How to Avoid False Confessions

How to Avoid False Confessions

Fraud examiners who interview subjects in their investigations know the importance of getting a confession. As Joe Koenig, CFE, stated during the final round of breakout sessions at the 37th Annual ACFE Global Fraud Conference, “confessions are the gold standard.” However, it’s equally important to know how to avoid getting a false confession. 

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Demand for GLP-1 Drugs Creates New Fraud Risks

Demand for GLP-1 Drugs Creates New Fraud Risks

The explosive popularity of GLP-1 medications has created new challenges for insurers, health plans and fraud investigators, according to Stephanie Benson, CFE, senior manager in Evernorth Health Services’ Special Investigations Unit. During her virtual session at the 37th Annual ACFE Global Fraud Conference, she explored how social media-driven demand for weight loss drugs has contributed to emerging fraud schemes, misuse patterns and investigative concerns across the healthcare industry. 

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Fraud Starts with People, Not When the Money Disappears

Fraud Starts with People, Not When the Money Disappears

In a lively, Wednesday morning session, Inès Panou, CFE, MBA, engaged 37th Annual ACFE Global Fraud Conference attendees in a discussion on conducting audits across international borders. Panou, the chief risk officer for SANRU, a nongovernmental organization in the Democratic Republic of Congo, said that fraud is a universal condition that starts with people — not when the money disappears. According to Panou, the human element of fraud and how people rationalize committing it is an overlooked part of the Fraud Triangle.

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Trust Creates Vulnerabilities: A Look at Government Fraud and How to End the Cycle

Trust Creates Vulnerabilities: A Look at Government Fraud and How to End the Cycle

It’s a continuing trend in the headlines: Fraudsters are exploiting government-funded programs or targeting public-sector organizations directly. Fraudsters targeted Medicare. A child nutrition program was exploited in Minnesota. Hundreds of millions of dollars in California welfare benefits were stolen by a Romanian crime ring. 

All these fraud schemes are similar in that they involve government programs, but, according to Linda Miller, there's one more similarity: All these systems were designed for trust. That was the subject of “Designed for Trust, Exploited at Scale: Why Government is Easy to Defraud,” presented by Miller, president of Program Integrity Alliance, at the 37th Annual ACFE Global Fraud Conference

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