Counter Fraud

 

 Introduction:

The "Counter Fraud" course covers fraud prevention tactics, methods, and best practices across industries. This course teaches professionals in banking, law enforcement, healthcare, and corporate governance how to recognise, prevent, and react to fraud. Through interesting modules, participants will learn about bank fraud, identity theft, and cyber fraud, including fraudsters' strategies and warning flags. The training also covers fraud prevention and investigation laws and regulations to help participants understand their roles in fighting fraud.
Participants will learn how to perform ethical and efficient fraud risk assessments, internal controls, and investigations. Case studies and real-life events boost learning and give practical insights.

What is Fraud?

The term "fraud" often refers to a variety of economic crimes, including bribery, corruption, and fraud, as well as any other criminal activities carried out by an individual or group of individuals for the purpose of obtaining financial or professional advantage.
It can be applied to crimes including deception, forgery, and factual misrepresentation or concealment. The forms of fraud that are committed vary greatly.

Who Might Commit Fraud?

Even though they are a small percentage, individuals who defraud the NHS have a significant effect on all of us.
Based on my experience, this minority might consist of a wide range of individuals. Please click on each image to learn more about what it represents.

Patients:

Patient fraud involves falsifying cost exemptions, faking prescriptions, misrepresenting NHS eligibility, and registering multiple practices to obtain free or reduced-cost care, drugs, or services when not eligible.

Managers and Staff:

Manager and staff fraud involves false claims, such as timesheet and payroll fraud, non-existent personnel, and IT equipment purchases, as well as false cost claims, lying on resumes, and claiming irrelevant mileage.

Professionals:

Prescription manipulation, underpayment for unfinished labour, ghost patients, and false after-hours claims, including generic medication, lists, and unutilized appointments, are all examples of professional fraud.

Contractors and Suppliers:

Contractors and suppliers fraud includes things such as, the submission of bogus invoices and fraudulent claims by appliance contractors. Examples: claiming for goods/services not supplied.

Local Counter Fraud Specialists:

As an alternative, you could speak with your Manager or Local Counter Fraud Specialist (LCFS) about your concerns.In order to provide counter fraud services inside NHS health bodies, the NHSCFA collaborates with Local Counter Fraud Specialists (LCFS).Daily efforts will be made by the LCFS to reinforce the anti-fraud culture. Included in this work are: 

• Providing expert, thorough, and moral counter fraud assistance.
• Establishing and upholding close collaborations with all pertinent stakeholders, including the NHS Counter Fraud Authority and its external partners.
• Investigating allegations of corruption, bribery, and fraud.
• Imposing a variety of penalties on individuals who have committed fraud with NHS resources.