small medical practice billing fraud
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How a Small Medical Practice Can Protect Itself From Billing Fraud

Healthcare fraud enforcement has never been more aggressive and small medical practices are caught in the crossfire whether they’re perpetrators or victims. In June 2025, the DOJ executed the largest healthcare fraud enforcement operation in U.S. history, charging 324 defendants across 50 federal districts for schemes involving more than $14.6 billion in fraudulent claims. For […]
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dual control policy
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Dual Control Policies: The Simple Rule That Stops Most Internal Theft

If you could implement a single internal control that would block the majority of employee fraud schemes in your organization one that requires no software, no specialist, and no significant budget would you do it? Most businesses haven’t. That control is a dual control policy: the requirement that two separate, independent people must be involved […]
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pharmaceutical kickbacks

Pharmaceutical Kickbacks: The Fraud Hidden Inside Your Doctor’s Prescription

Your doctor writes you a prescription. You trust it’s based on clinical judgment your symptoms, your history, the best available evidence. What you almost certainly don’t know is whether your physician received speaking fees, luxury meals, consulting honoraria, or paid “advisory” trips from the manufacturer of that exact drug. Pharmaceutical kickbacks are one of the […]
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Deepfake Invoice Fraud
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Deepfake Invoice Fraud: The New Way Criminals Are Targeting Your Accounts Payable Team

A finance employee sits down for a routine video call. On screen: the CFO, two senior colleagues, and a familiar vendor contact all asking to expedite a wire transfer. Everything looks right. The faces are real. The voices match. The request is approved. Every person on that call was a deepfake. The money $25 million […]
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Does Embezzlement Show Up on a Background Check? What Employers Need to Know

Imagine hiring a new accounts payable manager – only to discover six months later that they had a prior embezzlement conviction at two previous employers. It happens more often than most organizations want to admit. According to the Association of Certified Fraud Examiners (ACFE), the median occupational fraud loss per case reached $145,000 in 2024, […]
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Bank Statements as Evidence: What Fraud Investigators Actually Look For in Them

A stack of bank statements might look like the most routine document in the world. To a fraud investigator, it’s a detailed map of financial behavior ,and somewhere in that map, the fraud leaves tracks. According to the Association of Certified Fraud Examiners (ACFE), financial document analysis is how the majority of occupational frauds eventually […]
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How to Document Financial Fraud So It Holds Up in Court

Discovering financial fraud inside your organization is alarming. But the way you respond in the first 48 hours can mean the difference between a successful prosecution and watching a fraudster walk free ,because your evidence was mishandled. The DOJ’s Fraud Section had a record-setting 2025, recovering over $6.9 billion through civil fraud enforcement alone and […]
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internal fraud vs external fraud

Internal Fraud vs External Fraud: Key Differences for Businesses

Every organization faces fraud risk. But not all fraud comes from the same direction ,and that distinction matters more than most business leaders realize. Consider the scale of the problem: the Association of Certified Fraud Examiners (ACFE) estimates that organizations lose an average of 5% of their annual revenue to fraud each year. Apply that […]
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Evidence for Fraud Investigators

What Evidence Do Fraud Investigators Actually Look For?

The average occupational fraud scheme runs for 12 months before anyone catches it. That’s a full year of stolen funds, falsified records, and eroded trust , often hiding in plain sight. According to the ACFE’s Occupational Fraud 2024: A Report to the Nations, which analyzed 1,921 real-world cases investigated by Certified Fraud Examiners, the typical […]
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fraud investigation

How Long Do Fraud Investigations Take? Real Timelines Explained

No two fraud investigations move at the same pace. A simple employee theft case involving a single department might wrap up in two to four weeks. A multi-year financial statement fraud scheme touching several business units, offshore accounts, and third-party vendors could take two to five years to fully resolve ,especially if it triggers regulatory […]
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