In 2015, a complaint was received from an ophthalmologist concerning inconsistent refund amounts that had begun appearing in her financial system. The ophthalmologist explained that under the new Ontario Health Insurance Plan (OHIP) rules, her office charges $75 for an adult eye exam. If an ocular-related disease is discovered, then OHIP will cover the exam and the $75 charge is refunded.Read More
"Bryan Fogel and Clare Rewcastle Brown risked their lives to conduct their investigations and both brought them to successful conclusions. That was an extremely strong message to send to all of us fraud fighters." — Dr. Paul Milata, CFE, Managing Partner, Milata KGRead More
Tax fraud is a problem that affects every country around the world. As the Panama Papers and subsequent Paradise Papers exposed, many individuals and organizations use anonymous shell companies and intermediaries to move money to jurisdictions with favorable tax laws. Some of this is done legally, and considered tax avoidance, but tax evasion is done illegally, making it fraud. In his session at the 2018 ACFE Fraud Conference Middle East, Varun Mehta, CFE, discussed some of the challenges of tracking down tax fraud and how data analytics can be an invaluable tool in that fight.Read More
Jeff Kehoe began his address at the ACFE Fraud Conference Canada in Toronto today by explaining the importance context. “Context is important today,” Kehoe, the Ontario Securities Commission’s director of enforcement, said. “It is one of embracing change.”Read More
When dealing with names, anti-fraud professionals must think both about the source language and the language it is being transcribed into. Would a name that originally is written in Russian Cyrillic characters and placed on an Egyptian watch list have the same sound and root name if then translated into English or French?
Victoria Meyer, CFE, ACCA, Director of the Swiss Business Academy, discussed this potential problem during her session, “Linguistic Identity Matching” at the 27th Annual ACFE Global Fraud Conference June 14, 2016. She'll be joining the ACFE again to speak at the 2017 ACFE Fraud Conference Europe, March 19-21 in London.
Meyer is the author of Linguistic Identity Matching, which will be available for sale in the bookstore at the 2017 ACFE Fraud Conference Europe. The following is a glimpse of what she shared with attendees in 2016.Read More
For most people, your name is one of the purest, and easiest, summations of your identity. For those in the business of screening identity data against compliance intelligence information, a name may be the best tool you have to track and prosecute fraudsters around the globe. However, things begin to get complex when you consider the sheer multitude of countries and organizations developing sanction lists using their language’s translations of names.Read More
13,311,666,640,184,600. According to Bill Hardin, CFE, CPA, CFF, and Director of Navigant Consulting, this is the number devices that will be connected to the Internet in 2020. Hardin led the session, “Five Lessons Learned with Managing Big Data in an Investigation” this morning and gave five key steps to take when managing the big data that can and will be found in connected devices.Read More