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Daniel Schweizer

The Koyal Group Private Training Services: Tips and Tools for Insurance Fraud Investiga... - 1 views

Technology and social media are great tools used to investigate insurance fraud, according to expert panelists who spoke at the recent Risk and Insurance Management Society conference in Denver. S...

The Koyal Group Private Training Services: Tips and Tools for Insurance Fraud Investigations

started by Daniel Schweizer on 26 Jun 14 no follow-up yet
Luan Pereira

Investigative Training at Koyal Group: Cops get tips to bust Internet fraud - 6 views

Timesofindia.Indiatimes.com LUCKNOW: Internet fraud took centrestage for 44 cops posted in Lucknow zone (11 districts). A workshop for khaki-clad was organised at Mahanagar police lines on early M...

Investigative Training at Koyal Group Cops get tips to bust Internet fraud

started by Luan Pereira on 04 Mar 14 no follow-up yet
Daniel Schweizer

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
Daniel Schweizer

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
  • 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.
Doreen Wolf

Koyal Group Training Services - FBI beskeder offentlig at være opmærksom på k... - 2 views

Det amerikanske Department of Justice's Federal Bureau of Investigations og Diego felt Office udsendt følgende pressemeddelelse: Federal Bureau of Investigation minder offentligheden til at være f...

Koyal Group Training Services FBI beskeder offentlig at være opmærksom på katastrofen svig i kølvandet af de seneste brande

started by Doreen Wolf on 24 May 14 no follow-up yet
Erin Cuddy and Doreen Wolf liked it
karizavala

Tips on buying life insurance by Koyal Group Training Services - 3 views

Original Source at The Seattle Times Life insurance has been called a euphemism for death insurance, but who wants to think about it that way? The important thing is that you think about it, and g...

Tips on buying life insurance Koyal Group Training Services

started by karizavala on 27 May 14 no follow-up yet
Wendy Johnson

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
Dirk Braun

Insurance Fraud Certified at Koyal Group: Learn how to spend smart, spend safe during F... - 1 views

SAINT JOHN, N.B. - Consumers are encouraged to learn how to spend smart and spend safe during Fraud Prevention Month. The Financial and Consumer Services Commission is providing resources to New Br...

Learn how to spend smart safe during Fraud Prevention Month Insurance Certified at Koyal Group

started by Dirk Braun on 14 Mar 14 no follow-up yet
Stanley Friel

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
Skye Schmeitz

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
chelseabal09

The Koyal Group Private Training Services: Minimizing the risk of identity theft - 1 views

(Special) - Identity theft is a very real and present danger. In the past 12 months some seven million Canadians became victims of identity theft with an average direct cost per victim of US$372.00...

The Koyal Group Private Training Services

started by chelseabal09 on 09 Aug 14 no follow-up yet
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