Provider Fraud: Why Due Diligence Matters in Health Care Acquisitions

Provider Fraud: Why Due Diligence Matters in Health Care Acquisitions

During the 35th Annual ACFE Global Fraud Conference, Leah Lane, CFE, a director at SunHawk Consulting, presented a compelling session titled "A Case Study in Provider Fraud." Drawing from her extensive experience, Lane provided a detailed examination of the risks, misconduct and repercussions resulting from a health care company’s acquisition.

Read More

The Traceability of Bitcoin’s Unspent Transaction Output System 

The Traceability of Bitcoin’s Unspent Transaction Output System 

During the 35th Annual ACFE Global Fraud Conference, Sean Tweed, CFE, gave fraud investigators an overview of Bitcoin and how it can be used to trace funds across different addresses in his session titled, “The Traceability of Bitcoin’s Unspent Transaction Output System”. Contrary to popular belief, Bitcoin was not created by criminals to be an untraceable tool for money laundering. Criminals have exploited it, but its model was actually created to make transactions public and traceable.  

Read More

How to Testify as an Expert Witness

How to Testify as an Expert Witness

At the 35th Annual ACFE Global Fraud Conference, "Testifying as an Expert Witness," presented by Tasha Soroosh, Deputy District Attorney IV at the Orange County District Attorney’s Office provided invaluable insights into the intricacies of courtroom testimony for fraud examiners, emphasizing the importance of preparation, professionalism and effective communication. 

Read More

The Dark Nexus of Fraud and Human Trafficking in the Private Sector 

The Dark Nexus of Fraud and Human Trafficking in the Private Sector 

Tuesday morning of the 35th Annual ACFE Global Fraud Conference, Matt Friedman, CEO of The Mekong Club, an organization of Hong Kong’s leading businesses joined to end all forms of human trafficking, took the main stage. Friedman explored the violent and terrifying reality of human trafficking schemes around the world, including his own interactions with victims and their stories. But, where do we, as fraud examiners, come in? Where do we find the intersection of fraud examination and the dark reality of modern slavery? Friedman says it is not as far as we think. 

Read More

Predators Versus Situational Fraudsters

Predators Versus Situational Fraudsters

During her Tuesday morning breakout session, “Expanding Fraud Risk Awareness: Rationalization and Dark Triad Personalities,” Stephanie Mongiello, J.D., CFE, used Wood as an example of a predator-type fraudster. According to Mongiello, predator-type fraudsters are serial offenders noted for their lack of conscience. They are always on the lookout for an opportunity to commit fraud.

Read More

Addressing the Mind of the Perpetrator

Addressing the Mind of the Perpetrator

According to Steven Dawson, CFE, CPA and president of Dawson Forensic Analytics, the best internal control that can be implemented at organizations, regardless of size or complexity, is increasing the perception of detection. That was the subject of his educational session, “Increasing the Perception of Detection: Controls that Address the Mind of the Perpetrator,” presented virtually during the 35th Annual ACFE Global Fraud Conference.

Read More

3 Ways to Reduce a Nonprofit’s Fraud Risk

3 Ways to Reduce a Nonprofit’s Fraud Risk

This classic case of embezzlement is one of many case studies of nonprofit fraud schemes presented by Rollie Dimos, CFE, CIA, CISA, during the 35th Annual ACFE Global Fraud Conference. Dimos, director of Internal Audit and the Center for Leadership and Stewardship Excellence at the Assemblies of God national office, said Ameer’s scheme illustrates the convergence of the three elements of the Fraud Triangle: pressure, opportunity and rationalization.

Read More