The Houston ACFE is happy to partner with Audimation Services to host a series of virtual seminars in lieu of our annual in-person conference.
Presentation 1: Overview of White Collar Fraud & Case Studies (Health Care & Financial Crimes)
Tina Ansari, Asst US Attorney
Tina Ansari is an Assistant US Attorney as a Healthcare Fraud Coordinator of the Fraud Section for the Southern District of Texas. She primarily investigates and prosecutes cases related to health care fraud, wire fraud, and mail fraud. Before that she worked for the Harris County District Attorney's Office as a Felony Prosecutor, handling capital murders and other criminal felony cases. She received her Juris Doctor at the University of Houston Law Center and her undergraduate political science degree at Yale University. She is fluent in Farsi.
Suzanne Elmilady, Asst US Attorney
Suzanne Elmilady is an Assistant US Attorney, White Collar Crime Coordinatory, Major Fraud Division for the Southern District of Texas. She primarily investigates and prosecutes cases related to corporate embezzlement, Foreign Corrupt Practices Act (FCPA) and Business Email Compromise (BEC) investigations. Before that she worked for the Harris County District Attorney's Office as a Felony Prosecutor, She received her Juris Doctor at the South Texas College of Law. She published, "Prosecuting Marriage Fraud Conspiracies - Lifting the Veil of Sham Marriage." Suzanne is a member of the Middle Eastern Lawyers Association and the South Asian Women's Professional Network.
Narang, a doctor who owned and practiced at North Cypress Clinical Associates and Dayakar Moparty, who managed and operated Red Oak Hospital conspired to commit health care fraud. During the two week trial, the jury heard evidence that Narang and Moparty unlawfully enriched themselves by submitting false and fraudulent claims for medical tests that were not medically necessary, not provided, or both and then billed at Red Oak Hospital at a higher reimbursement rate.
Additionally, Narang and his co-conspirators falsified home health patient assessment forms documents to make the beneficiaries appear sicker on paper to receive higher reimbursement rates from health care benefit programs such as Blue Cross Blue Shield, Cigna, and Aetna. Moparty also also instructed his employees to falsely bill the medical services at Red Oak Hospital and other entities associated with Moparty, when in fact the patients never received services from Red Oak and the other entities.
At trial, patients consistently testified that they had merely bought a Groupon for weight loss shots, but after meeting with Dr. Narang, they all received the same battery of medical tests that were not needed or provided. Health care benefit programs paid Red Oak Hospital approximately at least $3.2 million. Moparty then covertly paid Narang approximately $3 million dollars to various corporate entities owned by Narang.
At sentencing, Narang received ten years in federal prison and Moparty received nine years in federal prison.
- Learn how the federal government investigates and prosecutes federal crimes
- How the Department of Justice approaches financial and medical fraud
Presentation 2: Compliance and Investigations - A Love Story for the Ages*
Speaker: Michael Tate, CAMS, Anti-Corruption Ethics & Compliance at Western Digital
Description: Ethics and Compliance and Internal Investigations – there are very few teams within an organization that are so closely aligned in mission and purpose, yet often we see them facing the same problems as many married couples ... a lack of communication.
This presentation will highlight the necessity and importance of ongoing collaboration and consistent cadence of communication between the Ethics and Compliance and the Internal Investigations teams, especially as it pertains to timely sharing of information about trends, findings, potential red flags, and policy issues that can easily and rapidly morph from an areas of concern to a violation exposing employees and the corporation to legal risks.
Bio: Michael Tate is the Ethics and Compliance Program Manager at Western Digital and is based in Irvine, CA. He holds an MBA in Business Administration from Southern Arkansas University and Bachelors in Business Administration from The University of Central Arkansas. Michael is a Certified Anti-Money Laundering Specialist and is studying for his CFE.
Prior to joining Western Digital, Michael worked at Hewlett-Packard Enterprises for 7 years, where he held several roles. Among them were as a Compliance Auditor and Brand Protection Investigator. During his tenure at HPE, Michael conducted audits and investigations in North America and Latin America and sought criminal prosecutions in The United States and Canada. Michael also is an experienced SIU Investigator. He worked for a 1.5 years as a SIU Investigator at Travelers Insurance in the Los Angeles area.
- How to build an ongoing collaboration and consistent cadence of communication between the Ethics/Compliance and Internal Investigations teams
- How to flag policy issues that can easily grow from areas of concern to become violations exposing employees, which in turn expose corporation to legal risks.
CPE Credits: 2 CPE Credits for CFE certification
*(Ethics CPE for CFE certification only, not valid for CPA or NASBA Ethics credit)
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Delivery Method: Group Live (Delivered online due to Covid-19)
Prerequisites: Not Applicable
Field of Study: Specialized Knowledge and Applications [Fraud]
Who Should Attend: Anti-fraud professionals, Auditors, Accountants, Attorneys, Investigators, Law Enforcement, Educators, Students
Advanced Preparation: None
Program Level: Basic
NASBA Sponsor No. 125230
The Houston Area Chapter of the Association of Certified Fraud Examiners is registered with the National Association of State Boards of Accountancy (NASBA) as a sponsor of continuing professional education on the National Registry of CPE Sponsors. State boards of accountancy have the final authority on the acceptance of individual courses for CPE credit. Complaints regarding registered sponsors may be submitted to the National Registry of CPE Sponsors through its website: www.learningmarket.org.