Posts Tagged: fraud

How GIS Works to Combat Fraud

GIS technology can be used to help address fraud, waste and abuse in several different ways. Organizations benefit from closely examining location-based factors to identify hot spots, regional variations and clusters, such as co-locations of services. Then, real-time data analysis shows spatial trends that inform predictions about future needs and issues — or, in this… Read more »

Supreme Court Hears Arguments in False Claims Act Case

On April 19, I was fortunate enough to attend oral arguments at the Supreme Court for Universal Health Services v. Escobar. Although the facts of the case were tied to filings for reimbursement under Medicaid, the legal question at hand – whether the submission of an invoice to the government is an implied certification thatRead… Read more »

Government Calling? Don’t Get Scammed

If you’ve used the Internet even once in your life, you’re probably familiar with scams. From the more obvious pop-up viruses to the well-disguised phishing emails, scams are an ever-present nuisance in our lives in the digital age. While you have likely encountered fraud attempts online before, what about over the phone? In the wakeRead… Read more »

Keeping It Proper With Medicaid Payments

In yesterday’s DorobekINSIDER, we covered the cybersecurity insider threat for federal agencies – including the insider threat that’s accidental. Likewise, government funded healthcare services have their own brand of accidental insider threats – more commonly known as improper payments. A new report from the Government Accountability Office (GAO) called out states for their IT systemsRead… Read more »

Using Data Analytics to Counter Fraud: New York State Tax Case Study

This is the second blog in a three-part series exploring smarter counter fraud. “Fraud and falsehood only dread examination. Truth invites it.” This quixotic statement from American economist and political philosopher Thomas Cooper praises honesty and fair play, while promising that the system will catch those who try to manipulate it. But in reality, Cooper’sRead… Read more »

Billions Wasted Annually Due to Duplication – Why?

Redundant federal programs are leading to billions in waste. Even worse, the Government Accountability Office says in their new report that the government is slow to adopt reforms to fix the problem. Nikki Clowers is a Director of Financial Markets and Community Investment Issues at GAO. She told Chris Dorobek on the DorobekINSIDER program thatRead… Read more »