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New DeKaye Article Identifies 'Hierarchy of Greed' in Healthcare Fraud
Date:8/3/2009

OCEANSIDE, N.Y., Aug. 3 /PRNewswire/ -- Allan P. DeKaye, MBA, FHFMA, President and CEO, DEKAYE Consulting, Inc., announced the publication of his newest article, Inside Criminal Minds. The two-part article appears in the June 30, 2009 and July 14, 2009 issues of Commerce Clearing House's (CCH) Health Care Compliance Letter (Vol. 12-13 and 12-14). Mr. DeKaye serves on the publication's editorial advisory board. After several months of research and interviews, he developed a classification pyramid to categorize the five levels of greed that seem most prevalent in healthcare fraud and abuse. The article examines behavioral characteristics and tendencies ranging from front-line staff to those in the C-Suite, while explaining how not-for-profits can be as vulnerable as for profit organizations.

"It's been 16 years since then U.S. Attorney General Janet Reno declared war on healthcare fraud," DeKaye noted, "And we are still fighting this battle." He premised his article on identifying the reasons why and how "bad actors" do the things they do. Drawing on the work of behaviorist Abraham Maslow's "hierarchy of need," DeKaye patterned his "Hierarchy of Greed" in a pyramid. He defined five levels of greed: undisciplined, opportunistic, corporate, scheme and organized.

The article goes on to describe examples of the five levels of greed, and provides illustrations of each type. He notes that "undisciplined greed" includes celebrity data breach, while "opportunistic greed" finds individuals selling protected health information for profit. In this context, he goes on to further explain and differentiate between financial and medical identity theft, and how this problem needs to be addressed. In "corporate greed," the article explores how ego may be a precursor to committing fraudulent activities, the concept of "misguided altruism" or making the organization the best at any cost,
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SOURCE DEKAYE Consulting, Inc.
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