Friday, December 14, 2018

Poser

 Posers are individuals who pretend to be someone they are not. (Just check out your social media channel of choice to find a multitude of examples.) While most posers mean no harm and are just trying to fit in, today’s fraudster from Valley Stream,...

What’s in the Doctor’s Bag?

The government loses tens of billions of dollars annually from a variety of fraudulent healthcare schemes. Upcoding, arguably one of the most popular methods used to siphon off healthcare funds, was the scam of choice for a Warren County, Kentucky physician who was recently...

Fraud On-the-Move

Fraud sometimes occurs in a localized area, perhaps at one business location where perpetrators aim to keep their crime concealed. Other criminals commit fraud while on-the-move at different locations, which makes their illegal acts more difficult to detect. Fortunately, the Medicare Strike Force is...

When Love and Fraud Collide

When in love, people have been known to do some pretty interesting things. Extravagant gifts, flowers, and romantic getaways aside, today’s fraudster from Cape Girardeau, Missouri demonstrated his love for his fiancée by involving her spinal implant distributorship in a healthcare fraud scheme that...

Short-Sighted

A person who is short-sighted doesn’t have much foresight into what might happen in any given situation. (You could say they are living in the moment without much regard to the future.) The owner of an eye clinic in Jasper, Georgia was short-sighted when...

Piggy Bank

Around the 15th century, dishes and pots were made out of a type of clay called “PYGG.” When people during that day and time were able to save an extra coin or two, they would drop it into their PYGG clay pot. Fast forward...

Putting Fraud to Bed

According to the American Sleep Association (ASA), between 50 and 70 million adults in the U.S. have a sleep disorder. The former owner of multiple sleep study clinics in Maryland and Northern Virginia capitalized on those statistics by causing a loss of more than...

Examining the Examiners

Medical examinations are required for many reasons. Children need a medical evaluation before they can attend school; an immigrant needs one if they wish to obtain a visa or green card and, some employers won’t hire until you’ve been looked over by a qualified...

Monkey See, Monkey Do

Parents’ actions often speak louder than words. And, when children observe their parents repeating the same behavior frequently, they tend to copy. (Monkey see, monkey do.) A woman from Placentia, California emulated her mother’s repetitive criminal behavior and followed her lead right into a...

Fraud from A to Z

The president and owner of the A to Z Pharmacy in New Port Richey, Florida used his business as a cover for a massive compounding pharmacy fraud scheme that stole more than $100 million from private insurance companies, Medicare and TRICARE. The healthcare fraud...

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