1. The three aspects of fraud - Perceived pressure, Rationalization, and Opportunity were present in the CIT case as follows:
Permits private parties to file qui tam actions claiming that defendants defrauded the government (False Claims Act Overview, 2016).
The validity of an oral contract depends on the jurisdiction, in most cases they are treated like any written one, but some situations (such as when exchanging real property) may require physical evidence such as a written agreement to back up the oral one. For oral contracts to hold water (become enforceable) they must be done correctly, like making sure there is a witness to the deal-making.
 Making false or misleading statements with the purpose of securing goods or services under the Workers' Compensation Act;
For purposes of the Statement, fraud is an intentional act that results in a material
The False Claims Act, also known as the "Lincoln Law" is an American federal law that holds persons and companies accountable for abusing governmental programs. However, the law includes a "qui tam" provision that allows people without government ties to file actions on behalf of the government. This is also referred to as “whistleblowing”. The Act prohibits such measures as knowingly presenting false claims for payment or approval,
Medicare payments rely heavily on proper coding of medical procedures and services provided during the delivery of care. Those services or processes are typically bundled, and therefore allocated as a bundling payment that receives a set amount of financial compensation for the organization. The Medicare statute maintains that the Secretary of Health and Human Services determines the fee schedule for diagnostics laboratory tests and Medicare regulations state that the hospitals must bill some of the tests as a group (Ohio Hospital Association, et. al. v. Shalala, 1997). The District Court case involved the failure to bundle seven tests, which accounted for higher Medicare reimbursements.
Many states have implemented fraud and abuse statutes that require criminal misconduct to be reported to the appropriate government agency; False Claims and Anti-Kickback Acts are some examples of federal statutes that prohibit organization from withholding information from the federal government (Duke 23742). In order for the federal courts to streamline the policies and practices for violators of the laws and regulations, the United States Sentencing Commission established the Federal Sentencing Guidelines. The Federal Sentencing Guidelines are non-binding rules that provide a set of rules for federal court to consider when making decisions on a conviction to a violation of the law (“Federal Sentencing Guidelines”). Although, the guidelines
Makes or uses any false writing or document knowing the same to contain any materially false, fictitious or fraudulent statement or entry;
Statue of fraud requires that some contracts be in writing, so that the contracts can be enforced to satisfy order within the statue of fraud. Johnny and Mark both needed a lawnmower, and went to the salesmen together, which made them both liable for the contract. The salesman agreed to extend Johnny’s loan if Mark agreed orally agreed to pay the contract if Johnny defaulted. Under the Statues of fraud this would be called a collateral promise. Primary v. Secondary obligations! A promise to pay the debt if the primary does uphold the contract the contract then reverts to the secondary. Mark contracted to stand surety for Johnny.
Mr. and Mrs. Noll will not likely have a cause of action for fraudulent inducement against The Sands based on their lack of due diligence to protect their interests upon entering an agreement with The Sands. The Sixth District Court of Appeals has never before heard a case on fraudulent inducement and therefore this memorandum has used both binding as well as persuasive court decisions to come to a cohesive prediction of the Noll’s situation.
constructive fraud, (6) unfair trade and deceptive practices, and (7) in the alternative, negligent misrepresentation.
Fraud is defined as a deliberate misrepresentation that causes a person or business to suffer damages, often in the form of monetary losses through deception or concealment. And Occupational Fraud as defined by the ACFE is the use of one’s occupation for personal enrichment through the deliberate misuse or misapplication of the employing organization’s resources or assets. Traditional fraud triangle theory by Donald Cressey explains that propensity of fraud occurring in an organization lies on three critical elements which are Pressure, Opportunity, and Rationalization.
Financial statement fraud is any intentional or grossly negligent violation of generally accounting principles (GAAP) that is undisclosed and materially effects any financial statement. Fraud can take many forms, including hiding both bad and god news. Research shows that financial statement fraud us relatively more likely to occur in companies with assets of less than $100 million, with earnings problems, and with loose governance structures (Hopwood, Leiner, & Young, 2011).
Cases of false affirmation occurred where the buyer was convinced to buy something by the false statements of the seller;