Method and Apparatus for Preventing Fraud in Medicare, Medicaid, and Other Industries

• US 20140172443A1
• Filed: 12/12/2013
• Published: 06/19/2014
• Est. Priority Date: 12/13/2012
• Status: Abandoned Application

• Current Assignee: Denis M. Long, Lisa Jean Long
• Original Assignee: Denis M. Long, Lisa Jean Long
• Inventors: Long, Denis M., Long, Lisa Jean
• Application Number:
  US14/104,679
• Publication Number:
  US 20140172443A1
• Time in Patent Office: Days
• US Class Current: 705/2
• CPC Class Codes: G06Q 30/0185 Product, service or business identity fraud
• CPC Class Codes: G06Q 50/22 Social work or social welfare, e.g. community support activities or counselling services

Abstract

Methods and systems for preventing fraud in a remote workforce environment are disclosed, including an apparatus, comprising processor(s), system memory, non-transitory memory unit(s), and verification code; verifying if ECV is permitted to deliver a product and/or perform a service; if not, then notifying a supervisor; verifying if recipient of the product and/or service is correct; if not, then notifying the supervisor; and verifying if location and/or time of delivery of the product and/or performance of the service is correct; if not, then notifying the supervisor; and if determined that: the ECV is permitted to deliver the product and/or perform the service, the recipient of the product and/or service is correct, and the location and/or time of delivery of the product and/or performance of the service is correct, then notifying the ECV to proceed with the delivery of the product and/or performance of the service. Other embodiments are described and claimed.

Claims

1. An apparatus for preventing fraud in a remote workforce environment, the apparatus comprising:

one or more processors;

system memory coupled to the one or more processors;

one or more non-transitory memory units coupled to the one or more processors; and

verification code stored on the one or more non-transitory memory units that when executed by the one or more processors are configured to perform a method, comprising;

verifying if an ECV is permitted to deliver a product and/or perform a service; and

if it is determined that the ECV is not permitted to deliver the product and/or perform the service, then notifying a supervisor of the ECV that the ECV is not permitted to deliver the product and/or perform the service; and

verifying if recipient of the product and/or service is correct; and

if it is determined that the recipient of the product and/or service is not correct, then notifying the supervisor of the ECV that the recipient of the product and/or service is not correct.

2. The apparatus of claim 1, wherein the verification code stored on the one or more non-transitory memory units that when executed by the one or more processors are configured to perform a method, further comprising:

if it is determined that;

the ECV is permitted to deliver the product and/or perform the service and the recipient of the product and/or service is correct, then notifying the ECV to proceed with the delivery of the product and/or service.

3. The apparatus of claim 1, wherein the verification code stored on the one or more non-transitory memory units that when executed by the one or more processors are configured to perform a method, further comprising:

verifying if location and/or time of delivery of the product and/or performance of the service is correct; and

if it is determined that the location and/or time of delivery of the product and/or performance of the service is not correct, then notifying the supervisor of the ECV that the location and/or time of delivery of the product and/or performance of the service is not correct; and

if it is determined that;

the ECV is permitted to deliver the product and/or perform the service, the recipient of the product and/or service is correct, and

the location and/or time of delivery of the product and/or performance of the service is correct, then notifying the ECV to proceed with the delivery of the product and/or performance of the service.

4. The apparatus of claim 1, wherein verifying if the ECV is permitted to deliver a product and/or perform a service comprises:

obtaining identification of the ECV; and

using the identification of the ECV to verify the ECV'"'"'s authorization to deliver the product and/or perform the service by looking up the ECV in an ECV-A/V database.

5. The apparatus of claim 4, wherein obtaining identification of the ECV comprises obtaining a fingerprint from the ECV and using the fingerprint to identify the ECV from an ECV fingerprint database.

6. The apparatus of claim 1, wherein verifying if the recipient of the product and/or service is correct comprises:

obtaining identification of the recipient; and

using the identification of the recipient to verify the recipient'"'"'s eligibility to receive the product and/or service by checking with the Centers for Medicare and Medicaid.

7. The apparatus of claim 6, wherein verifying if the recipient of the product and/or service is correct further comprises using the identification of the recipient to verify the recipient'"'"'s eligibility to receive the product and/or service by looking up the recipient in a product/service database.

8. The apparatus of claim 6, wherein obtaining identification of the recipient comprises obtaining a fingerprint from the recipient and using the fingerprint to identify the recipient from a recipient fingerprint database.

9. The apparatus of claim 1, further comprising one or more remote verification apparatuses in communication with the apparatus.

10. The apparatus of claim 9, wherein the one or more remote verification apparatuses and the apparatus are one in the same.

11. A method for preventing fraud in a remote workforce environment, the method comprising:

an apparatus, which includes one or more processors, system memory coupled to the one or more processors, one or more non-transitory memory units coupled to the one or more processors, and verification code stored on the one or more non-transitory memory units;

verifying if an ECV is permitted to deliver a product and/or perform a service; and

if it is determined that the ECV is not permitted to deliver the product and/or perform the service, then notifying a supervisor of the ECV that the ECV is not permitted to deliver the product and/or perform the service; and

verifying if recipient of the product and/or service is correct; and

if it is determined that the recipient of the product and/or service is not correct, then notifying the supervisor of the ECV that the recipient of the product and/or service is not correct.

12. The method of claim 11, the method further comprising:

if it is determined that;

the ECV is permitted to deliver the product and/or perform the service and the recipient of the product and/or service is correct, then notifying the ECV to proceed with the delivery of the product and/or service.

13. The method of claim 11, the method further comprising:

verifying if location and/or time of delivery of the product and/or performance of the service is correct; and

if it is determined that the location and/or time of delivery of the product and/or performance of the service is not correct, then notifying the supervisor of the ECV that the location and/or time of delivery of the product and/or performance of the service is not correct; and

if it is determined that;

the ECV is permitted to deliver the product and/or perform the service, the recipient of the product and/or service is correct, and

the location and/or time of delivery of the product and/or performance of the service is correct, then notifying the ECV to proceed with the delivery of the product and/or performance of the service.

14. The method of claim 11, wherein verifying if the ECV is permitted to deliver a product and/or perform a service comprises:

obtaining identification of the ECV; and

using the identification of the ECV to verify the ECV'"'"'s authorization to deliver the product and/or perform the service by looking up the ECV in an ECV-A/V database.

15. The method of claim 14, wherein obtaining identification of the ECV comprises obtaining a fingerprint from the ECV and using the fingerprint to identify the ECV from an ECV fingerprint database.

16. The method of claim 11, wherein verifying if the recipient of the product and/or service is correct comprises:

obtaining identification of the recipient; and

using the identification of the recipient to verify the recipient'"'"'s eligibility to receive the product and/or service by checking with the Centers for Medicare and Medicaid.

17. The method of claim 16, wherein verifying if the recipient of the product and/or service is correct further comprises using the identification of the recipient to verify the recipient'"'"'s eligibility to receive the product and/or service by looking up the recipient in a product/service database.

18. The method of claim 16, wherein obtaining identification of the recipient comprises obtaining a fingerprint from the recipient and using the fingerprint to identify the recipient from a recipient fingerprint database.

19. The method of claim 11, further comprising one or more remote verification apparatuses in communication with the apparatus.

20. The method of claim 19, wherein the one or more remote verification apparatuses and the apparatus are one in the same.