Fraud Examination
Fraud Examination
6th Edition
ISBN: 9781337619677
Author: Albrecht, W. Steve, Chad O., Conan C., Zimbelman, Mark F.
Publisher: Cengage,
Question
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Chapter 2, Problem 13SC

(1)

To determine

 

(2)

To determine

The opportunities available with Dr NL to commit fraud are:

  1. Insurance companies did not understand the patients reports and classifying them as false was difficult for the insurance company.

  2. Insurance Company did not cross verify the reports submitted by doctor and allowed all claims as submitted

  3. As the head of the hospital was involved, it was easy for him to create fake records and get them approved for insurance claim.

(3)

To determine

Rationalization of fraud by Dr NL

(4)

To determine

The ways in which Dr NL could help the patients but not deceive the insurance company.

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Chapter 2 Solutions

Fraud Examination

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