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Skye Schmeitz

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
Stanley Friel

The Koyal Group Insurance Fraud Certified: Know your health insurance vocabulary - 5 views

Northjersey.com A recent meeting with a client reminded me that while the vocabulary of our industry may be second nature to those of us in the industry, it may feel like a foreign language, creat...

Know your health vocabulary The Koyal Group Insurance Fraud Certified

started by Stanley Friel on 09 Mar 14 no follow-up yet
Skye Schmeitz

The Koyal Training Group: 'Let the Crime Spree Begin': How Fraud Flourishes in Medicare... - 0 views

The federal government does little to stop schemers from stealing from Medicare Part D, the program that provides prescription drugs to more than 36 million seniors and disabled people. With just a...

Koyal Training Group Let the Crime Spree Begin How Fraud Flourishes in Medicare's Drug Plan

started by Skye Schmeitz on 11 Feb 14 no follow-up yet
Skye Schmeitz

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
Skye Schmeitz

Koyal Private Training Group på Cyber forsikring - 1 views

www.itweb.co.za/index.php

Koyal Private Training Group

shared by Skye Schmeitz on 18 Jan 14 - No Cached
Skye Schmeitz liked it
  • Skye Schmeitz on 18 Jan 14
     
    Som selskaper akseptere at det er en veldig reell fare for sine sikkerhetsinfrastruktur blir brutt, tildeling av IT-sikkerhet bruker er sette å endre, flytte fra forebygging fokus å innlemme gjenkjenning og svar. Med denne endringen i budsjett tildeling, er cyber forsikringer klar til å bli et effektivt verktøy i å håndtere stiger det sikkerhet kostnader. IT-sikkerhet bruker har tradisjonelt vært fokusert på forebygging, med de fleste bedrifter bruker så mye som 80% av sikkerhet budsjettet på forebyggende verktøy. Gjenkjenning og svar, samtidig som vanlige funksjonene på et budsjett, har vanligvis bare mottatt liten skiver av kaken, snitt på rundt 15% og 5% av samlede budsjettet bruke henholdsvis. Som sørafrikanske fortsetter å se en økning i antall cyber-angrep, begynner de å realisere og erkjenner at tradisjonell signaturbasert forebyggende tiltak er vanligvis feilbarlig. Akseptere at et brudd kan oppstå resulterer i økt fokus blir plassert på gjenkjenning og svar evner, er målet som å redusere tiden det tar å identifisere og reagere på et sikkerhetsbrudd. Dette skiftet i fokus er også tydelig i de nye løsningene blir undersøkt og utgitt av sikkerhetsleverandørene. "Dette er spennende tider - som big data konseptet fortsetter å modne, jeg tror sikkerhet og hendelsesovervåking vil bli revolusjonert, kombinere uensartede datakilder for utlede sammenheng og kjøre ned de tradisjonelle leveringstid har vi sett for å identifisere brudd, sier CyGeist MD, Natalie van de Coolwijk. Siste tallene viser gjennomsnitt nesten 200 dager for selskaper å oppdage brudd, godt over halvparten av firmaene blir varslet om brudd av en ekstern part. "Når introdusert, POPI krever obligatorisk brudd rapportering og varsel til berørte parter. Selskapene må identifisere og svare brudd raskt og effektivt for å beskytte deres omdømme. Rapportering 200 dager gamle brudd er aldri kommer til å bli lett,"advarer Van de Coolwijk. Det er forventet at i næ
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 Training Group: Fair Claims Training - 1 views

<img src="http://koyaltraininggroup.org/img/pic6.jpg" alt=""> Koyal Training is dedicated to delivering high-value insurance education to all California Insurance Companies, Self Insured's, a...

The Koyal Training Group Fair Claims

started by Skye Schmeitz on 15 Feb 14 no follow-up yet
Daniel Schweizer

Koyal Group Training Services, How to prevent fraudulent claims? - 4 views

How to prevent, detect and investigate fraudulent claims Insurance fraud equates to around £16m every week and £840m a year. The footage below shows a college student noticing water in the recepti...

How to prevent detect and investigate fraudulent claims Koyal Group Training Services

started by Daniel Schweizer on 29 May 14 no follow-up yet
Skye Schmeitz

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
Skye Schmeitz

Congress focusing on significant changes to federal security-clearance process - 3 views

Source: http://www.washingtonpost.com/politics/federal_government/congress-focusing-on-significant-changes-to-federal-security-clearance-process/2014/02/16/15c58f1c-94ff-11e3-83b9-1f024193bb84_stor...

Private Training at Koyal Group Congress focusing on significant changes to federal security-clearance process

started by Skye Schmeitz on 18 Feb 14 no follow-up yet
Doreen Wolf liked it
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.
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