Tuesday, May 24, 2022

Certifiably Fraudulent

When criminals want to steal money from government health care programs, they generally submit lots of fraudulent claims for medical services or products that are not medically necessary nor delivered. Because the government strives to be efficient when paying claims, health care programs tend...

Modus Operandi

Fraudsters consider lying to be an important part of their modus operandi. (It's just part of the job description.) A Federal Bureau of Investigation (FBI) press release tells about a Louisiana doctor who scammed Medicare out of millions of dollars by lying about the...

You Can’t Take It with You

The Social Security Administration has specific policies regarding the notification of a beneficiary's death. Normally, a family member, Electronic Death Registration report, death certificate, confirmation by statement from a funeral director or other third party report is sufficient to declare the beneficiary deceased. (The...

Fraud-bound

Patients who are confined to their homes because of their medical disabilities are considered to be homebound. (Venturing out of the safety of their home environment usually requires an enormous amount of effort and a great deal of assistance in most cases.) An article...

It All Adds Up

It's easy to think that the fraudulent heist of a few thousand dollars in government benefits is not a big deal. But, when there are thousands of people capitalizing on benefits they don't deserve, it all adds up to more than you think. An...

Double Billing

Government investigations and prosecutions involving pharmacies around the country are on the rise, due to an increase in fraudulent Medicare billing schemes. One common tactic for bilking the government healthcare benefits program includes billing for and dispensing large numbers of painkillers and other...

Promises

A promise is a vow to carry out an intention. There are many different types of promises, such as one between friends, who agree to keep a secret; promises by spouses to love and cherish each other in a marriage and promises by...

Entitled

The federal government has a number of entitlement programs that provide beneficiaries with funds for which they qualify. It has been argued that people who take advantage of these programs by stealing benefits they are not entitled to receive are part of an...

Taking Candy from Babies

Have you ever heard of the saying: ''It's like taking candy from a baby''? The expression explains the ease in taking something from a defenseless entity. What if we changed the expression to say: ''It's like stealing a Social Security number (SSN) from a...

I’d like a Refund

I'm sure you've had to make a return at a store before; regardless of the store and/or item(s), it's usually a time consuming irritant. Options like pre-labeled shipping for returns when shopping online have made the ease of returning items just that, easy. The...
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