A record Medicare fraud bust–totaling $1.2 billion in wasted tax dollars–may just be the tip of the iceberg in a case that keeps raising troubling and expensive questions.
Auto insurance giant Allstate claims in a new federal lawsuit that it fell victim to a racketeering conspiracy involving six metro Detroit patient treatment clinics, an MRI center and a medical transportation company that Allstate says acted together and made millions by abusing Michigan’s no-fault insurance system.
Security cameras in a company cafeteria recently captured a brazen attempt to fake a workers’ compensation injury. The video shows that the man dumped a cup of ice onto the floor, disposed of the cup and then lay down on the floor as though he slipped on the ice. Prosecutors have charged the man with insurance fraud and theft by deception.
Dozens of medical professionals in Appalachia, a region hard-hit by the U.S. opioid crisis, have been charged with writing hundreds of thousands of illegal prescriptions and committing health care fraud, federal prosecutors said on Wednesday.
When investigating a workers compensation claim, the employer and insurer/servicing agent are given limited time to make a tough decision: accept or deny the claim.
Instead of repairing cars, the owner of two auto body repair shops is accused of intentionally causing damage to vehicles in order to get higher insurance payments.
Attorney General Gurbir S. Grewal and the Office of the Insurance Fraud Prosecutor announced that four Mercer County men and six of their associated businesses were charged today with first-degree conspiracy and money laundering in connection with a bank scheme involving the deposit of nearly $1.4 million in phony or forged checks related to insurance claims.
The U.S. Federal Emergency Management Agency (FEMA) exposed 2.3 million disaster survivors to possible identity theft and fraud by improperly sharing sensitive personal information with an outside company, according to an internal government watchdog.
The former CEO of a Texas community hospital has pleaded guilty to defrauding three health insurers in a pass-through billing scheme involving laboratory services, the Department of Justice said.
Federal authorities for the first time have publicly named the man who allegedly bribed Detroit police officers in one of several alleged illegal towing schemes being investigated in Metro Detroit.
United States Attorney Russell M. Coleman announced the charging of an additional former supervisor and safety official from Armstrong Coal, in addition to the eight previous officials charged by a federal grand jury, for conspiracy to defraud an agency of the United States government by deceit, trickery, and dishonest means.
A wise mechanic will tell one not to buy a damaged, used car. And a wise prosecutor will also tell one not to post photos of said car on social media and then file an insurance claim.
