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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
Daniel Schweizer

The Koyal Group Private Training Services: Austin company leads Medicaid fraud crackdown - 2 views

AUSTIN (KXAN) — Medicaid fraud is a multibillion dollar scam, and a new computer system hopes to help spot the crooks. Texas pays out $28 billion a year to some 4.8 million people, according ...

The Koyal Group Private Training Services Austin company leads Medicaid fraud crackdown

started by Daniel Schweizer on 05 Aug 14 no follow-up yet
Daniel Schweizer

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

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    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.
Skye Schmeitz

Koyal Private Training Group: Svindel problemet i arbeidsledigheten nytte programmer - 1 views

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    Kongressen debatter utvide langsiktige dagpenger for noen 1,3 millioner amerikanere, tapt i oppvarmet retorikken er noen veldig viktige tall for skattebetalere. Stat og føderale arbeidsledighet forsikring systemet har hjulpet mange mennesker i nød, men det er også tillatt noen kvalifisert mottakere svikaktig hjelpe seg selv til lommebøker av bedrifter og skattebetalere. USA registrert noen $7,7 milliarder dollar i feil arbeidsledighet forsikring betalinger i 2013, ifølge US Department of Labor. Anslått urettmessig betaling går så høyt som 18.16 prosent i Nebraska. Louisiana postet den høyeste beregnede svindel satsen i landet i fjor, på mer enn 7 prosent. I Wisconsin: * Anslått urettmessig betaling utgjorde$ 92,644,556, gjennom 30 juni. Systemet hadde en anslått uriktig betalingen rate på 10.48 prosent, ifølge Labor Department. Prisen er summen av overbetaling rate og underbetaling rente, trekke overbetalinger gjenopprettet, for arbeidsledighet forsikring program for rapporteringsperioden. Dataene krever urettmessig betaling informasjon Act. * Majoriteten av urettmessig betaling involverer arbeid søk spørsmål - manglende evne til å validere at et individ har møtt Statens arbeidskrav søk- og inntekter foregående år, der en person fortsetter å kreve og få fordeler etter returnerer arbeide. * Den estimerte arbeidsledigheten forsikring svindel i perioden var 2,1 prosent. * Staten bestemt nesten 5600 fordringshavere mottatt falske føderale Emergency arbeidsledighetstrygd overbetalinger totalt $10.5 millioner mellom 1 januar 2013 og 30 november 2013. For bestemmelse er potensielle ankes, ifølge John Dipko, talsmann for staten avdelingen av arbeidsstyrke utvikling.
Skye Schmeitz

Koyal Private Training Group på Cyber forsikring - 1 views

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    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
Skye Schmeitz

Welcome to Koyal Private Training Group - 2 views

Koyal Training Group is a global provider of Insurance Fraud and Investigative Training serving the Online and In-Person Training Program need of all lines of insurance and investigative staff. Koy...

Koyal Private Training Group

started by Skye Schmeitz on 10 Dec 13 no follow-up yet
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
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
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
Stanley Friel

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

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    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: '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
Daniel Schweizer

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
Dirk Braun

Koyal Group Training Services: Taking Charge: Be aware, be alert, don't get scammed - 1 views

Q: I am a widow who lives in Westerly. Recently, I received a call from someone who claimed to be from Social Security. The caller claimed that Social Security was updating its records and needed t...

Koyal Group Training Services Taking Charge: aware be alert don't get scammed

started by Dirk Braun on 13 Apr 14 no follow-up yet
Dirk Braun

Koyal Group Training Services: 2018 Fraud Detection and Prevention Market Forecasts & O... - 1 views

Research and Markets has announced the addition of the "Fraud Detection and Prevention Market Forecasts& Opportunities, 2018" report to its offerings. In a release, Research and Markets noted that ...

Koyal Group Training Services 2018 Fraud Detection and Prevention Market Forecasts & Opportunities

started by Dirk Braun on 10 Apr 14 no follow-up yet
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