Dan Geiger, MBA, CFE, AHFI

Pharmacy Fraud: A Detailed Prescription

• May 1, 2007

This article details the prevalence and cost of pharmacy fraud and uses various case studies to demonstrate the importance of effective claims monitoring programs that incorporate data mining and analysis with desk, on-site, and investigative audit techniques to deter health-care fraud.

Written By: Dwayne Luby, CFE, CPA, AHFI, Dan Geiger, MBA, CFE, AHFI, Andrea Lopez, MSM, AHFI

• • Fraud Investigation and Examination
  • Insurance Fraud

Pharmacy Fraud, Part Two

• July 1, 2007

This article explores the essential elements for building and maintaining a successful program to battle pharmacy fraud, specific procedures a fraud examiner can use to develop a pharmacy fraud case, and legislative actions that might unintentionally hinder these efforts.

Written By: Dwayne Luby, CFE, CPA, AHFI, Dan Geiger, MBA, CFE, AHFI, Andrea Lopez, MSM, AHFI

• • Fraud Schemes
  • Insurance Fraud