Tuesday, March 2, 2021

A Bad Dream Come True

The road to becoming a naturalized citizen is not easy. The U.S Citizenship and Immigration Services (USCIS) has well-defined steps that spell out how to lawfully become a U.S. citizen. (For some immigrants, it can take years, a good immigration lawyer, and a lot...

The Nerve of Them

Fraudsters have some nerve to think that they can steal from government health care programs and get away with it. A Detroit-area doctor and owner of a medical billing company were quite confident in their abilities to steal $28 million from Medicare, but fortunately...

Business Email Compromise Fraud Matters

Business Email Compromise (BEC), a sophisticated online scam that targets businesses and tricks employees into transferring money to cyber criminals, is responsible for $1.6 billion in losses in the U.S. and $5.3 billion globally since 2013. The Federal Bureau of Investigation (FBI) reports that...

The Opioid Crisis: When Healthcare Fraud Turns Deadly

The Opioid Crisis is now a Public Health Emergency. Combating the crisis and the criminals using fraud to perpetrate it (and often using taxpayer-funded dollars to do so), is critical. It is going to take data from multiple sources – providers, medical claims, pharmacy claims, public records, law enforcement records management system, computer-aided dispatch and more – to win. Siloed data will be the enemy of success, but data sharing will enable success.

COVID Feature: A Few Bruised Peaches

A woman in Lawrenceville, Ga., stands accused of being a part of a coronavirus scheme involving the elderly. (Not all is peachy in Georgia at the moment.) Ashley Hoobler Parris and other alleged fraudsters are accused of participating in this Medicare scam with the...

Reversal of Fortune

Some nine million members and veterans of the nation’s military services receive medical coverage from a U.S. government program called TRICARE. It’s a system built on trust — making it an easy mark for seasoned South Florida pharmacist Serge Francois, prosecutors say. Francois, 51, stood trial over the past month on charges of fleecing tens of millions from the taxpayer-funded military program to buy the former Broward County mansion of Hollywood megastar Dwayne “The Rock” Johnson.

Collecting Fraud

People collect all sorts of memorabilia including stamps, comic books, stuffed animals, coins and baseball cards to name just a few. Usually, collectors spend their own money to add something new to their prized collection, but a neurologist from Michigan spent nearly $2 million...

COVID Feature: Catfishing

Catfishing can be dangerous, although I’m not talking about the type of catfishing that requires a boat, fishing rod, and bait. (Although, there is the possibility you could fall overboard or get hooked by a fishing lure.) Catfishing is also a popular technique used...

COVID-19 Employment Benefits Thieves Add Insult to Injury

While using stolen identities to claim unemployment benefits is not new, the federal government’s temporary benefits boost and the huge volume of unemployment benefit applicants makes this an attractive and popular form of COVID-19 fraud. (While all fraud is low, stealing from unemployed workers...

COVID Feature: COVID-19 Contact Tracing

Perhaps you’ve heard about COVID-19 contact tracing. (If you’re out of a job, you might want to look into it. Many states are hiring for this position.) The CDC explains that contact tracing is one part of a multiprong approach to fighting the spread...
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