The Cases of the Medicated Footbaths and Unnecessary COVID-19 Lab Work: A Look at Health Care FWA

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The Cases of the Medicated Footbaths and Unnecessary COVID-19 Lab Work: A Look at Health Care FWA

Two members of the Healthcare Fraud Prevention Partnership (HFPP) were on hand at the 33rd Annual ACFE Global Fraud Conference to present two case studies on fraud, waste and abuse (FWA) in the health care field. In their session, “Health Care: The Power of Leveraging Data Analytics to Identify Fraud, Waste and Abuse,” Richard Haines and Jacob Gray showed how data analytics helped find two instances of fraud which involved health care providers billing for so-called medicated footbaths and for unnecessary additional lab work related to COVID-19 cases.

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The Power of the Small: A Conversation with Wirecard Whistleblower Pav Gill

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The Power of the Small: A Conversation with Wirecard Whistleblower Pav Gill

Taking the first step to becoming a whistleblower is a daunting task, and Pav Gill did so reluctantly. But the soft-spoken lawyer who famously brought down the once-revered German payments firm Wirecard has some inspirational words for those individuals who feel helpless in the face of enormous frauds and the powerful players who perpetrate them.

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Passwords Are Not Enough: Biometrics for Better Account Protection

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Passwords Are Not Enough: Biometrics for Better Account Protection

Samantha Weeks, CFE, kicked off her session at the 33rd Annual ACFE Global Fraud Conference with a stark warning to fraud fighters. “If you have not already been greatly impacted by account takeover fraud in your organization, you should be very concerned that you haven’t seen it yet. because it is happening,” said Weeks, the fraud project manager for financial technology company Chime.

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Michael Lewis: Complexity, Fraud and Listening to Contrarians

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Michael Lewis: Complexity, Fraud and Listening to Contrarians

Michael Lewis isn’t a fraud examiner. But as a journalist and author who has written multiple books about financial shenanigans on Wall Street, he has important insights into the nasty underbelly of markets and how fraudsters can thrive there. The latest market selloff could be a good case in point as investors look for guidance amid concerns over rising inflation and the potential for a recession.

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Cash Isn’t King: Alternative Payment Systems Are Shaking up the Banking Industry

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Cash Isn’t King: Alternative Payment Systems Are Shaking up the Banking Industry

For years, we’ve operated off and relied on the traditional finance system our parents used — a complex web connecting a central bank system through multiple sources to finally get to the end party (being you or whoever you are paying). Inside that network, the U.S. banking and payment system is even more complex, with bureaus inside of departments, and oversight from the federal and state governments.

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Is It Time To Rethink the Fraud Triangle?

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Is It Time To Rethink the Fraud Triangle?

The COVID-19 pandemic has, undoubtedly, changed a lot of things around the world, and our worlds, in just two years’ time. With those changes in environment, a lot of the things we’ve grown accustomed to have had to be tweaked. So, in the fraud examining world, is it time to change the tried-and-true Fraud Triangle?

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Keynote Speaker: Pav Gill

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Keynote Speaker: Pav Gill

“When you have truth on your side, why should we still fear? The only ones who should be living in fear are those that have decided to commit wrongdoings and criminal activity, not those who have simply done their jobs or what is right,” said Wirecard whistleblower Pavandeep Gill during his speech accepting the ACFE’s Sentinel Award Monday morning at the 33rd Annual ACFE Global Conference.

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