It is a business often fraught with heartbreak and sometimes outright fraud.

Still, the audit found no evidence of outright fraud.

"I have seen cases that border on outright fraud," he said, most of them in small plans.

A small percentage are from outright fraud, like charging for procedures that were not administered.

Many have excellent reputations, while experts say a few are outright frauds.

Many of the current electoral concerns have shifted from outright fraud to campaign fairness issues.

These proposals all depend on research being honest, but cases of outright fraud do happen.

By and large, the problem does not arise from outright fraud, which is rare.

So far, nearly every such claim had been exaggerated; many were outright frauds.

The elections were also marred with accusations of outright fraud.