Friday, October 22, 2021

Dialing for Medicaid Benefits

There are many organizations who use phones to raise funds to keep their programs up and running. They reach out to potential donors by calling for monetary support. Today’s “Fraud of the Day” explains how a woman and her son dialed into a New...

Phishing for Elderly Victims

Senior citizens are susceptible to fraud because they are more likely to fall for phishing schemes. (We’re not talking about fishing here. Phishing is the fraudulent practice of sending emails that look legitimate to induce individuals to reveal personal info like passwords or account...

When Teamwork Does Not Make the Dream Work

Adam Arena of Buffalo, N.Y., and Amanda Gloria of Altus, Okla., both 44, were arrested for fraudulently obtaining and laundering COVID-19 relief Paycheck Protection Program (PPP) funds. Arena and Gloria allegedly conspired together to fraudulently obtain and misuse almost $1 million in PPP loans. Court documents...

Pharma Pusher

Defrauding a lifeline program like Medicaid or Medicare is immoral. Doing so while dispensing controlled substances that carry high risk of addiction and the potential to be lethal is beyond evil. (But oh, so alluring to fraudsters, because the repeat business is so lucrative.) The...

Truckin’ Along

According to the Social Security Administration (SSA), an estimated 135.6 million U.S. workers were covered by workers’ compensation insurance in 2015. With premiums costing anywhere from less than $100 to thousands a year per employee, workers’ compensation insurance can be a huge expense for employers depending on...

An Addiction to Fraud

A pain management doctor from Buffalo, N.Y., has been added to the growing list of medical professionals who have contributed to the nation’s opioid crisis. Dr. Gautam Arora pleaded guilty to prescribing controlled substances with the purpose of defrauding a federal healthcare program. Between April...

The Root of the Problem

Today’s “Fraud of the Day” is based on an article entitled, “Auburn man admits stealing $83K in workers’ comp benefits” posted on auburnpub.com. An Auburn man admitted to stealing more than $83,000 in workers' compensation benefits and not providing employees at his logging company with workers' compensation insurance coverage.

One-digit Mistake

Everyone makes mistakes, even the government. Due to a one-digit error by the Social Security Administration (SSA), Frederick L. Guth, Jr., 66, of Brewerton, N.Y., collected more than $33,000 of someone else’s benefits. Guth filed for Social Security in 2016, and the SSA processed his...

Dear Old Dad

It’s always interesting to see what illegal actions a fraudster is willing to take to make a little bit of cash. A Randolph, N.Y., woman was willing to trade her freedom for a few thousand dollars in illegally gained workers’ compensation benefits. (Why do...

PTO Honesty

The purpose of Paid Time Off (PTO) is to give employees a break from work. It can be used for vacation, to take care of someone during an illness, appointments, school, volunteering, or perhaps binge-watching Netflix. Kyle Bouille of Elmira, N.Y., took a different...
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