Topics
Filter By:
Results: (57)
Hospice fraud explodes in Los Angeles and more
Cambodia targets scam syndicates with a historic new law. As a Russia-linked billing scheme unfolds, the U.S. halts new Medicare suppliers. More than 700 Los Angeles hospices are flagged for fraud. Jalen Smith, a key fixer in a major U.S. college basketball point‑shaving scheme, pleaded guilty to wire fraud and bribery for manipulating NCAA games to profit from illegal betting.
Written By: Crystal Zuzek
-
- Bribery and Corruption
- Health Care Fraud
- Money Laundering
Saudi Arabia dental provider defrauds insurance company by duplicitous billing
A Saudi insurance company investigation discovered that a customer, a dental provider, was fraudulently billing thousands from uncontracted branches. Here’s how the insurance company discovered the evidence and broke the case.
Written By: Ibrahim AlFawaz, MBBS
-
- Fraud Investigation and Examination
- Health Care Fraud
- Insurance Fraud
A whistleblower’s quest for reinvention and resilience
After pharmaceutical sales rep Noelle Webb blew the whistle on her employer for fraudulently marketing pain medication, she faced retaliation and job loss. As she contemplated her next career move, Webb embraced her love for dogs to reinvent her life and forge a new path as a service dog trainer. What ACFE’s 2026 Sentinel Award recipient learned about the human-canine bond could be the key to helping fellow whistleblowers withstand the turbulence of workplace retaliation.
Written By: Jennifer Liebman, CFE
-
- Anti-Fraud Laws Regulations and Compliance
- Health Care Fraud
- Whistleblowing and Hotlines
Health care fraud schemes exposed and more
Health care fraud schemes targeted in U.S. and more.
Written By: Crystal Zuzek
-
- Fraud Schemes
- Health Care Fraud
- Money Laundering
5 most scandalous fraud cases of 2025
Cyber breaches and cryptocurrency scams dominated headlines in 2025 as fraudsters leveraged cutting-edge technology to steal billions. Yet, amid these high-tech schemes, some old-school fraud tactics resurfaced. Discover Fraud Magazine’s roundup of the year’s most notorious cases, as selected by the ACFE Advisory Council.
Written By: Anna Brahce, Crystal Zuzek, Jennifer Liebman, CFE
-
- Cryptocurrency and Digital Assets
- Cyberfraud
- Fraud Schemes
- Health Care Fraud
Brought down by upcoding
For years William King ran a successful medical practice, but when his patients left his office, the Philadelphia, Pennsylvania, doctor had a practice of a different sort — a medical billing scheme known as upcoding. Fraud Magazine examines how King perpetrated a years’ long upcoding scheme that defrauded an insurance company of hundreds of thousands of dollars and details how fraud examiners can detect similar schemes.
Written By: Colin May, CFE
-
- Health Care Fraud
- Insurance Fraud
U.S. seeks to ban Huione Group for money laundering and more
U.S. seeks to ban Huione Group for money laundering. Credit Suisse confesses to tax fraud. UHG investigated for alleged Medicare fraud. Texas doctor who falsely diagnosed patients gets prison sentence.
Written By: Crystal Zuzek
-
- Financial Institution Fraud
- Fraud Schemes
- Health Care Fraud
Deception by inundation: How fraudsters play the system in personal injury cases
Tricking insurance and other companies into paying for fake injuries is a perennial, and often complicated, scam. Here the authors examine the three principal players typically involved in these schemes and how evidence of an injury isn’t always what it seems, especially when fraudsters deliberately throw everything but the “kitchen sink” at payers.
Written By: Dennis DiGiorgi, DC, CFE, CHCQM, Jason Tenenbaum, Esq.
-
- Fraud Schemes
- Health Care Fraud
- Insurance Fraud
5 most scandalous fraud cases of 2023
We’d just filed our Most Scandalous Frauds story of 2022 when news of the implosion of multibillion-dollar crypto exchange FTX broke. It might’ve been a little too late for us to add what would become the biggest fraud scandal since Theranos to the 2022 list, but the FTX story didn’t disappear, and we had FTX founder Sam Bankman-Fried’s trial and eventual guilty verdict to keep us riveted. Of course, FTX wasn’t the only high-profile case that shocked us; there were many others that had a big impact on the anti-fraud profession. Here are the five fraud cases we found most scandalous in 2023.
Written By: Jennifer Liebman, CFE
-
- Bribery and Corruption
- Fraud Schemes
- Health Care Fraud
Evading suspicion through political networking
Sam Bankman-Fried, Elizabeth Holmes and Bernard Madoff. What do they have in common? They apparently used their outsized social influence in their professional networks to illegally expand their bank accounts and prolong their crimes. Fraud fighters can’t also be duped by their wily ways.
Written By: Frank S Perri, J.D., CFE, CPA
-
- Bribery and Corruption
- Financial Transactions and Fraud Schemes
- Health Care Fraud
Begin Your Free 30-Day Trial
Unlock full access to Fraud Magazine and explore in-depth articles on the latest trends in fraud prevention and detection.