Thursday, August 11, 2022

No Show’ Means ‘No Go’

A lot of health care fraud is committed by medical providers who claim they performed procedures on patients, when in reality they did not. (It's one of the oldest tricks in the fraud book.) They fraudulently bill government insurance programs for the bogus care,...

Zero Sum Fraud

Committing welfare fraud in a county that operates a ''Zero Tolerance'' Anti-Fraud, Waste and Abuse Program is clearly a zero sum game. Such is the case with an upstate New York couple who were nabbed by the Ulster County District Attorney in 2014 for...

Caught on Camera

A lot of fraudsters who try to scam workers’ compensation programs get caught while working out in the gym. (It’s hard to lie when there’s footage of you lifting heavy weights when you’re supposedly injured.) Kelly M. Gersbacher, 45, of Mattydale, N.Y., was caught...

Playing by the Rules   

The New York Workers’ Compensation Board requires virtually all employers in the state to provide workers’ compensation coverage for their employees. Consolidated NY Services, Inc. of Brooklyn kind of complied with that requirement, but the labor broker neglected to provide a few key details...

Egg on His Face

In the history of the world, has any hypocrite ever been fair? (Nope.) A Syracuse.com report has the story of an upstate New York diner owner who employed an anti-tax, anti-government brand to market his restaurant. The publicity might have been good for business,...

Oh, Brother!

Twins are known for having fun with creating confusion for those who can't tell them apart. They can dress and act alike, fooling friends, teachers and even dates. A man at the center of today 's "Fraud of the Day" used his twin brother...

Playing Post Office

George William Doumar’s Oregon mailbox business came in handy, once he decided to fraudulently cash in on his aunt’s Social Security benefits. In the late 1980s, he changed his aunt’s address from New York to Klamath Falls, with her benefit checks coming to his...

That’s Not What I Was Prescribed

The American justice system does not discriminate based on age. If you commit fraud, they'll prosecute you whether you’re straight out of high school or going through a midlife crisis. The latter may be the case for Jennifer Caloia, age 57, who was sentenced...

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.

Disadvantaged

The City of New York's Department of Education distributes federal funding for supplemental education services to benefit students attending under-performing public schools. This means that approved providers can collect more funding from the government if they increase the number of students receiving their...
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