According to the Association of Certified Fraud Examiners, employee tips are the most common method of fraud detection since 2002. According to the ACFE's 2012 Report to the Nations on Occupational Fraud and Abuse, tips led to the initial detection of fraud in 43 percent of the 1,388 cases of worldwide occupational fraud reviewed in the study. Management review and internal audit ranked as a distant second and third, noted the report.
Whistleblowers are becoming an increasingly powerful weapon against healthcare fraud, and as predicted back in January, the industry saw more whistleblower lawsuits this year, especially as states looked to qui tam settlements to pad their tight budgets, The Wall Street Journal reported.
Last year, the DOJ recouped nearly $3 billion in healthcare fraud recoveries under the False Claims Act for the first time in a single year, shattering previous records by more than $1.7 billion. (source)
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