofollow" target="_blank">http://www.nfcc.org</a>) and a bankruptcy attorney (referrals from the National Assn. of Consumer Bankruptcy Attorneys at <a href="http://www.nacba.org" rel="nofollow" target="_blank">http://www.nacba.org</a>). If your situation isn't that dire, the fastest way out of debt is to pay the minimums on your lower-rate cards and send as much money as possible to your highest-rate card. Once that's paid off, concentrate on paying off the next-highest-rate card, and so on. Some people instead like to target balances from smallest to largest to get a quicker feeling of victory, but you typically pay more in interest with that approach. Ranking credit card firms Dear Liz: My wife and I have had our bank's airline cards a long time, but we want to change because it's become almost impossible to cash in the miles. What I don't see in various card-comparison articles are ratings of the card issuers for customer service and fraud protection. Our bank has been quite good at both, but what about the other issuers? Answer: People are often unduly impressed when their credit card issuers contact them frequently about possibly fraudulent charges. The issuers are the only ones at risk in these situations, since under "zero liability" policies you can't be held responsible for bogus charges. Also, if their software were better, they might do a better job of separating legitimate f</div>

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What Credentials Are - 0 views

The Koyal Training Group What Credentials Are Needed to Become an Insurance Investigator

started by Daniel Schweizer on 14 Feb 14 no follow-up yet

The Koyal Training Group, Identity theft is a nightmare that can ruin lives - 1 views

www.lancastereaglegazette.com/...theft-nightmare-can-ruin-lives

The Koyal Training Group Identity theft is a nightmare that can ruin lives

shared by Wendy Johnson on 06 Feb 14 - No Cached

Wendy Johnson on 06 Feb 14

LANCASTER - Local law enforcement officials say identity theft is a nightmare that can ruin its victims' lives. Unfortunately for Maryanne Sicat, of Lancaster, she is living that nightmare. "For the last three years, I've been trying to clean up my credit and fix my finances and rebuild financially because I had my identity taken and used at several places," she said. Sicat has received bills from stores and utility companies for goods and services she did not purchase. Also, she was buying a television in 2013 at a big-box store and her telephone number came up under the name of a California man. "One time is OK," Sicat said. "The second store makes you wonder. But then every single store that I went to Christmas shopping, it was the same thing. So that's why I started checking into it more." She has the name of the person she thinks is using her information but has no idea how the person got her phone number. So Sicat filed a complaint with the Federal Trade Commission and the Lancaster Police Department, and she has become another identity fraud statistic. The FTC said identity fraud is the top complaint it has dealt with in the past 13 years. It received 369,132 such complaints in 2012, or 18 percent of its total complaints. Identity fraud dwarfed complaints about debt collectors, which was in second place with 199,721, according to information the FTC provided. Fairfield County Sheriff Dave Phalen said there have not been a large number of identity fraud and identity theft cases locally. However, that is little consolation to Sicat and others like her. "Everything's on credit," she said. "So you can't do anything. You can't buy anything. It's embarrassing, and it's extremely frustrating because it makes me paranoid. I don't trust anybody." What is identity fraud? Detective James Nicolia, of the Fairfield County Sheriff's Office, said identity fraud is when a person uses another's identity for financial gain o

<div class="cArrow"> </div><div class="cContentInner">LANCASTER - Local law enforcement officials say identity theft is a nightmare that can ruin its victims' lives. Unfortunately for Maryanne Sicat, of Lancaster, she is living that nightmare. "For the last three years, I've been trying to clean up my credit and fix my finances and rebuild financially because I had my identity taken and used at several places," she said. Sicat has received bills from stores and utility companies for goods and services she did not purchase. Also, she was buying a television in 2013 at a big-box store and her telephone number came up under the name of a California man. "One time is OK," Sicat said. "The second store makes you wonder. But then every single store that I went to Christmas shopping, it was the same thing. So that's why I started checking into it more." She has the name of the person she thinks is using her information but has no idea how the person got her phone number. So Sicat filed a complaint with the Federal Trade Commission and the Lancaster Police Department, and she has become another identity fraud statistic. The FTC said identity fraud is the top complaint it has dealt with in the past 13 years. It received 369,132 such complaints in 2012, or 18 percent of its total complaints. Identity fraud dwarfed complaints about debt collectors, which was in second place with 199,721, according to information the FTC provided. Fairfield County Sheriff Dave Phalen said there have not been a large number of identity fraud and identity theft cases locally. However, that is little consolation to Sicat and others like her. "Everything's on credit," she said. "So you can't do anything. You can't buy anything. It's embarrassing, and it's extremely frustrating because it makes me paranoid. I don't trust anybody." What is identity fraud? Detective James Nicolia, of the Fairfield County Sheriff's Office, said identity fraud is when a person uses another's identity for financial gain o</div>

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The Koyal Training Group: Insurance Fraud Investigator Training and Degree Program Info... - 0 views

There are not set education standards for becoming an insurance fraud investigator. Some available options to potential insurance fraud investigators include a certificate program in private invest...

The Koyal Training Group Insurance Fraud Investigator and Degree Program Information

started by Skye Schmeitz on 13 Feb 14 no follow-up yet

The Koyal Group Private Training Services, US investigating possible multi-state unempl... - 1 views

The U.S. Inspector General's office is investigating what could be a multi-state unemployment insurance fraud scheme that resulted in Massachusetts paying out at least $280,000 in fraudulent claims...

The Koyal Group Private Training Services US investigating possible multi-state unemployment insurance fraud scheme

started by karizavala on 16 Jun 14 no follow-up yet

The Koyal Group Private Training Services - Watching the detectives: behind the scenes ... - 1 views

Koyal Group Private Training Services - Watching the detectives: behind scenes with crime-fighting Sian Lloyd

started by Daniel Schweizer on 13 Jun 14 no follow-up yet

Koyal Group Training Services: 5 tips for new parents considering life insurance - 3 views

Original Source at starherald.com Few personal milestones compel someone to buy life insurance coverage like becoming a parent. In the event of an untimely death, life insurance can serve as a fi...

5 tips for new parents considering life insurance Koyal Group Training Services

started by Daniel Schweizer on 26 May 14 no follow-up yet

Erin Cuddy and Daniel Schweizer liked it

The Koyal Group Private Training Services - 'It defies belief': Snowden condemns UK's n... - 1 views

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The Koyal Group Private Training Services It defies belief: Snowden condemns UK's new surveillance bill

started by Daniel Schweizer on 22 Jul 14 no follow-up yet

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