Determine whether deficiencies existed in the IT environment, and suggest ways toimprove audit trails, data integrity, and policies and procedures in order to reduce the riskof fraudulent activity.
Using the Internet, Strayer databases, or the Securities and Exchange Commission’s Website,located at http://www.sec.gov/divisions/enforce/friactions/friactions2012.shtml, perform a searchon several U.S. health care publicly-traded companies and choose a health care organization thathas been accused of committing health care fraud.Write a five to six (5-6) page paper in which you:1. Evaluate the level of SOX regulations that applies to for-profit and not-for-profit healthcare organizations, indicating whether or not mandating SOX requirements for nonprofits might reduce fraud and increase corporate governance. Provide support for yourrationale.2. Determine whether SOX has been effective in regulating ethical behavior of for-profithealth care organizations. Defend your position.3. Determine whether deficiencies existed in the IT environment, and suggest ways toimprove audit trails, data integrity, and policies and procedures in order to reduce the riskof fraudulent activity.4. Review the audit report issued by the external auditing firm from the company’s Websitefor the year it was accused of fraud. Then, determine whether the external auditors werenegligent in preparing the audit report for the company. Formulate an opinion regardingwhich Internal Control was deficient or what GAAP was violated. Defend your position.5. Determine what provision(s) of SOX was / were violated in the health care fraud case inquestion. Indicate whether or not SOX adequately provides sanctions to deter thebehavior or if changes are needed to the regulations to remedy the issue(s) and thusensure compliance.6. Based on the fraudulent activity that occurred, recommend two (2) improvements to theinternal control environment to reduce those occurrences. Provide detailedrecommendations.
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