For example a customer places an order customer pays

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For example, a customer places an order, customer pays for order in cash, staff member rips up the ticket and steals the cash. Another huge theft is stealing food and supplies then taking them home or selling them for profit, and manipulating the time clock. Employers should install security cameras and make employees aware of the consequences of his/her actions if they are caught stealing. Customers should receive a receipt after every transaction and no one should have access to their coworker’s cash registers. Accumulated cash should be regularly dropped and collected by managers. Employers should also utilize secret shoppers, customer surveys/suggestions, trash control, and product inventory on a regular basis. 8. Up-coding occurs by entering a claim for a service more critical that the tangible service provided. For example, entering a claim for a broken leg, when the patient was treated for a simple sprain. Correct charge for the hospital room, for example, being charged for a private hospital room when the patient occupied a shared unit. Unnecessary treatment occurs when a patient is seen for one ailment but the doctor orders tests and bloodwork which have nothing to do with the patients concerns. For example, a patient complains of a toothache and the doctor orders blood samples and requests urine samples. Other examples of fraud committed by doctors generally include improper billing practices, pattern of claims which weren’t medically necessary, falsifying medical claims and other things of this nature. Private healthcare clients commit a large amount of money and resources to investigate and combat medical fraud. The consequences for healthcare fraud can be harsh, depending on the type of fraud executed. In many instances, healthcare fraud is a felony, therefore, the consequences can include prison time of a year or more, fines, and/or restitution. Doctors take the risk of losing his/her benefits or right to partake in the plan. The doctor can no longer accept that particular insurance, may lose business from other insurance companies once they are aware of the theft, and patients have to find a new doctor. 9. The costs of unnecessary surgeries affect consumers and taxpayers heavily. Enticed by the opportunity of financial gain by billing Medicare, Medicaid, and private insurance companies for costly medical procedures which aren’t needed; millions of unnecessary procedures are performed annually. There are various reasons why unnecessary surgeries occur. In many instances, they ae the end result of criminal activity, some surgeons target patients, conducting surgeries knowing they are not needed. 10. Medicaid fraud occurs when pharmacist/staff members substitute generic medications for name brand one, short counting pills, filling prescriptions which have no refills left, and
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in return overbilling Medicaid. Theft from pharmacies, hospitals, and/or doctor offices.
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  • Spring '15
  • Basa
  • White-collar crime

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