OPM officials who were previously responsible for conducting FEHB fraud risk assessments have since left their jobs, the Government Accountability Office found.

On September 1, the new Failure to Prevent Fraud offense will come into force, which has extraterritorial effect and ...

The federal government has increased scrutiny of Medicare fraud in recent years, but no investigation appears bigger than its probe of UnitedHealth Group. The inquiry is the biggest because ...

The federal government is losing up to a billion dollars a year to fraud in its Federal Employees Health Benefits program, ...

The message came in the form of a standard Fraud Risk Assessment, reviewed by Forbes, which was based on a review of TikTok and ByteDance policies, and on approximately 90 interviews — some ...

UnitedHealth Group is under criminal and civil investigation by the DOJ over alleged Medicare fraud, raising serious ...

Solution offers actionable, predictive fraud risk assessments by analyzing breach and malware-stolen data recaptured from the criminal underground. January 18, 2022 06:05 AM Eastern Standard Time.

If the fraud risk assessment hasn’t been updated, or if the company doesn’t perform fraud risk assessments, this would be a good time to recommend doing so, as it is a relatively low-cost initiative — ...

Complying with AU-C Section 240, Consideration of Fraud in a Financial Statement Audit, when conducting financial statement audits challenges practitioners’ professional skills and knowledge regarding ...

UnitedHealth Group is complying with criminal and civil investigations by the Justice Department regarding its Medicare Advantage business, according to a July 24 regulatory filing by the company.

Fraud and credit risk are often managed in separate silos, says Hamilton. The result is inefficiencies and missed insights. A unified decisioning approach enables better risk assessment, ...

The actions highlight how fraud risk management activities, even when well-intended (for example, to reduce the risk to a company’s earnings and capital arising from fraud losses), can lead to ...