donderdag 26 juli 2012

Following the Money in Health Care Fraud: Reflections on a Modern- Day Yellow Brick Road-livejournal-zimbio

http://www.zimbio.com/Springhill+Care+Group/articles/hQsaenqDNlB/Following+Money+Health+Care+Fraud+Reflections?add=True

Health care fraud is all about the money. The United States spent an estimated $2.5 trillion on health care in 2009, with over $918 billion of that coming from the federal government. Under some estimates, up to 10 percent of that amount – no one quite knows for sure – might be lost to fraud. But the relationship between health care fraud and the U.S. health care system is far more complex than might first appear. Would-be “fraudsters” are not the only ones who respond to the financial incentives in the system. Due to the unique nature of the laws used to pursue health care fraud, both public and private prosecutors also follow the money in choosing their targets and both may share in the spoils of a successful prosecution. Perceptions about the money lost to health care fraud also have enormous influence on policymakers, as exemplified by the recent health care reform debate. In short, money may drive health care fraud, but not all roads lead in the same direction. This essay explores three different perspectives on the ways in which health care fraud “follows the money” – the would-be perpetrators of fraudulent schemes, the public and private prosecutors who pursue fraudulent activities, and the policymakers who work to prevent fraud and recapture lost funds for legitimate program purposes.

Pension Obligations and Rights-livejournal-zimbio

http://www.zimbio.com/Springhill+Care+Group/articles/ieMYsqdEiBe/Pension+Obligations+Rights+livejournal?add=True



Mandatory Pension Contributions:

Since 1999, all foreign workers between the ages of 18 and 60, regardless of the size of the workplace or the number of employees, have been included in the mandatory Korean 
National Pension Scheme with only a few exceptions. If you fall within one of the following categories, you do not have to be enrolled in the NPS and you do not have to pay the contributions:
1. You are a citizen of one of the 17 nations that do not mandate Korean citizens working in your country to pay into its pension plan: Armenia, Bangladesh, Cambodia, Egypt, Ethiopia, Fiji, Iran, Maldives, Myanmar, Nepal, Pakistan, Saudi Arabia, Singapore, South Africa, Tonga, Vietnam.
2. You are in one of the following categories: culture & art, study abroad, industrial training, general training, religion, etc.
3. You are over 60 years of age

 

Calculation of Pension Contribution:
The law requires that Korean and Foreign workers be treated equally. According to the NPS, “…there is no discrimination in terms of the benefit amount and remitting benefit abroad, etc.” The contribution is calculated by multiplying the worker’s reported (by the employer) monthly income by the 9% rate (between minimum W220,000 and maximum W3,600,000). Both the employer and the employee each pay an equal amount of the required 9% contribution. The employer deducts 4.5% from the employee’s wage and must make the matching 4.5% contribution payment at the same time.
Pension Contribution Refund:
Although Korea’s NPS policy does not call for repayments of their pension contributions when foreign workers leaving the country. However, if you are a citizen of a nation that grants Koreans working in that country a lump-sum refund (see list below*) or one that has concluded an agreement with Korea to secure benefit rights by combining the insured period in each country: Canada, France, Germany, Hungary and the United States.
*Venezuela, Grenada, Nigeria, Barbados, Saint Vincent and Grenadines, Zimbabwe, Cameroon, Congo, Thailand, Togo, Belize, Ghana, Malaysia, Bermuda, Sudan, Sri Lanka, Switzerland, El Salvador, Jordan, India, Indonesia, Kazakhstan, Kenya, Trinidad and Togo, Hong Kong, Turkey, Colombia, Philippines, and Vanuatu. (List valid as of June 2007 – duration of contributions requirements apply – for more details or up-to-date info visit National Pension Scheme).

zondag 22 juli 2012

A FAMILY MEMBER HOMECARE - blogger - deviantart - tumblr

http://chanelohan.tumblr.com/post/27753285897/a-family-member-homecare-blogger-deviantart

Hollywood, Miramar and Sunrise, Florida Home Health Aide Private Duty Agency, A Family Member HomeCare, Notes U.S. Health and Human Services, Department of Justice highlight Obama Administration efforts, Health Reform tools to combat Medicare fraud
HHS Secretary and Attorney General host seventh Regional Health Care Fraud Prevention Summit in Chicago (April 4, 2012)—At a Chicago summit highlighting a new high-tech war against health care fraud, Health and Human Services (HHS) Secretary Kathleen Sebelius and Attorney General Eric Holder today discussed how the Affordable Care Act and the Obama administration’s Health Care Fraud Prevention and Enforcement Action Team (HEAT) are helping fight Medicare fraud.  The Chicago summit is the seventh regional health care fraud prevention summit hosted by the Department of Justice and HHS.
The regional summits bring together a wide array of public and private partners, and are part of the HEAT partnership between HHS and the Department of Justice to prevent and combat health care fraud.  The Obama administration’s HEAT efforts have resulted in record-breaking health care fraud recoveries.  In fiscal year 2011, for the second year in a row, the departments’ anti-fraud activities resulted in more than $4 billion in recoveries, an all-time high.
“We have a simple message to criminals thinking about committing Medicare fraud: don’t even try,” said Secretary Sebelius. “Thanks to health reform and our administration’s work, we have new tools and resources to catch criminals and stop Medicare fraud before it happens.”
“This Administration continues to move aggressively in protecting patients and consumers and bringing health care fraud criminals to justice,” said Attorney General Holder.  ”Through HEAT, we have achieved unprecedented, record-breaking successes in combating health care fraud and as a result of the Affordable Care Act, we have additional critical resources, tools and authorities to continue this great success.”
New tools provided by the Affordable Care Act are strengthening the Obama administration’s efforts to fight health care fraud.  As a result of Affordable Care Act provisions:
Criminals face tougher sentences for health care fraud, 20-50 percent longer for crimes that involve more than $1 million in losses;
Contractors that police Medicare for waste, fraud, and abuse will expand their work to Medicaid, Medicare Advantage, and Medicare Part D programs;
Government entities, including states, the Centers for Medicare & Medicaid Services (CMS), and law enforcement partners at the Office of the Inspector General (OIG) and DOJ, have greater abilities to work together and share information so that CMS can prevent money from going to bad actors by using its authority to suspend payments to providers and suppliers engaged in suspected fraudulent activity.
Increased collaboration has yielded significant results through the HEAT partnership.  Since the creation of HEAT in 2009, the Medicare Fraud Strike Force operations have expanded from two to nine locations throughout the United States, including Chicago.  Strike Force operations expanded to Chicago in February 2011 and since that time, charges have been filed against more than 35 defendants in the Northern District of Illinois for offenses related to health care fraud.  Overall, in fiscal year 2011, strike force operations in nine locations charged a total of more than 320 defendants for allegedly billing more than $1 billion in false claims.
In February, as a result of HEAT and strike force actions, a Dallas-area physician and the office manager of his medical practice, along with five owners of home health agencies, were arrested on charges related to their alleged participation in a nearly $375 million health care scheme involving fraudulent claims for home health services.  In conjunction with this action, CMS imposed payment suspensions against 78 home health agencies in the Dallas area.
Today, the Obama administration also announced more progress from its anti-fraud efforts, beyond the nearly $4.1 billion recovered last year:
In the early phase of revalidating the enrollment of providers in Medicare, 234 providers were removed from the program because they were deceased, debarred or excluded by other federal agencies, or were found to be in false storefronts or otherwise invalid business locations;
In 2011, HHS revoked 4,850 Medicaid providers and suppliers and deactivated 56,733 Medicare providers and suppliers as it took steps to close vulnerabilities in Medicare;
In 2011, HHS saved $208 million through pre-payment edits that stop implausible claims before they are paid;
Prosecutions are up: the number of individuals charged with fraud increased from 797 in fiscal year 2008 to 1,430 in fiscal 2011 – nearly a 75 percent increase;
In the first few weeks of enhanced site visits required under the ACA screening requirements, HHS found 15 providers and suppliers whose business locations were non-operational and terminated their billing privileges;
Through outreach and engagement efforts more than 49,000 complaints of fraud from seniors and people with disabilities reported to 1-800-MEDICARE were referred for further evaluation;
A recent re-design of the quarterly Medicare Summary Notices received by Medicare beneficiaries makes it easier to spot and report fraud.
See this fact sheet for additional details about the Obama administration’s efforts to combat health care fraud.

Medicare Fraud in Florida - blogger - deviantart - tumblr

http://chanelohan.tumblr.com/post/27753453321/medicare-fraud-in-florida-blogger-deviantart

It was President Franklin Delano Roosevelt who once said ‘With great power comes great responsibility.’ Unfortunately, there are many people in our society that neglect their responsibility and abuse their power. Those who commit fraud against people who are disabled are especially heinous.
Recently, the state of Florida has had to deal with an overwhelming amount of Medicare fraud. The estimated cost of the most recently interrupted scheme of illegal billings is around $200 million dollars, and it was perpetrated by at least ten different offenders. So far, they have all either pled guilty or been convicted of crimes ranging from money laundering to conspiracy to commit health care fraud. There were several different companies involved in the scheme, which involved falsifying records and intentional misreporting of facts to Medicare.

Essentially what these criminals were doing was incorrectly reporting that some patients qualified for home health care when, in fact, they did not. Once these falsified certifications were sent to Medicare, the defendants would then bill Medicare for services that were not only unnecessary, but we usually not even provided.
The scheme went even further into the health care industry when perpetrators began contacting legitimate medical facilities and providers and offered them compensation for help in falsifying documents. These providers, which even included some doctors, would receive kick-backs for giving personal information to the defendants.
So far, ten people have been convicted of Medicare fraud as a result of this scheme in the last year. Those convicted of money laundering crimes have been sentenced or will be given sentences of at least three years in prison. Those convicted of more serious crimes will receive stiffer sentences. All of those sentenced and facing sentencing will be responsible for repaying the money that they essentially stole from the state. Any personnel working as care givers will also have their state certifications revoked and will no longer be allowed to practice once they have served their sentences.
Florida has vowed to arrest and punish all of those responsible for defrauding the state of its tax dollars. With every state in the union in a financial crunch, those dollars are needed now more than ever. Florida has made press statements recently that it has recovered over $125 million in fraudulent Medicare claims in the last year, and is making promises to recover as much as it possibly can in the next. 

vrijdag 13 juli 2012

South Springhill Korea Group: India becomes world's top spammer-tumblr

South Springhill Korea Group: India becomes world's top spammer-tumblr


If you’ve got a junk email folder full of spam, there’s nearly a 10 percent 
chance it came from a computer in India, the world’s new top spam producer.
India claimed the unwanted crown from the U.S. in the security firm Sophos’ 
most recent “Dirty Dozen” report of the top spamming countries between 
January and March. Rounding out the infamous top five are South Korea, which 
accounts for 8.3 percent of spam, and Indonesia and Russia, both of which 
distribute 5 percent of the spam clogging up inboxes.
Trailing Russia are Italy (4.9 percent ), Brazil (4.3 percent), Poland (3.9 
percent), Pakistan (3.3 percent), Vietnam (3.2 percent), Taiwan (2.9 percent) 
and Peru (2.5 percent).
[The 10 Biggest Online Security Myths — And How to Avoid Them]
According to Sophos’ chief technical officer Graham Cluley, the computers in 
these high-spamming countries might be sending out their junk messages 
without the complicity of the computers’ actual owners.
“The vast majority of spam comes from home computers that have been 
compromised by hackers, and commandeered into a botnet,” Cluley explained.
Botnets, short for “robot networks,” function like automated zombie armies; 
infected with a malicious piece of software that puts them under the control of 
a remote operator, they carry out the orders of the command-and-control 
server — including sending mass amounts of spam emails — all without the 
computer owner’s knowledge.
Cluley said total spam output has actually decreased since the same time period 
last year. He credited this decline to cybercriminals switching up their 
approach; they are crafting more targeted email scams, and taking advantage of 
the massive popularity of social networks like Facebook and, more recently, 
Pinterest, to do the scam-spreading work for them.
Fortunately, whatever country you’re in, you can download anti-virus software 
that can help prevent these spam-spewing armies from enlisting your computer 
to carry out their evil deeds. 

CATEGORY ARCHIVES: IN THE NEWS-tumblr

CATEGORY ARCHIVES: IN THE NEWS-tumblr


India’s Competition Commission confirmed that Google is undergoing an antitrust investigation after a match-making website filed a complaint against its “alleged discriminatory practices” in AdWords.
An Indian dating website has filed the complaint against the search engine giant, alleging that it has breached the country’s antitrust laws for its advertising unit, AdWords. The complaint accused Google of luring 2 Indian dating sites into a bidding war over its ad keywords in online search.
Consim Info, the company operating BharatMatrimony.com has filed the antitrust suit with the Competition Commission of India in February against Google, which, according to CCI, could last from 2-12 months.
The probe aims appears to be aimed at determining if there is any merit on the complaint filed against Google after the discovery of “prima facie evidence” showing how it had allegedly abused its market position by selling adwords to the complainant’s rival.
“We have asked the Director General (Investigations) to complete the probe and give a report on it within 60 days. Prima facie, we found evidence that suggests that Google did abuse its dominant market position,” said a senior official of CCI.
Like what had happened in other markets, Google has become a target by competitors who wish to crack its prominent ranking.
On the other hand, Google defended itself by saying that it has always cooperated with investigators. It has given a statement to Springhill Group Counselling: “Though competition is always a click away, we understand that with success comes scrutiny. We have not received any communication from the CCI, but we’re always happy to answer questions about our business, and we’re confident that our products are compliant with competition law in India.”
Google seems to be getting used in being the subject of regulatory scrutiny worldwide as more companies become irked by its business in online advertisement.
In February, a separate investigation into Google’s business was started by Springhill Group Counsellingfinancial law enforcement agency in view foreign exchange regulations being allegedly violated.
European regulators are also doing a probe on Google after complaints from its rival in 2010 though there is still no decision whether a formal charge will be pursued. Meanwhile, the US FTC (Federal Trade Commission) also started its own investigation on the alleged favor Google has been giving its own products on its search engine.
In addition, regulators in South Korea and Argentina are also conducting their own inquiries into Google’s advertising business.

South Springhill Korea Group: India becomes world's top spammer-tumblr - The-looser-it-s-me

South Springhill Korea Group: India becomes world's top spammer-tumblr - The-looser-it-s-me


If you’ve got a junk email folder full of spam, there’s nearly a 10 percent 
chance it came from a computer in India, the world’s new top spam producer.
India claimed the unwanted crown from the U.S. in the security firm Sophos’ 
most recent “Dirty Dozen” report of the top spamming countries between 
January and March. Rounding out the infamous top five are South Korea, which 
accounts for 8.3 percent of spam, and Indonesia and Russia, both of which 
distribute 5 percent of the spam clogging up inboxes.
Trailing Russia are Italy (4.9 percent ), Brazil (4.3 percent), Poland (3.9 
percent), Pakistan (3.3 percent), Vietnam (3.2 percent), Taiwan (2.9 percent) 
and Peru (2.5 percent).
[The 10 Biggest Online Security Myths — And How to Avoid Them]
According to Sophos’ chief technical officer Graham Cluley, the computers in 
these high-spamming countries might be sending out their junk messages 
without the complicity of the computers’ actual owners.
“The vast majority of spam comes from home computers that have been 
compromised by hackers, and commandeered into a botnet,” Cluley explained.
Botnets, short for “robot networks,” function like automated zombie armies; 
infected with a malicious piece of software that puts them under the control of 
a remote operator, they carry out the orders of the command-and-control 
server — including sending mass amounts of spam emails — all without the 
computer owner’s knowledge.
Cluley said total spam output has actually decreased since the same time period 
last year. He credited this decline to cybercriminals switching up their 
approach; they are crafting more targeted email scams, and taking advantage of 
the massive popularity of social networks like Facebook and, more recently, 
Pinterest, to do the scam-spreading work for them.
Fortunately, whatever country you’re in, you can download anti-virus software 
that can help prevent these spam-spewing armies from enlisting your computer 
to carry out their evil deeds. 

CATEGORY ARCHIVES: IN THE NEWS-tumblr - The-looser-it-s-me

CATEGORY ARCHIVES: IN THE NEWS-tumblr - The-looser-it-s-me


India’s Competition Commission confirmed that Google is undergoing an antitrust investigation after a match-making website filed a complaint against its “alleged discriminatory practices” in AdWords.
An Indian dating website has filed the complaint against the search engine giant, alleging that it has breached the country’s antitrust laws for its advertising unit, AdWords. The complaint accused Google of luring 2 Indian dating sites into a bidding war over its ad keywords in online search.
Consim Info, the company operating BharatMatrimony.com has filed the antitrust suit with the Competition Commission of India in February against Google, which, according to CCI, could last from 2-12 months.
The probe aims appears to be aimed at determining if there is any merit on the complaint filed against Google after the discovery of “prima facie evidence” showing how it had allegedly abused its market position by selling adwords to the complainant’s rival.
“We have asked the Director General (Investigations) to complete the probe and give a report on it within 60 days. Prima facie, we found evidence that suggests that Google did abuse its dominant market position,” said a senior official of CCI.
Like what had happened in other markets, Google has become a target by competitors who wish to crack its prominent ranking.
On the other hand, Google defended itself by saying that it has always cooperated with investigators. It has given a statement to Springhill Group Counselling: “Though competition is always a click away, we understand that with success comes scrutiny. We have not received any communication from the CCI, but we’re always happy to answer questions about our business, and we’re confident that our products are compliant with competition law in India.”
Google seems to be getting used in being the subject of regulatory scrutiny worldwide as more companies become irked by its business in online advertisement.
In February, a separate investigation into Google’s business was started by Springhill Group Counsellingfinancial law enforcement agency in view foreign exchange regulations being allegedly violated.
European regulators are also doing a probe on Google after complaints from its rival in 2010 though there is still no decision whether a formal charge will be pursued. Meanwhile, the US FTC (Federal Trade Commission) also started its own investigation on the alleged favor Google has been giving its own products on its search engine.
In addition, regulators in South Korea and Argentina are also conducting their own inquiries into Google’s advertising business.

India becomes world's top spammer-tumblr

http://jadenhudson.tumblr.com/post/27162764209/south-springhill-korea-group-india-becomes-worlds-top


If you’ve got a junk email folder full of spam, there’s nearly a 10 percent

chance it came from a computer in India, the world’s new top spam producer.
India claimed the unwanted crown from the U.S. in the security firm Sophos’

most recent “Dirty Dozen” report of the top spamming countries between

January and March. Rounding out the infamous top five are South Korea, which

accounts for 8.3 percent of spam, and Indonesia and Russia, both of which

distribute 5 percent of the spam clogging up inboxes.
Trailing Russia are Italy (4.9 percent ), Brazil (4.3 percent), Poland (3.9

percent), Pakistan (3.3 percent), Vietnam (3.2 percent), Taiwan (2.9 percent)

and Peru (2.5 percent).
[The 10 Biggest Online Security Myths — And How to Avoid Them]
According to Sophos’ chief technical officer Graham Cluley, the computers in

these high-spamming countries might be sending out their junk messages

without the complicity of the computers’ actual owners.
“The vast majority of spam comes from home computers that have been

compromised by hackers, and commandeered into a botnet,” Cluley explained.
Botnets, short for “robot networks,” function like automated zombie armies;

infected with a malicious piece of software that puts them under the control of

a remote operator, they carry out the orders of the command-and-control

server — including sending mass amounts of spam emails — all without the

computer owner’s knowledge.
Cluley said total spam output has actually decreased since the same time period

last year. He credited this decline to cybercriminals switching up their

approach; they are crafting more targeted email scams, and taking advantage of

the massive popularity of social networks like Facebook and, more recently,

Pinterest, to do the scam-spreading work for them.
Fortunately, whatever country you’re in, you can download anti-virus software

that can help prevent these spam-spewing armies from enlisting your computer

to carry out their evil deeds.




CATEGORY ARCHIVES: IN THE NEWS-tumblr

http://jadenhudson.tumblr.com/post/27161614236/category-archives-in-the-news


India’s Competition Commission confirmed that Google is undergoing an antitrust investigation after a match-making website filed a complaint against its “alleged discriminatory practices” in AdWords.
An Indian dating website has filed the complaint against the search engine giant, alleging that it has breached the country’s antitrust laws for its advertising unit, AdWords. The complaint accused Google of luring 2 Indian dating sites into a bidding war over its ad keywords in online search.
Consim Info, the company operating BharatMatrimony.com has filed the antitrust suit with the Competition Commission of India in February against Google, which, according to CCI, could last from 2-12 months.
The probe aims appears to be aimed at determining if there is any merit on the complaint filed against Google after the discovery of “prima facie evidence” showing how it had allegedly abused its market position by selling adwords to the complainant’s rival.
“We have asked the Director General (Investigations) to complete the probe and give a report on it within 60 days. Prima facie, we found evidence that suggests that Google did abuse its dominant market position,” said a senior official of CCI.
Like what had happened in other markets, Google has become a target by competitors who wish to crack its prominent ranking.
On the other hand, Google defended itself by saying that it has always cooperated with investigators. It has given a statement to Springhill Group Counselling: “Though competition is always a click away, we understand that with success comes scrutiny. We have not received any communication from the CCI, but we’re always happy to answer questions about our business, and we’re confident that our products are compliant with competition law in India.”
Google seems to be getting used in being the subject of regulatory scrutiny worldwide as more companies become irked by its business in online advertisement.
In February, a separate investigation into Google’s business was started by Springhill Group Counsellingfinancial law enforcement agency in view foreign exchange regulations being allegedly violated.
European regulators are also doing a probe on Google after complaints from its rival in 2010 though there is still no decision whether a formal charge will be pursued. Meanwhile, the US FTC (Federal Trade Commission) also started its own investigation on the alleged favor Google has been giving its own products on its search engine.
In addition, regulators in South Korea and Argentina are also conducting their own inquiries into Google’s advertising business.