Friday, November 27, 2020

Fraudulent Fugitive

It’s good to be wanted, unless you’re on the federal “Most Wanted” list. David Y. Kim, a former chiropractor from Los Angeles, Ca., was definitely wanted, but by the FBI after he went on the lam. (He was on the run because he willingly...

Sleep Study Fraudster Gets a $2.75M Wake-Up Call

Sleep studies are essential to properly diagnosing and treating sleep issues that can lead to serious medical problems like diabetes, high cholesterol, heart disease, and stroke. (Doctors use the study results to properly prescribe treatment so sleep deprived individuals can get the rest they...

Retired from Fraud

In California, when an employee retires while receiving workers’ compensation benefits, his or her employer must still pay for all medical expenses related to the injury. (If that person is still injured, that is.) A retired employee of a Livingston-based poultry processing plant took...

More Chips Fall in Pacific Hospital Fraud Case

Uncovering fraud against government programs is sometimes like peeling an onion, exposing layer after layer of impropriety from people trying to get rich off others’ misfortune. Such is the case with the on-going adjudication of a medical and workers’ compensation fraud ring tied to Pacific...

He Couldn’t Keep It Going

A Southern California doctor has been ordered to serve 15 months in federal prison for his role in a multimillion-dollar kickback scheme that defrauded California’s workers’ compensation program over several years. Dr. Faustino Bernadett, 65, of Rolling Hills, is among 24 people – mostly physicians...

No Good Deals in Fraud

When people commit fraud against government programs, they’re trying to get something for nothing or otherwise steal from public coffers. What they fail to realize is that they will end up losing much more than they could gain. One common method of workers’ compensation fraud...

Paybacks for Kickbacks

Some fraudsters seek to get rich by filing false claims with insurance companies, thinking they are only hurting a big corporation, rather than stealing from individuals. What they may not realize is that health insurance fraud causes premiums to go up and benefits to...

No Small Matter

Sometimes what seems like a small thing can snowball into a very big thing, as is often the case with workers’ compensation fraud. A Modesto, Calif., man may have thought it was a small matter to underreport the number of staff at his employment...

Overstaying Your Benefits

In most cases, injured workers legitimately qualify for and begin to collect deserved benefits. However, there are times when deceptive workers decide to forego returning to work even though they are physically and mentally able to do so. (This is called workers’ compensation fraud.)...

Hotline Hucksters

A good example of a sacred business relationship is the one between a patient and their doctor. When that trust is breached, it has a ripple effect throughout the healthcare system. Consider the case in California where 32 healthcare professionals, lawyers and marketers have been...
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