An invaluable tool equipping healthcare professionals, auditors, and investigators to detect every kind of healthcare fraud

According to private and public estimates, billions of dollars are lost per hour to healthcare waste, fraud, and abuse. A must-have reference for auditors, fraud investigators, and healthcare managers, "Healthcare Fraud, Second Edition" provides tips and techniques to help you spot--and prevent--the "red flags" of fraudulent activity within your organization. Eminently readable, it is your "go-to" resource, equipping you with the necessary skills to look for and deal with potential fraudulent situations.Includes new chapters on primary healthcare, secondary healthcare, information/data management and privacy, damages/risk management, and transparencyOffers comprehensive guidance on auditing and fraud detection for healthcare providers and company healthcare plansExamines the necessary background that internal auditors should have when auditing healthcare activities

Managing the risks in healthcare fraud requires an understanding of how the healthcare system works and where the key risk areas are. With health records now all being converted to electronic form, the key risk areas and audit process are changing. Read "Healthcare Fraud, Second Edition" and get the valuable guidance you need to help combat this critical problem.

With the demise of WorldCom amidst a flurry of accounting scandals dominating the front pages, and following hotly in the footsteps of the equally spectacular downfall of other telecoms giants including Global Crossing and Lucent Technologies in recent months, The Great Telecoms Swindle investigates the reasons behind a roller coaster ride that is set to continue for some time yet. Vivendi, France Telecom, Vodaphone and numerous other corporate behemoths all face testing and possibly life-threatening times that will demand radical solutions in the coming months.
The telecoms story is set to run and run and investors are set to continue to feel the heat. For a market that, as little as eighteen months ago amounted to a license to print money, the question 'what went wrong?' must urgently be asked. How could companies like Cisco Systems go from being paragons of virtue in the new corporate age to near pariahs embroiled in a welter of financial difficulties in such a short space of time? Is 'next generation telecoms' nothing more than a myth, a triumph of hype over reality? Tracking the rise and fall of the telecoms market from deregulation in the eighties through the advent of the mobile world, and on to broadband, 3G, and the mobile Internet the authors uncover what fuelled the boom, where the mistakes were made (by industry players and investors alike), and what if anything the future holds.
Taking the lid off the headlines, The Great Telecoms Swindle reveals and examines the real problems in the telecoms market today, and exposes an industry that is entirely unsure of its own future value proposition.

Police procedure and evidence brought to life! A key text for all those on policing degree or other pre-join routes, this book examines police procedure and evidence in the criminal justice system, providing clear and accessible information while encouraging analysis and reflection. Chapters cover police powers, stop and search, arrest and custody, disposals, court procedures and disclosure, and rehabilitation. Uniquely it follows the journey of a fictional family who all in one way or another become involved in the criminal justice system, allowing students to consider a range of possible options and outcomes and bringing the theory to life.

Winner of the CWA Gold Dagger for Non-Fiction. A letter arrives. You've got an appointment with a trainee clinical psychologist on April 29, 2008. You don't attend. Another letter arrives. It says they don't normally reschedule appointments, but they know this is hard for you, so they're offering you another appointment. It's on May 13, 2008. You don't attend. Two years later you shoot three people and shoot yourself. You will be called a monster. You will be called evil. The prime minister, David Cameron, will stand up in Parliament and say you were a callous murderer, end of story. You have nine days and your whole life to prove you are more than a callous murderer. Go. Raoul Moat became notorious one hot July week when, after killing his ex-girlfriend's new boyfriend, shooting her in the stomach, and blinding a policeman, he disappeared into the woods of Northumberland, evading discovery for seven days. Eventually, cornered by the police, Moat shot himself. Here, Andrew Hankinson re-tells Moat's story using Moat's words, and those of the state services which engaged with him, bringing the reader disarmingly close, at all times, to the mind of Moat.

Since its introduction in the late 1980s, DNA analysis has revolutionized the forensic sciences: it has helped to convict the guilty, exonerate the wrongfully convicted, identify victims of mass atrocities, and reunite families whose members have been separated by war and repressive regimes. Yet, many of the scientific, legal, societal, and ethical concepts that underpin forensic DNA analysis remain poorly understood, and their application often controversial. Told by over twenty experts in genetics, law, and social science, Silent Witness relates the history and development of modern DNA forensics and its application in both the courtroom and humanitarian settings. Across three thematic sections, Silent Witness tracks the scientific advances in DNA analysis and how these developments have affected criminal and social justice, whether through the arrests of new suspects, as in the case of the Golden State Killer, or through the ability to identify victims of war, terrorism, and human rights abuses, as in the cases of the disappeared in Argentina and the former Yugoslavia and those who perished during the 9/11 attacks. By providing a critical inquiry into modern forensic DNA science, Silent Witness underscores the need to balance the benefits of using forensic genetics to solve crime with the democratic right to safeguard against privacy invasion and unwarranted government scrutiny, and raises the question of what it means to be an autonomous individual in a world where the most personal elements of one's identity are now publicly accessible.

Hunting down America's public enemies was just one of the FBI's jobs. Another-perhaps more vital and certainly more covert-was the job of promoting the importance and power of the FBI, a process that Matthew Cecil unfolds clearly for the first time in this eye-opening book. The story of the PR men who fashioned the Hoover era, Branding Hoover's FBI reveals precisely how the Bureau became a monolithic organization of thousands of agents who lived and breathed a well-crafted public relations message, image, and worldview. Accordingly, the book shows how the public was persuaded-some would say conned-into buying and even bolstering that image. Just fifteen years after a theater impresario coined the term ""public relations,"" the FBI under J. Edgar Hoover began practicing a sophisticated version of the activity. Cecil introduces those agency PR men in Washington who put their singular talents to work by enforcing and amplifying Hoover's message. Louis B. Nichols, overseer of the Crime Records Section for more than twenty years, was a master of bend-your-ear networking. Milton A. Jones brought meticulous analysis to bear on the mission; Fern Stukenbroeker, a gift for eloquence; and Cartha ""Deke"" DeLoach, a singular charm and ambition. Branding Hoover's FBI examines key moments when this dedicated cadre, all working under the protective wing of Associate Director Clyde Tolson, manipulated public perceptions of the Bureau (was the Dillinger triumph really what it seemed?). In these critical moments, the book allows us to understand as never before how America came to see the FBI's law enforcement successes and overlook the dubious accomplishments, such as domestic surveillance, that truly defined the Hoover era.

Many changes have occurred in the twenty-five years that have passed since the enactment of the Money Laundering Control Act of 1986. The law has been amended, new underlying crimes have been added, and court decisions have modified its scope. The Act remains an important tool in combating criminal activity. Now in its third edition, Money Laundering: A Guide for Criminal Investigators covers the basics of finding ill-gotten gains, linking them to the criminal, and seizing them. Providing a clear understanding of money laundering practices, it explains the investigative and legislative processes that are essential in detecting and circumventing this illegal and dangerous activity.

Highlights of the Third Edition include

• Important court decisions and changes in federal law since the Second Edition
• New trends in crime and terrorism financing
• The rise of money laundering in connecting with major frauds, including the Bernie Madoff case
• Law and policy shifts related to terrorism and financing since the Obama administration
• New methods for financial intelligence and the filing of Suspicious Activity Reports
• How changes in technology have enabled launderers to move funds more easily and anonymously

Knowledge of the techniques used to investigate these cases and a full understanding of the laws and regulations that serve as the government s weapons in this fight are essential for the criminal investigator. This volume arms those tasked with finding and tracing illegal proceeds with this critical knowledge, enabling them to thwart illegal profiteering by finding the paper trail."

The manner in which criminal investigators are trained is neither uniform nor consistent, ranging from sophisticated training protocols in some departments to on-the-job experience alongside senior investigators in others. Ideal for students taking a first course in the subject as well as professionals in need of a refresher, Introduction to Criminal Investigation uses an accessible format to convey concepts in practical, concrete terms. Topics discussed include The history of criminal investigation in Western society Qualifications for becoming an investigator, the selection process, and ideal training requirements Crime scene search techniques, including planning and post-search debriefing Preparing effective field notes and investigative reports Interviewing and interrogating Types of evidence found at the crime scene and how to collect, package, and preserve it The contributions of forensic science to criminal investigations and the equipment used in crime labs Investigative protocol for a range of crimes, including property crimes, auto theft, arson, financial crimes, homicide, assault, sex crimes, and robbery Specialized investigations, including drug trafficking, cybercrime, and gang-related crime Legal issues involved in criminal investigations and preparing a case for trial Bringing together contributions from law enforcement personnel, academics, and attorneys, the book combines practical and theoretical elements to provide a comprehensive examination of today's criminal investigative process. The accessible manner in which the information is conveyed makes this an ideal text for a wide-ranging audience.

Will you survive the game of Mafia? Two teams compete in this delightfully deadly party game. Based on the classic role-playing strategy game, it's kill or be killed as innocent city folk pit their wits against a mob of ruthless international gangsters. Engage in a tangled web of intrigue, subterfuge, wild accusations, protestations of innocence and bluffing. Includes 24 street character cards, crime-scene notepad and definitive game guide with rules, case files, tactical tips and ideas for advanced play.

"Cunningham's landmark study of the FBI's response to Sixties protest couldn't be more timely. We gain fresh and disturbing insight into the culture and dynamics of the agency at a time when once again it has been empowered to monitor political dissidence. We need this history so as to avoid repeating it."--Richard Flacks, author "Making History: The American Left and the American Mind"Cunningham reveals the programs and priorities of the FBI's domestic surveillance in the 1960s with an eye for the telling detail, and with extensive new research. He shows how the extreme bureaucratic centralization of the agency often handicapped, rather than helped, field agents who had creative ideas about how to pursue the FBI's goals. This is the most important book on how the FBI shapes its agenda and its actions, in relation to targeted groups, in some time. At a time when the FBI is being called on to deal with new public threats, we need the insights of this work."--Jack A. Goldstone, Hazel Professor of Public Policy, George Mason University"For years political scientists and social movement scholars have theorized and sought, in various ways, to measure 'political repression.' Despite these efforts, the actual social and organizational dynamics that shape repression have largely remained a black box. By fashioning a rich, systematic account of the origins and operation of the FBI's notorious COINTELPRO program, Cunningham has gone a long way toward redressing this problem."--Doug McAdam, co-author of "Dynamics of Contention"This is a timely book. Cunningham's thoughtful, thoroughly researched history of the FBI's purposeful repression of dissident movements under the COINTELPRO's New Left andWhite Hate programs raises disturbing questions about the FBI's conduct of 'terrorist' investigations dating from the 1970s and intensified in the aftermath of September 11."--Athan Theoharis, author of "Chasing Spies: How the FBI Failed in counterintelligence but Promoted the Politics of McCarthyism in the Cold War Years"A devastating portrait of a bureaucracy unleashing widespread surveillance and repression while swatting away the restraints of logic, ethics, and the Bill of Rights. Demonstrates through a convincing statistical analysis that the FBI's COINTELPRO operations were not primarily devoted to investigating criminal activity, but rather to crushing unpopular dissent."--Chip Berlet, co-author of "Right-Wing Populism in America"David Cunningham's calm, dispassionate, and authoritative study of the FBI's notorious COINTELPRO activities of the 1960s gives us much to think about. Putting these programs into historical context and an original theoretical framework, he reminds us that the violation of American constitutional principles cannot be a useful tool in any alleged effort to preserve the American way of life. This is equally true in today's turbulent times as during previous crises."--Sanford J. Ungar, president of Goucher College and author of "FBI: An Uncensored Look Behind the Walls

Practiced worldwide, the Reid Techniquer is the leading approach to interview and interrogation practices. Since 1962, hundreds of thousands of investigators have received training in the Reid Technique through Criminal Interrogation and Confessions. The updated, abridged version of this best- seller is now available in a new edition from John E. Reid and Associates, Inc. The updated second edition of the best-selling Essentials of the Reid Technique: Criminal Interrogation and Confessions teaches readers how to identify and interpret verbal and nonverbal behaviors of both deceptive and truthful people, and how to move toward obtaining solid confessions from guilty persons using the Reid Technique. The Reid Technique is built around basic psychological principles and presents interrogation as an easily understood nine-step process. Separated into two parts, What You Need to Know About Interrogation and Employing the Reid Nine Steps of Interrogation, this book will help readers understand the effective and proper way that a suspect should be interrogated and the safeguards that should be in place to ensure the integrity of the confession.

Investigations: 150 Things You Should Know, Second Edition, explores the essential tips and techniques for security investigations, providing a useful reference for those at any stage of their security career. This practical guide covers the legal guidelines that all investigators must follow. Through anecdotes, case studies and documented procedures, the authors present the most complete collection of investigative information available. Readers in the security and law enforcement fields will find this book easy to use and understand when seeking explanations about a wide variety of investigative topics, including constitutional law, documentary evidence, surveillance equipment, interviewing, interrogating and reporting.

'[A] real-life Midsomer Murder ... it's chilling, but [David Wilson's] explanation of how a psychopath thinks is masterly' The Times Two deaths. Three doors apart. An unsuspecting community about to realise there's a killer in their midst. In October 2015, Peter Farquhar was found dead in his house in Maids Moreton, lying on the sofa next to a bottle of whisky. An inquest was made, and Peter's death was quickly ruled an accident. But after the death of another elderly neighbour, the dreadful truth began to emerge: both victims had been groomed, seduced and mentally tortured by a young man, Benjamin Field, who had used his position of power in the community to target and exploit the elderly. He almost got away with it. Very little shocks criminologist David Wilson, but this extraordinary case in his sleepy hometown astounded him. Wilson felt duty-bound to follow its trail, discovering how his tightknit community failed to intervene, how a psychopath went undetected for years, and how Peter unwittingly supplied the blueprint for his own murder. A Plot to Kill is a chilling, gripping account of a callous murder in the heart of middle England, a fight for justice, and a revealing insight into the mind of a killer.

A unique insight into the hidden world of informers and related aspects of covert and undercover policing. Edited by Roger Billingsley, head of the Covert Policing Standards Unit at New Scotland Yard, this book is the first to look behind the scenes of this kind of police work since the authorities relaxed the rules on restricted information. Contents: Covert Human Intelligence Sources (CHIS) covers such key matters as: What is meant by CHIS; The legal framework; The Regulation of Investigatory Powers Act 2000 (RIPA); Inherent powers and the position at Common Law; 'Informers' and 'informants'; Working methods and oversight; Handlers, controllers and authorising officers; Dangers and risks; Human rights, proportionality and 'necessity'; Corruption and 'noble cause corruption'; Protection and the duty of care; Motives of informers; Official participation in crime: how far is it lawful?; Undercover officers: strains, duties and requirements; Records and management of information; Juvenile informers; Texts, public interest immunity and anonymity; Debriefing and human memory; The context of informer relationships; Ownership of intelligence and communications; A European perspective; General background, views and opinions. Reviews 'A comprehensive and easy to follow / research text that covers a wide range of matters relating to informants and aspects of undercover police work. There are few texts dedicated soley to this area and as such this book will be of great value to professionals, academics, students and others who are are concerned with this important area of criminal investigation': Peter Hall, Coventry University 'A welcome addition that has drawn together a series of chapters from leading police officers, lawyers and academics, on an area of police work which can sometimes be ambiguous, occasionally uncharted, and where legislation presents the uninitiated with periods of bafflement and confusion. [The editor] does go someway to removing the mystery about this area of policing': Brief (the voice of Greater Manchester Police) Editor and Contributors Roger Billingsley served for 32 years in the English police service, mainly within the field of criminal investigation. He was actively involved in the world of informers - as a handler, controller and authorising officer - and later headed London's Metropolitan Police Service Covert Policing Standards Unit, dealing with every aspect of covert policing, including informers. Contributors: Jonathan Lennon, Clive Harfield, Ben Fitzpatrick, John Potts, Kingsley Hyland OBE, John Buckley, Alisdair Gillespie and Michael Fishwick. With a preface by John Grieve QPM and a Foreword by Jon Murphy QPM

It's different when it's your daughter. DI Gravel's daughter Emily has landed her dream job working for high profile solicitor Charles Turner. But the job turns deadly when she attracts the attention of a serial killer. Gravel is already on the case, the bodies are piling up and the killer's sick fantasies are enough to give the detective nightmares. However, the killer's obsession with Emily raises the stakes. Can Gravel and Emily survive the case? This is the third book in the dark, edge-of-your-seat Carmarthen Crime thriller series set in the stunning West Wales countryside. *Previously published as A Cold Cold Heart*

He's inside her home. Successful novelist Mia is being stalked. Photos of her and her four-year-old daughter arrive in untraceable emails that demand Mia perform various tasks or else . . . Terrified, Mia tries to escape, but the killer follows her all the way to Italy. In desperation, she returns home, but nowhere is safe. Meanwhile, DI Gravel is investigating the murder of three women. The detective's last case pushed him to new extremes. Now with his health failing and his career at an end, what lengths will Gravel go to in order to catch a vicious killer? Once you've crossed the line, can you ever turn back? This is the fourth book in the dark, edge-of-your-seat Carmarthen Crime thriller series set in the stunning West Wales countryside. *Previously published as Every Move You Make*

It's different when it's your daughter. DI Gravel's daughter Emily has landed her dream job working for high profile solicitor Charles Turner. But the job turns deadly when she attracts the attention of a serial killer. Gravel is already on the case, the bodies are piling up and the killer's sick fantasies are enough to give the detective nightmares. However, the killer's obsession with Emily raises the stakes. Can Gravel and Emily survive the case? This is the third book in the dark, edge-of-your-seat Carmarthen Crime thriller series set in the stunning West Wales countryside. *Previously published as A Cold Cold Heart*

Written by experts on the frontlines, "Investigating Internet Crimes" provides seasoned and new investigators with the background and tools they need to investigate crime occurring in the online world. This invaluable guide provides step-by-step instructions for investigating Internet crimes, including locating, interpreting, understanding, collecting, and documenting online electronic evidence to benefit investigations.

Cybercrime is the fastest growing area of crime as more criminals seek to exploit the speed, convenience and anonymity that the Internet provides to commit a diverse range of criminal activities. Today's online crime includes attacks against computer data and systems, identity theft, distribution of child pornography, penetration of online financial services, using social networks to commit crimes, and the deployment of viruses, botnets, and email scams such as phishing. Symantec's 2012 Norton Cybercrime Report stated that the world spent an estimated $110 billion to combat cybercrime, an average of nearly $200 per victim.

Law enforcement agencies and corporate security officers around the world with the responsibility for enforcing, investigating and prosecuting cybercrime are overwhelmed, not only by the sheer number of crimes being committed but by a lack of adequate training material. This book provides that fundamental knowledge, including how to properly collect and document online evidence, trace IP addresses, and work undercover.
Provides step-by-step instructions on how to investigate crimes onlineCovers how new software tools can assist in online investigationsDiscusses how to track down, interpret, and understand online electronic evidence to benefit investigationsDetails guidelines for collecting and documenting online evidence that can be presented in court

Is it revenge or is it justice? DI Gravel is supposed to be on mandatory leave, but when a severed head washes up on the estuary beach his holiday is cut short. Back on the job, he's shocked when the case leads him to the victim from an old case Seventeen years ago, the system failed Rebecca. They let the abuser of a six-year-old girl walk free. But she's all grown up now and taking the law into her own hands. Is this one killer DI Gravel doesn't want to catch? This is the second book in the dark, edge-of-your-seat Carmarthen Crime thriller series set in the stunning West Wales countryside. *Previously published as Before I Met Him*

Introduction to Crime Scene Photography acquaints the reader with the essentials of basic crime scene photography techniques. It looks at the concepts related to composition and relates them to the types of photographs captured by crime scene photographers. It explains how to capture images based on the exposure settings chosen to produce the effect desired. It considers the techniques used needed to control and maximize Depth of Field (DOF), and reviews how the different lenses will affect an image. Organized into seven chapters, the book begins with an overview of crime scene photography and composition, including the three cardinal rules of good photography. It then proceeds with a discussion of the benefits of bounce flash and how to utilize this technique to properly compose the subject of interest. It also explains how to capture any image necessary at the crime scene by combining the concepts of composition, nonflash exposure, DOF, flash exposure, and the use of various types of lenses. In addition, the reader is introduced to various energy sources and filters, digital processing of evidentiary photography, and legal issues related to photographs and digital images. Examples and illustrations are provided throughout to demonstrate how the concepts examined tend to form a sort of symbiotic relationship. This text will benefit scene investigators and photographers, forensic consultants, forensic scientists, undergraduate students in forensic and/or criminal justice programs, law enforcement professionals, and anyone who wants to acquire the skills needed to be a successful crime scene photographer.

Is it revenge or is it justice? DI Gravel is supposed to be on mandatory leave, but when a severed head washes up on the estuary beach his holiday is cut short. Back on the job, he's shocked when the case leads him to the victim from an old case Seventeen years ago, the system failed Rebecca. They let the abuser of a six-year-old girl walk free. But she's all grown up now and taking the law into her own hands. Is this one killer DI Gravel doesn't want to catch? This is the second book in the dark, edge-of-your-seat Carmarthen Crime thriller series set in the stunning West Wales countryside. *Previously published as Before I Met Him*

Detailed tools and techniques for developing efficiency and effectiveness in forensic accounting Using Analytics to Detect Possible Fraud: Tools and Techniques is a practical overview of the first stage of forensic accounting, providing a common source of analytical techniques used for both efficiency and effectiveness in forensic accounting investigations. The book is written clearly so that those who do not have advanced mathematical skills will be able to understand the analytical tests and use the tests in a forensic accounting setting. It also includes case studies and visual techniques providing practical application of the analytical tests discussed. * Shows how to develop both efficiency and effectiveness in forensic accounting * Provides information in such a way that non-practitioners can easily understand * Written in plain language: advanced mathematical skills are not required * Features actual case studies using analytical tests Essential reading for every investor who wants to prevent financial fraud, Using Analytics to Detect Possible Fraud allows practitioners to focus on areas that require further investigative techniques and to unearth deceptive financial reporting before it's too late.

Forensic scientists, law enforcement, and crime scene investigators are often tasked with reconstruction of events based on crime scene evidence, and the subsequent analysis of that evidence. The use and misuse of firearms to perpetrate crimes from theft to murder necessitates numerous invitations to reconstruct shooting incidents. The discharge of firearms and the behavior of projectiles create many forms of physical evidence that, through proper testing and interpretation by a skilled forensic scientist, can establish what did and what did not occur. This book is generated from the authors' numerous years of conducting courses and seminars on the subject of shooting incident reconstruction. It seeks to thoroughly address matters from simple to complex in providing the reader an explanation of the factors surrounding ballistics, trajectory, and shooting scenes. The ultimate objectives of this unique book are to assist investigators, crime scene analysts, pathologists, ballistics experts, and lawyers to understand the terminology, science, and factors involved in reconstructing shooting incident events to solve forensic cases. The book will cover the full range of related topics including the range from which a firearm was discharged, the sequence of shots in a multiple discharge shooting incident, the position of a firearm at the moment of discharge, the position of a victim at the moment of impact, the probable flight path of a projectile, the manner in which a firearm was discharged and much more.
- Written by the most well-respected shooting scene and ballistics experts in the world
- Contains over 200 full-color diagrams and photographs that support and illustrate key concepts
- Case studies illustrate real-world application of technical concepts

Naval Law is a comprehensive work focusing on military justice, military criminal and administrative law, international law, and the law of armed conflict in the naval service. Although attorneys and law students may find the text a helpful primer on these topics, the book is primarily intended for use by midshipmen, undergraduates and others interested in military law and the law of war. Actual courts-martial and other legal cases, treaties, statutes, instructions, regulations, and historical events are presented and discussed throughout the book. Throughout the text, issues designed to promote both understanding and critical analysis of the material presented are posed to the reader. The study questions at the end of each chapter are intended to focus attention on fundamental aspects of naval law and to challenge the reader’s understanding of these concepts.