Less is Not More
Less is more when you declutter your home and unload your decades-old clothes and toddler toys of your college-age children. Less also was more when the owner of a durable medical equipment (DME) company in Edinburg, Texas, went almost six years before being caught...
It’s A Sign of Fraudulent Times
According to the National Academy of Social Insurance, employer costs for workers’ compensation totaled more than $96.5 billion in 2016. While most workers’ compensation claims are considered to be legitimate, the Department of Labor estimates that between one and two percent of all workers’...
Deliberate
Fraud is
any deliberate act to take property or money by deception from a victim. In
other words, it’s an intentional act to deceive for the purposes of unlawfully
or unfairly gaining something. (It’s driven by a fraudster’s need
to become wealthy without having to actually...
Piece of the Fraud Pie
Many workers’ compensation fraud schemes involve supposedly injured workers who claim they are unable to work, when they actually can. Sometimes they are caught on surveillance video performing physical activities that their workers’ compensation forms claim they cannot do. Today’s fraud case is a...
Everything is Bigger in Texas
So they say “everything is bigger in Texas,” but did you know that:
Texas' total area is twice the size of Germany.
If Texas was its own country, it would have the 13th highest GDP in the world.
The King Ranch in Texas is...
Impaired Thinking
There are lots of things that can cause impaired thinking – sleep deprivation, alcohol and drug use, certain medications or diseases, and then there’s just plain stupidity. Two Texans, who worked for a company that determined workers’ compensation benefit eligibility, weren’t thinking logically when...
Tightly Knit
Families who are tightly knit do lots of things together such as run marathons, take nice vacations, and even start businesses together. Today’s fraudster, who was an attorney from Grand Prairie, Texas, opened several businesses with family members with the sole intent to defraud....
Pruned
Individuals who work in the landscaping business have lots of opportunities to injure themselves while on-the-job. The Centers for Disease Control and Prevention (CDC) reports that landscaping is one of the highest hazard industries with a fatality rate of 25.1 per 100,000 workers. (The...
Self-directed Fraud
When an on-the-job injury occurs that warrants workers’ compensation benefits, the injured worker is required to visit a licensed physical therapist or chiropractor, who is under the direction of a medical doctor, to participate in a rehabilitation plan that will get them back to...
Fraud Pyramid
Just as pyramids are wide at the bottom leading to a point at the top, many fraudulent schemes start with a broad base of criminal supporters and lead up to a mastermind. Such is the case for today’s “Fraud of the Day,” where 30...