A $90 million billing scheme found last year at a rural Missouri hospital spread to as many as 10 other hospitals, according to lawsuit filed by a couple from suburban Kansas City. James and Phyllis Shaffer are suing Jorge Perez …
North Carolina Family Charged With Insurance Fraud Officials have filed multiple charges against a North Carolina couple and their daughter in connection with two cases of arson at homes of people the wife knew. The N.C. State Bureau of Investigation …
Sicilian gangsters dropped 25-kilo (55-pound) cast-iron weights on the limbs of drug addicts, alcoholics and other vulnerable people to obtain insurance payments for fake car accidents worth hundreds of thousands of euros, police said Wednesday after making 11 arrests in …
California’s workers’ compensation system has undergone numerous changes since the implementation of the sweeping reforms that started in 2013 with Senate Bill 863. In the last few years medical provider fraud has been addressed by subsequent new laws, a plague …
The Maryland Insurance Administration (MIA) continues to investigate and prosecute individuals and businesses for committing insurance fraud. Insurance fraud, one of the most costly crimes in the country, costs Maryland consumers money in the form of higher premiums. During the …
North Texas Woman Heading to Prison for Burning Down House A Dallas, Texas, woman with a history of filing 31 insurance claims against a dozen companies got burned when one turned out to be arson. Genevieve Thompson was sentenced this …
A Pennsylvania man working at a Superstorm Sandy housing recovery center in New Jersey solicited thousands of dollars in bribes and fictitious fees from storm victims by telling them he could expedite and/or increase the amount of money they received, …
A federal judge denied a request from the NFL on Wednesday to appoint a special investigator to look into what the league says is extensive fraudulent claims on the $1 billion concussion settlement. Judge Anita Brody wrote in her federal …
Texas Healthcare Provider Sentenced for Workers’ Comp Fraud A Deer Park, Texas, healthcare worker has been sentenced for falsifying workers’ compensation claims. A Travis County District Court sentenced Enrique Colon to three years deferred adjudication and ordered him to pay …
Insurance companies are generating more data than ever before, and the value of that data is rapidly increasing as new products are able to properly analyze and make use of it. Beyond traditional analytics, one way that data can deliver …