Medical Fraud Archives

Is this tax fraud – revised?

I want to be considered as a co-owner with my bf’s business. We have not filed any 1099’s but will suffer penalties if we must. I want to claim that I paid myself a salary of 27k which is just enough to cover my mortgage and car note. I am doing this so that I can claim the interest paid on my mortgage (in my name only) as well as a few other deductions such as medical. I also want to receive the stimulus rebate for me and my daughter. Is this tax fraud? What are potential problems? I DO in fact work with my husband on the business. We both make business decisions. We just never really formally "paid" me for my work.
Sorry. We are engaged and have been engaged for a year. And dating for 6. So I just started calling him hubby. for tax purposes, he is my bf.

Why is everyone saying I didn’t work? I DID work, I still DO work for the business. We are just trying to figure out the technicalities of the IRS. In fact, this business was started 3 years ago with a large chunk of my money as well. It just gets complicated because we never defined my position. I guess I am answering my own question. I know I worked for the business, so I guess I know it’s not fraud. But how do I prove that to the IRS? All my work is for nothing because we never filed a 1099? We can’t be the only business in the world that forgot to issue a 1099. What is it? Like a fine?

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My disablity benefits worker found out I am working on my master’s degree. I get about ,000 per year for COLLEGE. I get a small portion back in excess funds.
Now they are investigating the issue and I was told that the ,000 a year is over the qualfied amount for all benefits.
I am so scared because I may only get back ,000 each disbursement which is for 6 months. What can I do?
What can I expect? In my bachelor’s program they did not count my losans as income. I want to work in the feild of pychology. I can not get a job in psychology without a master’s. It is too late now I have ,000 of college debt.
How is this considered welfare fraud? They said I might owe the government money? What exactly will I lose. Will I lose my medical insurance?
I want to use to excess funds for college expenses not living expenses
I take online courses which is the only way I can ever attend college. I dropped out 3 times when I tried at a ground campus.
Every noise is amplfied times 10 for me. When thunder hits it might as well be a bomb. I can’t concentrate yet medication makes me too sick too function.
I also have severe allergies to a lot of medications.
By the way if I owe them money than how do I pay it back? I would need all my loan money to now live one.
I am not suppsed to live on my student loans.
This is very dangerous for me. It can put me in a harmful mode.
I have a disablity and can’t work part time. I have ADD, Bi-polar and depersonalzation disorder. I get very confused when there is a lot of activity. I pass out when overstressed, get high blood pressure, have severe memory loss, heart palpations, headaches, flu like symptoms, almost complete dissasocaitions, minor visual disturbances, and tingling hands/feet.
Stress is the tirgger. When my stress level is low I am fine but when it is very high I get all these symptoms. Medication never helps and it is getting better with age.
They knew I was going to college for 4 years. It all became a problem in my master’s program.
I have to go to therapy and DRs for my condition.
Most medications do not help.
I only get 00-00 in excess funds to use every 6 months. I can not live on that.
I have a part time job which is only 0/month.
I can’t function at a decent level if I work over 30 hours a week unless it is from home.
I want to teach online courses.
I am on ssdi and ssi. I am in the united states. I am very scared right now because it seems no matter what I do I may be in trouble.
If I report the college loans they will take away most of my benefits.
IF I don’t report I have committed welfare fraud.
I like to use the excess funds for college related expenses. I take online courses and always like have some money set aside in case my computer breaks down.

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I have bad credit from medical bills. I always wanted a "credit card" come to find out someone opened a target card in my name- and charged a couple hundred dollars and now they are after me to pay them. I am wondering and I know this is wierd, but now I am more screwed….Can i try to negotiate with Target to get the card back? I want the target card, i’ll pay the bill. I think paying the 0 is worth it to have the card to actually use. i dont know how long it has been in collections, but when i moved here to my new place about 6 months ago i started to recieve phone calls and letters. Or is it better to just report it as fraud? what will that do to my credit? They said it wasnt an application that someone filled out. It was an offer on a reciept that i threw out offering the card with just a signature or something-which is odd. thanks in advance!

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Some people think all naturopaths are quacks, but I think frauds who claim to be doctors deface the licensed and educated doctors of naturopathic medicine.

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Mexican national receives one-year prison term for health care fraud
Comments 9 | Recommend 0
Middleman in Medicare, Medicaid fraud scheme came from humble roots
January 26, 2010 7:26 PM
Jeremy Roebuck
The Monitor
McALLEN — Raul Torres earned his living selling trinkets to elderly patients at adult day care centers across the Rio Grande Valley three years ago.

By late 2007, the 60-year-old Mexican national was involved in one of the largest health care fraud schemes the region has ever seen, the U.S. Attorney’s Office said.

He was sentenced Tuesday to one year and one day in federal prison for helping McAllen cardiologist Dr. Fabian Aurignac bilk Medicare and Medicaid out of more than million.

“I didn’t know what the doctor was going,” Torres said in Spanish, dressed in a faded work shirt and slacks while pleading with the judge for leniency. “I sincerely did not know what he was up to.”

But prosecutors disagreed.

In several recorded conversations, Torres acknowledged his role in rounding up patients for the doctor and paying bribes to day care center staff for access to their clients, said Assistant U.S. Attorney Carolyn Ferko.

Torres met Aurignac — who ran McAllen’s Cardiology Care Center on the 700 block of North Ware Road — while peddling his wares at the Valley’s adult day care centers.

Since at least 2003, the doctor had been bilking the federally funded health care programs by hiring South American doctors who were not authorized to practice in the United States, giving them pre-signed prescription forms to hand out while he vacationed in Italy and Argentina, and later billing Medicare and Medicaid claiming he had overseen all of the patient visits, according to court documents.

Torres’ contacts in the elderly care industry provided just the conduit the doctor needed to expand his fraud scheme, according to a 19-count indictment filed in their case.

Aurignac paid Torres to win over management at these businesses and round up patents for treatments that were either unnecessary or never took place. Working as the physician’s middleman, Torres delivered bribes of 0 to 0 to day care managers and gave patients Walmart gift cards to submit to free health screenings.

At one such business — La Familia Adult Day Care Center in Harlingen — Aurignac’s employees set up a camper in the parking lot to see patients, another violation of Medicare and Medicaid rules requiring all procedures be conducted in sanctioned medical facilities.

The center’s manager — Martha Garcia Alaniz — pleaded guilty in July to one count of receiving kickbacks and was sentenced to one year of probation.

For his part, Torres was paid 0 for each session set up with a day care center. In the year that investigators were tracking his activity, he received more than ,000 from Aurignac.

In May, Aurignac agreed to pay back .1 million to the federal government for his fraud. He is currently serving a prison term of four-years and nine months. The Texas Medical Board suspended his license to practice in 2008.

Torres’ defense attorney maintained Tuesday that his client never really understood that what he was doing was illegal, but U.S. District Judge Randy Crane disagreed.

“He was doing Dr. Aurignac’s dirty work to some extent,” the judge said. “But without this recruiter, Dr. Aurignac would not have had this business

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How or where can I find answer to questions about possible insurance misrepresentatin or fraud by an employer?
I have discovered that I wasn’t covered by medical insurance when I was supposed to be by my employer. Money was taken out of my check weekly to cover the premiums, I had been insured for over a year with this employer at the time and I didn’t recive any notice of a lapse in coverage. I realised after receiving unpaid bills from my doctor’s offices for annual check-ups, that my employer had let our policy lapse. My employer immediately cut me a check to cover the bills and my insurance premiums were paid. From what I can figure, I was not covered and unaware of it for 2 months. That was over a year ago, and now I think it has happened again. I also think my employer is going to drop our insurance policies altogether and I was wondering how much advanced notice they are required to give?
I live and work in Missouri and am very worried about what my rights to coverage are!

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I know it like a loan, and if person dies, vehicle paid off. But when good ol’e boy(car salesman and my dad) that have known each other for 30yrs get together, and dealer knew my dad had every illness there was and they still let him sign policy. All I’m saying is if the dealership knows person has illnesses that don’t qualify, then don’t give application. And by the way COCHISE, my mother was not there with my dad when he got vehicle and she also has stated that dad should not have signed(FRAUD!) and dealership shouldn’t have even pulled it out. Credit life should have people do a physical when they are applying, instead of when they die ask for all medical records, and talk about digging the body up for autopsy. We plan to write an article in paper telling people about this so called credit life and dealerships, it’s all wrong on everyone’s part.

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I am sure he would love to receive public opinions and correct him self to be an effective, respectable , good, powerful President , who can bring back our lost images and respect all over the world too.

Advice to diffuse financial crisis, improvement employment market, prevent fraud, bring back troops, stop small wars , get medical aid and whatever he promised to us .

HE IS A GOOD GUY – HE BRINGS HOPE FOR NEW LIFE. TO DAY.

GOOD LUCK

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My husband was taken to a hospital 33 miles from emergency call by ground ambulance and charged 850.00. He was transferred by air 77 miles to Vegas by air ambulance for kidney stone. I am sure this was a case of fraud he was traveling and also on the job and insured, I am sure if he had no insurance he would have been treated and released like he was in Vegas. Kidney stones are com man and he had already traveled 33 miles he was not going to have a heart transplant. If so i would be happy to pay a million i smell a rat medical billing fraud not old news when it comes to air ambulance this should have been approved. He is also from Iran he would have never agreed to go if he was informed about cost. I am sure the hospital could have handled his diagnose. He was in area that had several options in nye county my Research show questionable fraud and will not pay remainder of bill for air ambulance to see insurance candy my husband was working he trains drivers for swift transportation, He was taken Advantage of and pays more than his share in taxes. He should not pick up the tab for ambulance to make a buck to recoup for uninsured patients that they had to medical evacuate. We are already paying a Fortune in insurance. This is discrimination.

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Fraud opportunities in Obamacare ?

Veterans Health Care is devoid of fraud because V.A. Doctors are non-profit salaried employees of Veterans Administration Hospitals who get paid the same amount whether they perform 1 surgery a month or 150 surgeries a month.

On the other hand, Medicaid is government health care which is rampant with fraud partly because the Doctors are usually for profit non-salaried Medicaid Providers who often bill Medicaid for numerous ficticious medical services that were not rendered and benefit greatly by falsely billing the government for 300 + surgeries in one month.

Why does Obama want to set up a government health care option which, similar to Medicaid, will give for-profit Doctors the opportunity to engage in similar massive fraud ?
There is enormous opportunities for fraud in government health care because the government is billed, not the patient, and the patient does not get to see if the Doctors bills the government for 3 visits or 3 extra services every time the patient makes 1 visit.
So the patient often never knows what the Doctor bills to government health care.
With private insurance, most have co-pays and most send EOMBs ( Explanation of Medical Benefits ) to the patients letting the patient know what the Doctor has billed for and asking them if they received everything the Doctor billed for ?
Drug Dealer – I investigated Medicaid Fraud for the government for 30 years.
I had a case where a Dentist was open from 10 a.m.- 12 noon & had gypsy cabs drive 40 Medicaid Recipients to his office every day. The Dentist gave each recipient ( mostly narcotics abusers ) 10 dollars in exchange for which he x-rayed their mouths & billed Mediaid for the same $ 350 worth of ficticious dental work on each patient.
The Dentist received a check amounting to $ 13,500 per day for 18 months for dental work that he never performed .
I had many other cases where 1 Psychiatrist billed Medicaid for 30 + hours of Psychotherapy ( 45-50 minute sessions ) every day and Medicaid paid for these services.
I had a pharmacy case where every Medicaid prescription filled by the pharmacy was altered whereby " 4 " was written into the blank refill box by the pharmacist & the pharmacy billed Medicaid for 4 refills that they never filled.
It is obvious you know absolutely nothing about Medicaid Fraud.
Drug Dealer – You are wrong again . It is NOT easier to overbill private insurance because, unlike government health care where the patient does not pay the Doctor & usually never knows what the Doctors bills to the government, private insurance usually requires a co-pay by the pateint for each visit and often sends out an EOMB ( Expalanation of Medical Benefits ) to the patient asking them if they received the services that the Doctor billed for ?

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I’m in Texas, and used to be a resident of Michigan. I moved in 2003. I found out today that someone used my information (my maiden name, date of birth, social security number) to receive medical services at 2 different facilities for their child in 2006 in Michigan. I have not been back to Michigan at all since 2003, nor is this even my child, so this is definitely not me.

I spent the last couple hours doing whatever I can do right now – called the credit bureau and put a fraud alert on my file, filled out a dispute, contacted the medical facilities and left a message, and contacted the police departments in each county that this occurred. I’m concerned this person is going to try to use my information again or just simply get away with it.

Is there anything else I can do to ensure that something is actually followed through and looked into? I’m in Texas so doing this from far away is an obstacle as well….not to mention that I’ve heard of people having bad experience with this type of thing and saying the police didn’t really care.

Thanks
This person went to 2 different hospitals on 2 different days and had their child seen. The child was the patient supposedly. The collection agency received the bill from the hospital with MY information, meaning I was listed as the responsible party….and they had my personal private information such as my DOB and SSN. So this means this person took their kid to the hospital, and wrote down my information as the billing responsibility. This couldn’t possibly be an administrative error as these hospitals are an hour from each other, and I’ve never received services at either of them.

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Could This Be Dental Fraud?

On the "DATES" section of my bill printout it says:

Date: 02.30. 03.30 and I never went to the dentists office on these dates! And I found out there were NOT codes or prices. Could this be fraud??? My bill was over 00? They were recommended by Medicaire Medical. HELP
Dr. Miller: 02.30 is NOT a date, and is NOT a dollar rate, NOR a code.
This COMPANY HAS 212 COMPLAINTS SO DON’T FOOL ME DR. MILLER.

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Considering taking the chance….and just want to know what percent chance I have of getting caught while doing this…Are there any loopholes?? Please spare me the negative fraud comments and why break the law comments…..am still paying for medical bills associated with a disease that PA won’t recognize but other west coast states will…just trying to get rid of these medical payments and anything additional will help.

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medical law & ethics (please help)

3) you’re interning as a medical office assistant for a small medical practice. One day while the doctor & nurse are absent, a male patient comes into the office without an appointment & asks to see the doctor.Before you can respond, he collapses on the floor & dies.Later the patient’s estate sues you, the nurse, & the doctor.As a medical office assistant,
A) you would’t be held accountable as a witness to the mans death
B) you would’t be held to the same standard of care as the doctor or nurse
C) you need to determine whether the doctor or nurse were guilty of negligence toward the patient
D) your duty was to hide or destroy any incriminating records
I THINK IT’S A OR B Please help

5) a principal-agent relationship is created when a person
A) promises to turn an agreement into a lawful contract
B) is entrusted to take care of another person
C) works under the control & direction of another person
D) doesn’t understand the consequences of entering into a contract
I THINK IT’S C
Negligence is the failure to exercise, with an absence of _______, that degree of care that a reasonable person would exercise under the same circumstances
A) fraud C) malice
B) intent D) conscience
I THINK IT’S B

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Is this fraud? What should she do?

Ok.
My boyfriends mom is having a major back surgury done in February. She had a person donate ,000 to her for the expenses. She has all the money that has been donated and earned in a medical account, with her friend who is also on the account. She will be out of town for about 2 to 3 weeks, and she decided that it might be useful for her to have a laptop for research and bill paying. She used some of her medical money for this. Her friend called her in hysterics telling her that it was fraud and that she had to send it back or else she would take herself off the medical account and she wouldn’t go with her.
Is buying the computer really fraud? She’s willing to send it back, if she’s going to get in trouble, but not just because her friend says she has to. She has other people to go with her, and that she can put on the account.
Thanks
–Julie ♥
As I said, She is willing to send the computer back, and she didn’t know that she wasn’t supposed to buy the laptop with that money, because it was donated by all family, but she was just wondering if that was just her friend being dumb, or if she was right. She will send the computer back immediately.
Sorry guys!
the donations were made to cover ALL costs, not just medical bills. that’s why she didn’t know it would be fraud

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this guy is just a dangerous quack spouting spiritual and medical nothingness..

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My husband is gone away for his air force basic training, and i am 26 weeks preg. I had a medical card before he left and we told my social worker that he was unemployed then, but was going to the military soon.. Well, he is gone now and i have been getting told that it is fraud to keep my medical card. But, i dont know how much he makes or anything at all about medical coverage.. We are married yes, but i have not got anything in the mail about medical coverage, so i just thought it was perfectly fine to keep my medicaid. What should i do? Also, he never told the military that i was pregnant, and he said it was bc we werent married when our baby was conceived and he is waiting till tech school, which is in about a month. I know he wont get discharged like he keeps saying bc we are married now, and i honestly think that he wont get in any trouble at all for telling them bc i really dont think they care about when i conceived, all they care about is him being a potential single parent, which he isnt now that we are married.. I dunno what in the world to do, i dont want to commit fraud, but i need to go to the doctors monthly, and soon it will be every other week. I really need to contact someone and get this all taken care of, but i dont want my husband to get mad at me for telling the military im preg. Some one please help!!

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Aside from actual costs to manage a medical facility, the invention of insurance has generated additional costs that have nothing to do with treating or preventing illness/childbirth.
Health care fees has become grossly inflated with expenses that have nothing to do with actual health: Cost of insurance coverage added to salaries and our taxes to cover national leaders completely: salaries and benefit packages for non-medical CEO and CFO’s and other personnel such as employees that specialize in filling out medical forms, applying for benefits, filing all the information, collections of payments; insurance company pays for fraud investigators, employees to find technicalities to not pay benefits, their CEO and CFO and all other employees.
My elderly dog needed jaw surgery: half was removed and it was wired. She stayed at the clinic getting IV fluid and medications for four days. Her bill was 5 (including tax and medications brought home). Had this been my mom, the hospital would be investigating the possibility of getting her home somehow in addition to charging her insurance, and any others she is eligible for them to sign up for, charging initially more than ,000.00.

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Does anyone know the breakdown of our national healthcare deficit?

What is the actual cost of nurses, hospital maintenance and ancillary positions that affect patient care and needs for how many patients annually?

What is the actual cost of medical doctors reimbursements for how many patients annually?

What is the actually cost of salaries to those who own private medical clinics and collect any form of federal funding?
Versus how much of our deficit is a direct consequence of insurance invading health care?

What is the cost for insurance personnel, insurance fraud investigation, accountants, case managers, and all else related to insurance reimbursement?

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In a word, malfeasance.

Your health care dollars are not being lost to any significant degree to "frivilous lawsuits." That is a lie intended to stear you away from the truth, that American medicine is corrupt to its very core. No politician has been willing to expose what all of them must know: The problem cannot be solved by installing a new health care regime over the top of a system infected by fraud and incompetence. Here are the facts:

Shocking statistical evidence is cited by Gary Null PhD, Caroly Dean MD ND, Martin Feldman MD, Debora Rasio MD and Dorothy Smith PhD in their recent paper Death by Medicine – October 2003, released by the Nutrition Institute of America.

"A definitive review and close reading of medical peer-review journals, and government health statistics shows that American medicine frequently causes more harm than good. The number of people having in-hospital, adverse drug reactions (ADR) to prescribed medicine is 2.2 million. Dr. Richard Besser, of
. . . the CDC, in 1995, said the number of unnecessary antibiotics prescribed annually for viral infections was 20 million. Dr. Besser, in 2003, now refers to tens of millions of unnecessary antibiotics. The number of unnecessary medical and surgical procedures performed annually is 7.5 million. The number of people exposed to unnecessary hospitalization annually is 8.9 million. The total number of iatrogenic deaths shown in the following table is 783,936. It is evident that the American medical system is the leading cause of death and injury in the United States. The 2001 heart disease annual death rate is 699,697; the annual cancer death rate, 553,251.
For those of you unfamiliar with medical jargon, the word "iatrogenic" (seen above) means "caused by a physician." That statistic tells us that 800,000 people die every year due to the actions of their physicians. If that is not terrorism, then nothing is.

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I am afflicted with a particular medical illness. Recently I purchased a product that is being promoted as a "cure" on the Internet. I want to alert people who might purchase this product of the problems I encountered and make sure people know that this company is being investigated for fraud. How would I create some sort of web site, posting or blog that I can use to publish my concerns? I would like for people who google or search for info related to this illness easily find my information.

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There was a public trust where a trustee mismanaged the trust funds for his own benifit to pay his medical expenses. Are the other trustees liable for their negligence to detact the fraud on time?

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The pro Advocate’s want to site rules, why are illegal aliens not required to obey any rules instead they shower them with, oh they just want a better life nevermind those silly rules. Though pro advocate’s siting of rules— what about the rules illegal aliens have to follow like a process to go through if they want come here ? What about those rules ?Where is the advocate’s siting of rules when illegal aliens get to lie,get to steal,get free medical care,document fraud and food stamps ? It was proven on CNN in Oklahoma , when the state admitted to the fact they do give food stamps and welfare to illegal aliens. Only the pro advocate’s seem to be saying illegal aliens are not require to follow any rules = they just want a better life. Do the pro advocate’s have double standards much like Mexico does ? Aren’t they sounding a lot like Mexico these day’s ?
Fruit has nothing to do with rules. Doesn’t matter that an illegal picked a veggie. Rules are rules
Fuser, I’m talking about immigration rules and you want to talk about selling flowers.

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My husband has spent his entire adult life scamming off of other people including myself and my family and it’s about time I stand up on my own and turn him in.
Since we live together and I see how flexible his body is doing all sorts of martial art sports to taking an axe and chopping down huge trees, obviously his medical claims are moot, he’s a fraud.

I’ve been intimidated by him for many years and I need to step up and stop the abuse from him towards myself and others.

I feel this is a start in the right direction.

What do you think and where should I start if you agree with me ?

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