Articles about insurance fraud

The Coalition has assembled hundreds of articles about insurance fraud, which can be searched by author and by subject. View the latest articles posted.

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Doc makes fortune from worthless mental-illness drugs
August 02, 2016
imageMental illness made Dr. Fernando Mendez-Villamil rich and taxpayers that much poorer.  The Miami psychiatrist spooned out epidemic levels of antipsychotic drugs to seniors in Medicare and lower-income people in Medicaid. Mendez-Villamil became a national icon of overprescribing. He peddled nearly 97,000 scripts for powerful anti-psychotic drugs to Medicaid ...

Cohesive Partnerships Key To Combating Fraud
July 18, 2016
Joint efforts advancing battle against insurance-fraud epidemic imageWASHINGTON, July 18, 2016 — The growing number of partnerships within the insurance fraud-fighting community is a key reason for many recent successes in battling this crime. Many of those successes were highlighted in the 2015 annual report of the Coalition ...

Healthy ways to protect against unhealthy Medicare cons
July 15, 2016
Medicare loses about $68 billion to fraud each year, says the National Heath Care Anti-Fraud Association. These large costs are a threat to the nation’s economy. National healthcare expenditures surpassed an estimated $3 trillion in 2014, and this spending increases inflation. And it was projected to grow a ...

Anti-fraud groups: allow EUOs without court order
July 13, 2016
imageRequiring court orders stymies fraud investigations, encourages litigation WASHINGTON, July 12, 2016 — Examinations under oath help insurers combat fraud and should be allowed without requiring time-consuming court orders in Kentucky, the Coalition Against Insurance Fraud and National Insurance Crime Bureau say in a joint amicus ...

New Mobile App Eases Access To Insurance-Fraud Info
July 08, 2016
imageWASHINGTON, July 7, 2016 — Regularly updated fraud news and trend information are accessible for the first time to smartphone and iPad users through a new mobile app from the Coalition Against Insurance Fraud.  The new app FraudWire allows convenient viewing of regularly updated Coalition information that’s ...

Brains, birds and bugs explain muddled cons?
July 06, 2016
Scammers make desperate excuses to escape insurance-fraud busts imageNot smart enough to lie about his injured ankle. That was the Hail Mary defense Todd Romero tossed up, trying to steal workers-compensation money for a supposedly injured ankle. Insurance fraudsters like Romero often doll out brainless excuses when trying ...

Texas Supreme Court Urged To Let Insurers Prove Fraud
June 09, 2016
imageCoalition: Insurance scams can thrive if schemers hide false injury claims WASHINGTON, June 9, 2016 — Allowing medical providers to hide false claims amid treatment for crash injuries will encourage scams and could discourage insurers from writing business in Texas, the Coalition Against Insurance Fraud says in an ...

Home arsonists try to murder witness
June 02, 2016
imageTyesha Towanda Roberts wanted to help her uncle torch a crony’s home for an insurance payday. Roberts was prepared to help make the insurance plot a grisly murder scene. The Baltimore woman agreed to provide a false alibi, and help rub out an inconvenient witness. Bad ...

MD makes installing, selling fake airbags a crime
May 10, 2016
Coalition lauds Gov. Hogan’s signing of bill aimed at deadly insurance con imageMaking airbag scams a specific crime in Maryland will help save lives and clamp down on a costly insurance scam, the Coalition Against Insurance Fraud said in lauding Maryland Gov. Larry Hogan’s signing a fraud ...

Lawless libido traps cheater in partner-swap comp romp
May 03, 2016
imagePrison guard John Alfonzo Smiley turned a night of sex frolicking into a dodgy workers-compensation claim. But then fraud investigators, well, exposed his X-rated exploits and sent him to jail. Smiley was paralyzed from a gunshot wound as he and his wife left a San Francisco restaurant after ...