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    Archives

    Tag Archives for: "Real-time Risk Management"
     She’s Looking at 34 Years in Federal Lockup For Elder Abuse, Bank Fraud, and Identity Theft
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    By ToolCASE
    In Industry Article, News, ToolCASE
    Posted June 7, 2022

    She’s Looking at 34 Years in Federal Lockup For Elder Abuse, Bank Fraud, and Identity Theft

    There may be no better example of how transactional artificial intelligence tools could be used to help combat elder abuse and financial fraud than with the case of Sharri Lynn Smith; a woman [...]

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     $12 Million Upcoding Fraudster Gets 93 Months: Could He Have Been Caught Much Sooner?
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    By ToolCASE
    In Industry Article, News, ToolCASE
    Posted May 31, 2022

    $12 Million Upcoding Fraudster Gets 93 Months: Could He Have Been Caught Much Sooner?

    A California-based physician, Donald Woo Lee, has been sentenced to nearly 8 years in prison for billing Medicare $12 million for unnecessary or non-performed procedures; a practice known as [...]

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     Citing Fraud Problems, Credit Card Companies  Are Upping Card-Swipe Fees
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    By ToolCASE
    In Industry Article, News, ToolCASE
    Posted May 23, 2022

    Citing Fraud Problems, Credit Card Companies Are Upping Card-Swipe Fees

    Retailers and consumers beware. Both Visa and Mastercard are expected to jack-up card-swipe fees as soon as this month. Citing fraud as a reason for the fee escalation, the card companies believe [...]

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     The PII of Nearly 2 Million Residents of This State May Have Been Exposed to The Dark Web
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    By ToolCASE
    In Industry Article, News, ToolCASE
    Posted May 20, 2022

    The PII of Nearly 2 Million Residents of This State May Have Been Exposed to The Dark Web

    The Texas Department of Insurance (TDI) announced this month that the personal identifiable information (PII) of 1.8 million Texas workers who filed compensation claims, has been breached. The [...]

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     What You Need To Know: The NACHA Rules Update
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    By ToolCASE
    In Industry Article, News, ToolCASE
    Posted May 20, 2022

    What You Need To Know: The NACHA Rules Update

    Electronic payment systems are constantly evolving to keep up with the ever-changing landscape of how we do business. This is especially true for real-time payments, which are growing in [...]

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     Florida credit union overhauls its fraud prevention with big assist from AI
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    By ToolCASE
    In Featured, Industry Article, News, ToolCASE
    Posted May 17, 2022

    Florida credit union overhauls its fraud prevention with big assist from AI

    Florida credit union overhauls its fraud prevention with big assist from AI *This article was originally published in American Banker by Carter Pape May 06, 2022, 3:35 p.m. EDT As algorithmic [...]

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     A Brief Review of Upcoding Fraud
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    By ToolCASE
    In Industry Article, News, ToolCASE
    Posted May 14, 2022

    A Brief Review of Upcoding Fraud

    Upcoding fraud is a type of health insurance fraud where a healthcare provider submits a bill to an insurance provider that’s more expensive than the actual services provided. The goal of this [...]

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     Deceased Elderly Man’s Account “Stolen”… Son Will Never Trust This Bank Again
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    By ToolCASE
    In Industry Article, News, ToolCASE
    Posted May 14, 2022

    Deceased Elderly Man’s Account “Stolen”… Son Will Never Trust This Bank Again

    The friction between banks and their clients over fraud and account takeovers has reached the boiling point for one Truist banking customer. Perran Davis says his deceased father’s estate account [...]

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     Feds Accuse Memphis-based Hospital System of Gigantic Healthcare Provider Fraud
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    By ToolCASE
    In Industry Article, News, ToolCASE
    Posted April 22, 2022

    Feds Accuse Memphis-based Hospital System of Gigantic Healthcare Provider Fraud

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     Thousands of Individuals Impacted by Healthcare Data Breach
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    By ToolCASE
    In Industry Article, News, ToolCASE
    Posted April 14, 2022

    Thousands of Individuals Impacted by Healthcare Data Breach

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