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FRAUD MANAGEMENT

Beyond patient safety and medical liability.

Risk management in healthcare comprises the clinical and administrative systems, processes, and reports employed to detect, monitor, assess, mitigate, and prevent risks. By employing risk management, healthcare organizations proactively and systematically ensure patient safety as well as the organization’s assets, market share, accreditation, reimbursement levels, brand value, and community standing. Hospitals and other healthcare systems …

Beyond patient safety and medical liability. Read More »

The role of Risk Champions in effective Risk Management

At the heart of any effective risk process are two common qualities of strong team work and open communication. This, supported by strong action and solution orientation enable the Risk Management function to carry out its mandate effectively. Risk Champions are central to this, and used well, they become the glue that can hold risk …

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Everyone is a potential fraudster. Here is why

For the last ten years, since Institute of Forensics and ICT Security (www.forensicsinstitute.org) started fraud awareness initiative, I have visited several organisations and met with so many CEOs and top managers in the region. Most of the leaders don’t want to acknowledge the extent of the fraud problem within their organisations. Yet the statistics are …

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How to conduct Effective Internal Investigations

Internal investigations allow a company to monitor itself to ensure that its managers, supervisors, and employees comply with the law as well as internal policies and guidelines.  The purpose of an investigation is to gather facts so that the investigator can make a credible determination about what happened and whether a violation occurred. In any …

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The role of HR Function in Fraud Prevention and Detection

Although there is no one definition for fraud, the Collins English dictionary defines it as “deliberate deception, trickery or cheating intended to gain an advantage”.  It is considered an illegal act and it is characterized by deceit, concealment and violation of trust.  The most common examples of fraud include embezzlement, misappropriation, or misapplication of funds …

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Fraud Risk Management: Awareness, prevention, detection and investigation

Awareness Bearing in mind that awareness of fraud risks can provide a business with protection, a useful model to know when considering the likelihood of fraud occurring is the fraud triangle. The fraud triangle is a model for explaining the factors that cause someone to commit occupational fraud. It consists of three components which, together, …

Fraud Risk Management: Awareness, prevention, detection and investigation Read More »

The role of Risk Champions in effective Risk Management

At the heart of any effective risk process are two common qualities of strong team work and open communication. This, supported by strong action and solution orientation enable the Risk Management function to carry out its mandate effectively. Risk Champions are central to this, and used well, they become the glue that can hold risk …

The role of Risk Champions in effective Risk Management Read More »

Charity fraud

Charity fraud, a type of fraud that occurs when charitable organizations that solicit funds from the public for philanthropic goals, such as seeking cures for diseases or helping orphans, solicit donations in a deceptive manner or use the monies that they collect for purposes not intended by the donors. Charities are subject to the kinds …

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How To Manage Risk

Risk is an uncertain event that occurs and can have a positive or negative impact on a company’s or organization’s goals. The potential for a risk to have a positive or negative effect is an important concept. Why? Because it is natural to fall into the trap of thinking that risks have inherently negative effects. …

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