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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
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
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: '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
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
Skye Schmeitz

Koyal Group Private Training services Gaza gets its first private security firm - 6 views

Source: http://www.thenational.ae/world/middle-east/gaza-gets-its-first-private-security-firm Gaza gets its first private security firm GAZA CITY // As hordes of excited fans scramble to reach A...

Koyal Group Training services Gaza gets its first private security firm

started by Skye Schmeitz on 01 Mar 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
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.
Skye Schmeitz

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
Doreen Wolf

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
Dirk Braun

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
Erin Cuddy

About Koyal Private Training Group - 1 views

What We Offer * Koyal Training Group provides the following: * Online State Fraud Compliance Training, * Continuing Education (CE), * General Fraud Training and * IFC (Insurance Fraud Certified) P...

Koyal Private Training Group

started by Erin Cuddy on 30 Dec 13 no follow-up yet
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