Madoff investigator probes False Claims Act at HIMSS10
3 Comments | Posted by admin in HIMSS10 Previews | 02/23/10
By John Andrews, Contributing Editor
The man who uncovered what is believed to be the largest Ponzi scheme in history will explore the highlights of the False Claims Act for HIMSS10 attendees on Thursday, March 4, at 11:15 AM – 12:15 PM in Georgia Ballroom 2 of the Congress Center.
Fraud investigator Harry Markopolos is credited with exposing the Bernard Madoff investment scandal – a multi-billion dollar Ponzi scheme that earned the disgraced 71-year-old financier a 150-year prison sentence last year. As the whistleblower in the Madoff case, Markopolos will address the qui tam provisions of the False Claims Act and how they relate to fraud against the government.
Markopolos’ background is in finance, serving as assistant portfolio manager for Darien Capital Management in Greenwich, CT, and an equity derivatives portfolio manager at Rampart Investment Management in Boston. He served as president of the Boston Security Analysts Society and held board seats on the Boston chapter of the Global Association of Risk Professionals and a quantitative finance lecture group.
In 2002 Markopolos was promoted to chief investment officer at Rampart but left in 2004 to devote full time to fraud investigations. A certified fraud examiner, Markopolos probes charges against Fortune 500 companies in the financial services and healthcare industries. He brings fraud cases to the U.S. Department of Justice and Internal Revenue Service under existing whistleblower bounty programs.
The Madoff investigation, which he started in early 2000, was Markopolos’ first fraud case and says he’s been “hooked ever since.”
3 Comments for Madoff investigator probes False Claims Act at HIMSS10
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Welcome to the world of health care and the abundance of health care fraud Mr. Markopolos. Those of us who’ve been laboring to illuminate the problem of EHRs’ facilitation of false claims welcome you to HIMSS. If you’ve not seen them yet, do review the two reports executed for HHS’s Office of the National Coordinator for HIT in 2005 and 2007 on EHRs and fraud. The first highlights law enforcements authorities’ interests in fraud control and also indicated that, initially, EHRs are expected to worsen fraud. The second report was commissioned to recommend how to mitigate this risk. Why, you might ask, were the recommendations of the latter never proposed by ONC for implementation? If you have difficulty locating either report, please do contact me.
All who are concerned with the fundamental trustworthiness of the electronic medical record look forward to increasing attention to the problematic features (or lack thereof) that will facilitate criminal enterprises and also ensnare the honest with designs and functions that make it difficult to prove proper records and refute ill intent.
RDGelzer
Reed D. Gelzer, MD, MPH, CHCC
Advocates for Documentation Integrity and Compliance
HL7 EHR-S Records Management-Evidentiary Support Profile WG (5 yrs)
CCHIT Ambulatory WG, CCHIT Privacy and Compliance Expert Panel, CCHIT Privacy and Compliance WG (3 yrs.)
Prevention WG Chair for AHIMA/RTI Fraud Prevention study 2007
Co-author “How to Evaluate EHR Systems” 2008