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Billing Schemes

Billing Schemes. Pop Quiz. What is a pass-through billing scheme?. Billing Schemes. Shell Company. Non-Accomplice Vendor. Personal Purchases. Frequency of Fraudulent Disbursements. Median Loss of Fraudulent Disbursements. Dollar Distribution for Billing Schemes.

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Billing Schemes

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  1. Billing Schemes

  2. Pop Quiz What is a pass-through billing scheme?

  3. Billing Schemes Shell Company Non-Accomplice Vendor Personal Purchases

  4. Frequency of Fraudulent Disbursements

  5. Median Loss of Fraudulent Disbursements

  6. Dollar Distribution for Billing Schemes

  7. Detection of Billing Schemes

  8. Perpetrators of Billing Schemes

  9. Median Loss by PerpetratorBilling Schemes

  10. Size of Victim – Billing Schemes

  11. Median Loss By Number of Employees – Billing Schemes

  12. Billing Schemes • False documentation -a fraudulent purpose • Schemes • Shell company • Non-accomplice vendor • Personal purchases

  13. Shell Company Schemes • Fictitious entities • Bank account • How is a shell company formed?

  14. Shell Company • Submitting false invoices • Self-approval of fraudulent invoices • “Rubber stamp” supervisors • Reliance on false documents

  15. Shell Company • Collusion • Purchases of services rather than goods • Pass-through schemes

  16. How Can You Prevent and Detect Shell Company Schemes? • Approved vendor list • Verify vendors • How can you identifying shell company invoices? • Testing for shell company schemes

  17. How Can You Prevent and Detect Shell Company Schemes? • How can you verify whether a shell company exists? • phone book • Contacts • visits • Identifying the employee behind a shell company • public records search • related • Match • surveillance

  18. Billing Schemes –Non-Accomplice Vendors • Vendor is not a part of the scheme • What are pay-and-return schemes? • Over billing with a non-accomplice vendor’s invoices

  19. How can you Prevent and DetectNon-Accomplice Vendor Fraud • Incoming checks • Banks • Spot check

  20. Personal Purchases With Company Funds • What is it? • What is the impact?

  21. Personal Purchases Through False Invoices • What is it? • How is it done?

  22. Personal Purchases on Credit Cards or Other Company Accounts • What is it? • How is it done?

  23. How can you Prevent and DetectPersonal Purchases • Review • Original support • Two copies of the statement • Comparisons

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