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In today's economic climate, who will help you protect your company and your clients from the devastating impact of fraud? Fraud can creep into your business in a number of ways. You may find you need an objective expert to deter potential problems, investigate allegations or provide resolution. A Certified Fraud Examiner (CFE) offers anti-fraud knowledge and skills you need to: * Investigate allegations against one of your employees * Recommend strong anti-fraud internal controls * Conduct interviews related to sensitive issues * Provide assistance with financial dispute resolution * Resolve irregularities discovered during your company's audit * Provide expert testimony on financial and investigative matters A Unique Set of Skills Fraud Examiners have a unique set of skills that are not found in any other discipline; they combine knowledge of complex financial transactions with an understanding of law, criminology, investigation and how to resolve allegations of fraud. CFEs work in a variety of disciplines including accounting, auditing, fraud investigation and security, as well as in different industry segments including government, healthcare, financial services, manufacturing and retail distribution. CFEs are knowledgeable in four areas critical to the fight against fraud: * Fraudulent Financial Transactions * Criminology & Ethics * Legal Elements of Fraud * Fraud Investigation Reduce Fraud Risks and Costs Heightened fraud awareness, combined with new laws and regulations, has increased the already growing demand in the workforce for professionals who are highly skilled at deterring, detecting and investigating fraud. CFEs have the ability to: * Identify and reduce opportunities for fraud * Implement effective anti-fraud controls * Continuously improve anti-fraud measures based on new risks and technologies * Educate employees to deter fraud and report wrongdoing * Resolve allegations or suspicions of f

In today's economic climate, who will help you protect your company and your clients from the devastating impact of fraud? Fraud can creep into your business in a number of ways. You may find you need an objective expert to deter potential problems, investigate allegations or provide resolution. A Certified Fraud Examiner (CFE) offers anti-fraud knowledge and skills you need to: * Investigate allegations against one of your employees * Recommend strong anti-fraud internal controls * Conduct interviews related to sensitive issues * Provide assistance with financial dispute resolution * Resolve irregularities discovered during your company's audit * Provide expert testimony on financial and investigative matters A Unique Set of Skills Fraud Examiners have a unique set of skills that are not found in any other discipline; they combine knowledge of complex financial transactions with an understanding of law, criminology, investigation and how to resolve allegations of fraud. CFEs work in a variety of disciplines including accounting, auditing, fraud investigation and security, as well as in different industry segments including government, healthcare, financial services, manufacturing and retail distribution. CFEs are knowledgeable in four areas critical to the fight against fraud: * Fraudulent Financial Transactions * Criminology & Ethics * Legal Elements of Fraud * Fraud Investigation Reduce Fraud Risks and Costs Heightened fraud awareness, combined with new laws and regulations, has increased the already growing demand in the workforce for professionals who are highly skilled at deterring, detecting and investigating fraud. CFEs have the ability to: * Identify and reduce opportunities for fraud * Implement effective anti-fraud controls * Continuously improve anti-fraud measures based on new risks and technologies * Educate employees to deter fraud and report wrongdoing * Resolve allegations or suspicions of f

Joan H. Krause University of North Carolina (UNC) at Chapel Hill - School of Law August 8, 2012 Annals of Health Law, Vol. 21, No. 1, 2012 UNC Legal Studies Research Paper No. 2018589 Abstract: This essay considers how the 2010 Supreme Court decision in Skilling v. United States, which limited the situations in which mail and wire fraud cases may be premised on violations of the "intangible right to honest services," has the potential to alter the future of health care fraud litigation. While Skilling is widely perceived to have closed the door to several types of common mail and wire fraud prosecutions, this may not turn out to be the case in health care. In health care, the renewed focus on kickbacks as evidence of an honest services breach instead may dovetail nicely with both the Obama Administration's emphasis on criminal health care fraud enforcement and the jurisprudence of the Medicare & Medicaid Anti-Kickback Statute. This kind of leverage may prove very difficult for prosecutors to resist, and most certainly will require changes in the way the health law bar approaches common Anti-Kickback concerns.

Joan H. Krause University of North Carolina (UNC) at Chapel Hill - School of Law August 8, 2012 Annals of Health Law, Vol. 21, No. 1, 2012 UNC Legal Studies Research Paper No. 2018589 Abstract: This essay considers how the 2010 Supreme Court decision in Skilling v. United States, which limited the situations in which mail and wire fraud cases may be premised on violations of the "intangible right to honest services," has the potential to alter the future of health care fraud litigation. While Skilling is widely perceived to have closed the door to several types of common mail and wire fraud prosecutions, this may not turn out to be the case in health care. In health care, the renewed focus on kickbacks as evidence of an honest services breach instead may dovetail nicely with both the Obama Administration's emphasis on criminal health care fraud enforcement and the jurisprudence of the Medicare & Medicaid Anti-Kickback Statute. This kind of leverage may prove very difficult for prosecutors to resist, and most certainly will require changes in the way the health law bar approaches common Anti-Kickback concerns.

Joan H. Krause University of North Carolina (UNC) at Chapel Hill - School of Law August 8, 2012 Annals of Health Law, Vol. 21, No. 1, 2012 UNC Legal Studies Research Paper No. 2018589 Abstract: This essay considers how the 2010 Supreme Court decision in Skilling v. United States, which limited the situations in which mail and wire fraud cases may be premised on violations of the "intangible right to honest services," has the potential to alter the future of health care fraud litigation. While Skilling is widely perceived to have closed the door to several types of common mail and wire fraud prosecutions, this may not turn out to be the case in health care. In health care, the renewed focus on kickbacks as evidence of an honest services breach instead may dovetail nicely with both the Obama Administration's emphasis on criminal health care fraud enforcement and the jurisprudence of the Medicare & Medicaid Anti-Kickback Statute. This kind of leverage may prove very difficult for prosecutors to resist, and most certainly will require changes in the way the health law bar approaches common Anti-Kickback concerns.

WASHINGTON - The Obama administration is upping the ante in the fight against health care fraud, joining forces with private insurers and state investigators on a scale not previously seen in an attempt to stanch tens of billions of dollars in losses. Health and Human Services Secretary Kathleen Sebelius said in a statement Thursday that the new public-private partnership "puts criminals on notice that we will find them and stop them," while Attorney General Eric Holder called it "a critical step forward" against fraud, an endemic problem plaguing programs like Medicare and Medicare as well as private insurance companies. Details of the collaboration remain to be worked out, but the possibilities include sharing information on new fraud schemes as they pop up, using claims data to catch scams such as payments billed to different insurers on the same day for care purportedly delivered to the same patient in different cities, and using computer analysis to spot emerging patterns of fraud. The agreement is also unusual because it brings the Obama administration and longtime foes in the insurance industry together to tackle a common problem. While carrying out the requirements of President Barack Obama's health care overhaul law, insurers are also lobbying to roll back some of its provisions, such as new taxes on the industry and cuts to private plans offered through Medicare. Obama continues to rail against industry "abuses." Fraud is estimated to cost Medicare about $60 billion a year, and the Obama administration has beefed up the government's efforts to stop it, bringing in record settlements with drug companies for marketing violations as well as using new powers in the health care law to pursue low-level fraudsters with greater zeal. Yet, although Medicare is becoming a harder target, it's too early to say if the tide has turned. Some antifraud efforts launched with great fanfare have yet to deliver convincing results.

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SEOUL (AFP) - South Korean police said on Tuesday they were investigating 27 North Korean refugees for swindling private insurance firms out of hundreds of thousands of dollars in bogus medical claims.Police said the refugees faked illness in collusion with hospitals to claim a total of 1.04 billion won (S$1.16 million) from insurance firms between 2007 and 2010.While listed as hospitalised, they frequented saunas, restaurants and even nightclubs. The scam also involved a 71-year-old doctor and five hospital employees who conspired with the refugees to claim a separate 104 million won from the state health insurance agency, police said.Police are also investigating two brokers on suspicion of helping the refugees send some of the proceeds to relatives in the North.

http://www.valueinvestingnews.com/springhill-group-south-korea-springhill-group-learn-what-cfe?destination=node%2F39161 In today's economic climate, who will help you protect your company and your clients from the devastating impact of fraud?

http://www.valueinvestingnews.com/springhill-group-south-korea-springhill-group-learn-what-cfe?destination=node%2F39161 In today's economic climate, who will help you protect your company and your clients from the devastating impact of fraud?

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Egypt's new president Mohamed Morsi is reconsidering the peace agreement with Israel and ties with Iran in an attempt to build a strategic balance in the region. Morsi was quick to announce that all issues will be addressed by governmental bodies as he will not make decisions on his own, according to Springhill Group Home. "Part of my agenda is the development of ties between Iran and Egypt that will create a strategic balance in the region." Morsi has convened with his advisors to form a new Cabinet prior to his swearing-in on Saturday as the first freely-elected leader. On the other hand, the defeated candidate Ahmed Shafik was found to have left the Egypt in the midst of mounting fraud charges against him since his time as the nation's civil aviation minister. The Muslim Brotherhood's candidate has pledged to become a leader for all Egyptians. "I will be a president for all Egyptians. I call on you, great people of Egypt… to strengthen our national unity - the only way out of these difficult times," Morsi said hours following his being declared the new president. Egypt has breathed a collected sigh of relief when the election and proclamation have finished without the feared bloodshed. Morsi's triumph, also marking Egypt's first fair and free election in the modern times, followed almost 2 years of political upheavel and civil unrest from Hosni Mubarak's military-rule. Britain, France, US and the European Union have deemed the democratic election and the winning civilian president as significant parts of Egypt's history. The US in particular has encouraged Morsi to continue Egypt's transition to democracy that began last year. However, even if Morsi has already resigned from the Muslim Brotherhood of Egypt when he was elected, Israel is still worried of him for his Islam affiliations that could possibly endanger the peace of the two neighboring nations. And although the foreign ministry of Iran has acknowledged

http://view.koreaherald.com/kh/view.php?ud=20120703000817 TRENTON, New Jersey (AP) ― British drugmaker GlaxoSmithKline will pay $3 billion in fines ― the largest health care fraud settlement in U.S. history ― for criminal and civil violations involving 10 drugs that are taken by millions of people.

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TRENTON, New Jersey (AP) ― British drugmaker GlaxoSmithKline will pay $3 billion in fines ― the largest health care fraud settlement in U.S. history ― for criminal and civil violations involving 10 drugs that are taken by millions of people.

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Following the Money in Health Care Fraud: Reflections on a Modern- Day Yellow Brick Road-livejournal-zimbio

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SEOUL (AFP) - South Korean police said on Tuesday they were investigating 27 North Korean refugees for swindling private insurance firms out of hundreds of thousands of dollars in bogus medical claims.Police said the refugees faked illness in collusion with hospitals to claim a total of 1.04 billion won (S$1.16 million) from insurance firms between 2007 and 2010.While listed as hospitalised, they frequented saunas, restaurants and even nightclubs. The scam also involved a 71-year-old doctor and five hospital employees who conspired with the refugees to claim a separate 104 million won from the state health insurance agency, police said.Police are also investigating two brokers on suspicion of helping the refugees send some of the proceeds to relatives in the North. see more http://news.springhillcaregroup.net/

SEOUL (AFP) - South Korean police said on Tuesday they were investigating 27 North Korean refugees for swindling private insurance firms out of hundreds of thousands of dollars in bogus medical claims.Police said the refugees faked illness in collusion with hospitals to claim a total of 1.04 billion won (S$1.16 million) from insurance firms between 2007 and 2010.While listed as hospitalised, they frequented saunas, restaurants and even nightclubs. The scam also involved a 71-year-old doctor and five hospital employees who conspired with the refugees to claim a separate 104 million won from the state health insurance agency, police said.Police are also investigating two brokers on suspicion of helping the refugees send some of the proceeds to relatives in the North.

South Korean police said Tuesday they were investigating 27 North Korean refugees for swindling private insurance firms out of hundreds of thousands of dollars in bogus medical claims. Police said the refugees faked illness in collusion with hospitals to claim a total of 1.04 billion won ($909,000) from insurance firms between 2007 and 2010. While listed as hospitalised, they frequented saunas, restaurants and even nightclubs. The scam also involved a 71-year-old doctor and five hospital employees who conspired with the refugees to claim a separate 104 million won from the state health insurance agency, police said. Police are also investigating two brokers on suspicion of helping the refugees send some of the proceeds to relatives in the North. Fraudsters involved in medical insurance rackets have previously made use of North Koreans. In 2008, police charged 41 refugees involved in bogus medical claims. More than 23,500 North Koreans have settled in the South since the 1950-53 war. They get government financial help along with job education but many fail to adapt to their new environment.

India's Competition Commission confirmed that Google is undergoing an antitrust investigation after a match-making website filed a complaint against its "alleged discriminatory practices" in AdWords. An Indian dating website has filed the complaint against the search engine giant, alleging that it has breached the country's antitrust laws for its advertising unit, AdWords. The complaint accused Google of luring 2 Indian dating sites into a bidding war over its ad keywords in online search. Consim Info, the company operating BharatMatrimony.com has filed the antitrust suit with the Competition Commission of India in February against Google, which, according to CCI, could last from 2-12 months. The probe aims appears to be aimed at determining if there is any merit on the complaint filed against Google after the discovery of "prima facie evidence" showing how it had allegedly abused its market position by selling adwords to the complainant's rival. "We have asked the Director General (Investigations) to complete the probe and give a report on it within 60 days. Prima facie, we found evidence that suggests that Google did abuse its dominant market position," said a senior official of CCI. Like what had happened in other markets, Google has become a target by competitors who wish to crack its prominent ranking. On the other hand, Google defended itself by saying that it has always cooperated with investigators. It has given a statement to Springhill Group Counselling: "Though competition is always a click away, we understand that with success comes scrutiny. We have not received any communication from the CCI, but we're always happy to answer questions about our business, and we're confident that our products are compliant with competition law in India." Google seems to be getting used in being the subject of regulatory scrutiny worldwide as more companies become irked by its business in online advertisement. In February, a separate inv

If you've got a junk email folder full of spam, there's nearly a 10 percent chance it came from a computer in India, the world's new top spam producer. India claimed the unwanted crown from the U.S. in the security firm Sophos' most recent "Dirty Dozen" report of the top spamming countries between January and March. Rounding out the infamous top five are South Korea, which accounts for 8.3 percent of spam, and Indonesia and Russia, both of which distribute 5 percent of the spam clogging up inboxes. Trailing Russia are Italy (4.9 percent ), Brazil (4.3 percent), Poland (3.9 percent), Pakistan (3.3 percent), Vietnam (3.2 percent), Taiwan (2.9 percent) and Peru (2.5 percent). [The 10 Biggest Online Security Myths - And How to Avoid Them] According to Sophos' chief technical officer Graham Cluley, the computers in these high-spamming countries might be sending out their junk messages without the complicity of the computers' actual owners. "The vast majority of spam comes from home computers that have been compromised by hackers, and commandeered into a botnet," Cluley explained. Botnets, short for "robot networks," function like automated zombie armies; infected with a malicious piece of software that puts them under the control of a remote operator, they carry out the orders of the command-and-control server - including sending mass amounts of spam emails - all without the computer owner's knowledge. Cluley said total spam output has actually decreased since the same time period last year. He credited this decline to cybercriminals switching up their approach; they are crafting more targeted email scams, and taking advantage of the massive popularity of social networks like Facebook and, more recently, Pinterest, to do the scam-spreading work for them. Fortunately, whatever country you're in, you can download anti-virus software that can help prevent th

There will be an open call for the Brighton Beach Memoirs at the Boiler Room Theatre (230 Franklin Rd., Bldg Six, Franklin) on March 21st at 2 PM. Unlike their usual by-appointment audition process, all auditionees need to attend the open call at 2 PM. Actors will read from the script in groups; no need to prepare any audition material. Call backs will be held the same day. Bring (2) copies each of your headshot and resume. The show is scheduled to run My 7th through the 29th. For audition questions, call 615-794-7744. Auditions for Pull-Tight's Father of the Bride will be held Sunday and Monday, April 11 and 12 at 7:00 pm at the Pull-Tight Theatre. There are 13 roles available. 1 man age 40-55, 3 women age 40-55, 2 women age 18-25, 2 men age 18-25, and 2 boys age 12-15. There are additional smaller roles for men or women of any age. Auditions will consist of readings from the script. For more information, please contact director Alan Mancuso directly at 708- 6288 (cell) or 794-4045 (home). Actors, reenactors and muscians are desired for a Performance Reading of Scathe: A Civil War Incident in Spring Hill, Tennessee. Auditions will be held Friday, March 19, 7-9 PM and Saturday, March 20, 9-11 PM. Call Backs will be held Monday 7-8:30 PM. Daytime auditions may be by appointment. The auditions will be held at the Heron Center, located at the Tennessee Children's Home (TCH) at 5350 Main Street Spring Hill. 12 men and 7 women ages 18 to 60+. Rehearsals begin after Easter. Performances are scheduled for May 6-8. Scathe is a play with music to be performed as an Outdoor Historical Drama. It concerns the civil war, a love triangle, conspiracy and murder. There is no pay but performers will receive a copy of the performance for their portfolio. For more information contact Deanne Collins at deannemcollins@bellsouth.net.

There will be an open call for the Brighton Beach Memoirs at the Boiler Room Theatre (230 Franklin Rd., Bldg Six, Franklin) on March 21st at 2 PM. Unlike their usual by-appointment audition process, all auditionees need to attend the open call at 2 PM. Actors will read from the script in groups; no need to prepare any audition material. Call backs will be held the same day. Bring (2) copies each of your headshot and resume. The show is scheduled to run My 7th through the 29th. For audition questions, call 615-794-7744. Auditions for Pull-Tight's Father of the Bride will be held Sunday and Monday, April 11 and 12 at 7:00 pm at the Pull-Tight Theatre. There are 13 roles available. 1 man age 40-55, 3 women age 40-55, 2 women age 18-25, 2 men age 18-25, and 2 boys age 12-15. There are additional smaller roles for men or women of any age. Auditions will consist of readings from the script. For more information, please contact director Alan Mancuso directly at 708- 6288 (cell) or 794-4045 (home). Actors, reenactors and muscians are desired for a Performance Reading of Scathe: A Civil War Incident in Spring Hill, Tennessee. Auditions will be held Friday, March 19, 7-9 PM and Saturday, March 20, 9-11 PM. Call Backs will be held Monday 7-8:30 PM. Daytime auditions may be by appointment. The auditions will be held at the Heron Center, located at the Tennessee Children's Home (TCH) at 5350 Main Street Spring Hill. 12 men and 7 women ages 18 to 60+. Rehearsals begin after Easter. Performances are scheduled for May 6-8. Scathe is a play with music to be performed as an Outdoor Historical Drama. It concerns the civil war, a love triangle, conspiracy and murder. There is no pay but performers will receive a copy of the performance for their portfolio. For more information contact Deanne Collins at deannemcollins@bellsouth.net.

South Korean police said Tuesday they were investigating 27 North Korean refugees for swindling private insurance firms out of hundreds of thousands of dollars in bogus medical claims. Police said the refugees faked illness in collusion with hospitals to claim a total of 1.04 billion won ($909,000) from insurance firms between 2007 and 2010. While listed as hospitalised, they frequented saunas, restaurants and even nightclubs. The scam also involved a 71-year-old doctor and five hospital employees who conspired with the refugees to claim a separate 104 million won from the state health insurance agency, police said. Police are also investigating two brokers on suspicion of helping the refugees send some of the proceeds to relatives in the North. Fraudsters involved in medical insurance rackets have previously made use of North Koreans. In 2008, police charged 41 refugees involved in bogus medical claims. More than 23,500 North Koreans have settled in the South since the 1950-53 war. They get government financial help along with job education but many fail to adapt to their new environment.

http://www.rnw.nl/english/bulletin/n-korean-refugees-investigated-insurance-fraud South Korean police said Tuesday they were investigating 27 North Korean refugees for swindling private insurance firms out of hundreds of thousands of dollars in bogus medical claims. Police said the refugees faked illness in collusion with hospitals to claim a total of 1.04 billion won ($909,000) from insurance firms between 2007 and 2010.