Fraud Prevention, Internal Control, and Positive Pay

How Healthcare Leaders Can Prevent, Detect, and Respond to Fraud

Fraud is an increasing risk for healthcare organizations, but with the right controls in place, it can be prevented and mitigated. In this MedHQ webinar, our accounting experts Dhara Raval and Julie Rusboldt walk through real-world fraud scenarios they’ve encountered with clients, including check and ACH fraud, and share proven strategies to protect your organization

From building strong internal controls and segregating duties to leveraging external tools like positive pay and responding effectively when fraud occurs, this session provides practical, actionable guidance designed for healthcare leaders. 

Learn how proactive planning, smart workflows, and the right banking tools can significantly reduce exposure and safeguard your financial operations.

 

Watch the full webinar below or jump to a specific topic:

0:00 – 👋 Welcome & What We’ll Cover
Overview of MedHQ, presenters, and today’s fraud-prevention focus

0:49 – 🚨 Common Types of Fraud in Healthcare
Check fraud, ACH fraud, and why incidents are increasing

2:44 – 🛡️ Why Fraud Prevention Matters
How internal controls help detect and reduce fraud risk

3:39 – 🧩 Core Internal Control Strategies
Invoice approvals, vendor controls, and access management

6:46 – 🔄 Accounts Payable Workflow Overview
How MedHQ structures AP workflows to segregate duties

7:29 – 👥 AP Workflow: With & Without Third-Party Software
Practical examples of role separation in different setups

9:15 – ✅ What Is Positive Pay?
How Positive Pay protects against check and ACH fraud

10:07 – ⚙️ How Positive Pay Works in Practice
Check matching, ACH rules, and exception handling

11:28 – ⏱️ Responding to Positive Pay Exceptions
Review timelines, approvals, and segregation of duties

12:40 – 🚑 What To Do When Fraud Occurs
Immediate response steps: evidence, banks, FTC, insurance

14:09 – ⚖️ Legal & Insurance Considerations
Recovering losses and minimizing long-term impact

14:50 – 💬 Audience Q&A: Small Teams & Segregation of Duties
How to manage controls with limited staff

16:28 – 📊 Real Fraud Examples from MedHQ Clients
What worked, what didn’t, and lessons learned