Question
Provide a synopsis of the fraud case and review the steps below that are utilized in the fraud investigation process Step 1: Initial report and
Provide a synopsis of the fraud case and review the steps below that are utilized in the fraud investigation process
- Step 1: Initial report and reaction to an allegation/tip (Decide if a fraud investigation needs to take place)
- Step 2: Establish an investigation plan and team
- Step 3: Conduct a preliminary assessment/vulnerability assessment/risk analysis
- Step 4: Investigate, preserve, and collect all relevant evidence (surveillance and covert operations, invigilation, physical evidence, electronic evidence, forensic software packages)
- Step 5: Analyze evidence, records, financial records, business records, email communications, electronic records, physical records, etc.
- Step 6: Conduct interviews
- Step 7: Report findings and determine if criminal charges need to be filed with local, county, regional, tribal, state, or federal authorities
After reviewing each step and the generalized format and framework for conducting a fraud investigation at a public or private organization, add 2-4 steps that would improve the investigation process in the case that you chose. Why do you believe that these steps and recommendations will improve the process? Finally, outline the importance of utilizing social media platforms in the fraud investigation process.
CASE: healthcare fraud
Step by Step Solution
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Step: 1
Synopsis of the Healthcare Fraud Case In the healthcare fraud case allegations have been made concerning fraudulent activities within a medical facility Suspicions include overbilling false claims and ...Get Instant Access to Expert-Tailored Solutions
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Step: 2
Step: 3
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