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Article: Recognizing the symptoms of employee fraud.
- Article from:
- Healthcare Financial Management
- Article date:
- May 1, 1994
- Author:
CopyrightCOPYRIGHT 1994 Healthcare Financial Management Association. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan. All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)
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LEGAL ISSUES
Unlike crimes that leave easily detectable physical evidence, employee fraud may be difficult to detect because often only symptoms of such crimes are readily apparent, and the symptoms may or may not signal actual fraud. This article discusses six categories of symptoms that indicate fraud may have been committed by an employee, and presents a case study example to illustrate symptoms auditors and financial managers should investigate.
Healthcare fraud is receiving more attention from providers, insurers, and regulators than it has at any previous time, and this attention is well deserved. Fraud is believed to have accounted for more than $80 ...