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  • What is Upcoding

What is Upcoding?

Upcoding occurs when a health care provider seeks reimbursement using a fraudulent CPT code that provides a higher reimbursement than the CPT code which corresponds to the services actually rendered to a Medicaid or Medicare patient.

  • SEC Environment Whistleblower

SEC Whistleblower Rules [2020 Update]

Recently the SEC amended its current rules governing the Dodd-Frank Act whistleblower law, which now requires the Commission to pay rewards in the range of 10% to 30% of any “sanctions” obtained by the SEC in administrative, civil or criminal enforcement proceedings.

  • Report Police Brutality

Report Police Brutality

As a state or municipal police officer, you have two types of protection from retaliation for blowing the whistle on misconduct in your department: The First Amendment and your state’s whistleblower laws.

  • Learn about FOIA

What is FOIA?

Any person can file a FOIA request, including U.S. citizens, foreign nationals, organizations, universities, businesses, and state and local governments. If you are a federal employee, it is imperative for you to not use government time or equipment when filing a FOIA request.

  • What is Money Laundering? Close-up of Rolls of $100's Being Laundered

What is Money Laundering?

Money laundering is the process of taking large amounts of illegally obtained funds and making their source seem legitimate. Money earned through criminal activity is considered “dirty,” and through money laundering it becomes “clean.” Once cleaned, the money can be used without being traced back to the criminal activities it originated from.

  • DOJ FCPA Guidance - Trader Looking at Commodities on Laptop

DOJ FCPA Guidance on Foreign Securities and Commodities Violations

In March 2019, the CFTC issued an Enforcement Advisory indicating that, for the first time, it would be focusing investigative resources on foreign corruption as it relates to violations of the Commodity Exchange Act. As an activity regulated by the CFTC, commodities-related foreign corruption now falls within the gambit of violations for which a whistleblower may be eligible for an award should their tip lead to a successful enforcement action.

  • What are Kickbacks

What are Kickbacks?

Kickbacks often play a crucial role in fraud schemes designed to swindle taxpayer dollars from the United States Government. It is a general term used to describe the corrupt practice where illegal payments are made to garner preferential treatment and can be thought about as a form of bribery.

  • What is the Fraud Triangle?

What is The Fraud Triangle?

The Fraud Triangle is a tool used by anti-fraud professionals to identify conditions that could motivate individuals, corporations, or even entire industries to engage in fraudulent activity. It is comprised of three risk factors, (1) motivation, (2) opportunity, and (3) rationalization.

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