• Select and read a current events article discussing a fraud case. In this context, current refers to articles published within the past 12 months. If you reside overseas, an article published in an overseas newspaper is fine, if appropriate sourcing is used in the submitted paper.
• Write a one paragraph summary of the case. A summary should state, in your own words, the main issues of the case and key facts. A summary is not a retyping of all or part of the source article. Use proper APA formatting, including in-text citations and a reference list, referring to the article you are using as a source for facts about the case you are presenting. It is best to begin with a sentence about the crime and to include an in-text citation. Including the title of the article you retrieved the case details from is not as professional as stating a fact about the case, with an in-text citation.
• Write two to four paragraphs about the relevance of the case to the industry and fraud.
This is where you analyze the fraud case. Consider the following:
o Identify the key issues posed by the case.
o List the applicable stakeholders and their rights and obligations.
o Which choices were available to the individual(s) involved and what were or are the costs or tradeoffs?
o Comment on how the situation was or should be resolved.
o Who (individual or group) was or will be impacted by the situation?
o Point out any questions you believe should be considered by your readers about the case that will add substance to learning.
o Write a paragraph to express your opinion about the case and issues involved. Be sure to back up your opinions. Remember, this is your opinion about the case and issues involved, not about how the article you are referring to was written.
o Verify there is a reference within your paper to the article you found the case details in.
Usually that is referred to with an in-text citation in the sentence where you first refer to the case.
The paper should be written in prose, rather than provided as a bullet list or in an outline format.
L.A. School Drug Counselors Charged In $46 Million Fraud Scheme Atlantic Health Services allegedly didn't serve poor middle and high schoolers at all.
LOS ANGELES (AP) -- Eight women who worked for a company hired to counsel drug abusers in Los Angeles County schools were charged in federal court with a scheme to fraudulently bill California nearly $50 million for bogus services over a decade, according to an indictment unsealed Wednesday.
The now-defunct Atlantic Health Services in Long Beach, California, earned $46 million in Medi-Cal reimbursements for treatment that either wasn't provided to poor middle and high school students, was deficient or was given to students who didn't have drug or alcohol problems, federal prosecutors said.
"The defendants and (the company) branded many innocent young people as substance abusers and addicts in order to boost enrollment numbers and billings," U.S. Attorney Eileen M. Decker said.
Audits failed to detect the crimes because paperwork was falsified, Assistant United States Attorney Cathy Ostiller said. Although the California Department of Justice received complaints in 2009, the health care fraud continued until 2013, Ostiller said.
She wouldn't say who complained or describe the nature of the complaints, but she said federal prosecutors began investigating in 2011.
The eight women - six women who supervised counselors and two counselors - did not benefit financially from the scheme, Ostiller said. In some cases, counselors were past drug abusers just looking to hold onto their jobs and faced threats of being fired if they didn't falsify paperwork.
"As far as we can tell, most of these employees were minimum-wage earners," Ostiller said.
"They were not doing this for luxury yachts."
Whether someone higher up in the company benefited isn't clear, though the investigation is ongoing, she noted.
A dozen others involved in the scheme have already pleaded guilty, including Dr. Leland Whitson, 75, the former medical and clinical director for the company, who diagnosed many of the students as having drug problems. He pleaded guilty to making a false statement affecting a health care program.
In some cases, students who admitted trying alcohol at a party were diagnosed as abusers. They were then exposed to others with real addiction problems.
Teachers often did not know the nature of the programs students were receiving, and students were confounded about what they were attending.
"Some kids have told us they didn't even know they were in a substance abuse program," Ostiller said. "Why would they be in a program they didn't need?"
The company billed nearly $30 per student for sessions that often exceeded the limit of 10 participants. In those instances, separate attendance sheets were prepared so groups appeared smaller.
Many of the counseling sessions only occurred on paper, and signatures were later forged.
Six of the eight women were arrested Wednesday morning, and two others were expected to surrender later.
An attorney for one of the defendants did not return a phone call seeking comment, and the others had not been appointed counsel.
This material may consist of step-by-step explanations on how to solve a problem or examples of proper writing, including the use of citations, references, bibliographies, and formatting. This material is made available for the sole purpose of studying and learning - misuse is strictly forbidden.
This billing scheme involves a defunct Long Beach, California-based company called Atlantic Health Services. Eight of the company’s former employees were charged for defrauding the state of California nearly $50 million over a period of ten years. The scheme mainly involved billing the state for services that were not provided. Additionally, the company claimed Medi-Cal reimbursements for services provided to students who did not need them. The eight employees are accused of falsifying data to show that the company provided counseling services to students with drug problems. Although the eight employees did not financially benefit from the fraudulent payments, they would routinely create bogus attendance records and forge signatures to conceal the scheme (AP, 2015)...
This is only a preview of the solution. Please use the purchase button to see the entire solution