insurance fraud News

California Chiropractor Takes Plea in $150M Workers’ Comp Fraud Scheme

A 56-year-old chiropractor has pleaded guilty for his role in a massive workers’ compensation insurance fraud and conspiracy scheme, the Los Angeles County District Attorney’s Office announced today. Paul Turley, of Granada Hills, Calif., made a factual basis plea on …

Illinois Doctor Convicted of Billing Insurers for Treatment Never Performed

A federal jury has convicted a Chicago doctor on fraud charges for billing insurance companies for purported chiropractic manipulations that were never performed, the U.S. Attorney’s Office for the Northern District of Illinois reported. Dr. Paul Madison, an anesthesiologist and …

More Than 30 New Laws Highlight Record Year for Fraud-Related Legislation

The introduction of new bills slows down during years when legislators tend to be more concerned with reelection. That’s why 2018 was such a surprise, according to Matthew Smith, director of Government Affairs and general counsel for the Coalition Against …

Fraud News: Ex-MLB Pitcher Imprisoned, Auto Med Ring Busted

Former Marlins Pitcher Gets 4 Years for Insurance Fraud A pitcher on the Florida Marlins team that won the 2003 World Series has been sentenced to nearly four years in federal prison for taking part in an insurance scam. The …

Fraud News: Arson Scheme, Fraudulent Storm Claims, Fake COIs

California Man Sentenced to Six Years in Prison for Fraud in Connection with Arson Scheme U.S. District Judge Morrison C. England Jr. sentenced Brian J. Stone of Sacramento, Calif., to six years in prison and to pay over $243,000 in …

Fraud News: Chiro Bribes Cops, Pilot Videos Water Landing, Arson

Missouri Chiropractor sentenced in Police Bribery Scheme A St. Louis, Mo., chiropractor has been sentenced to 30 months in prison and fined $350,000 for a scheme that involved bribing police officers to get information used to solicit clients. Mitchell Davis …

Feds: Doc Who Reviewed Thousands of Medical, Workers’ Comp Appeals is a Fraud

For years, Spyros Panos seemed like a successful orthopedic surgeon, seeing dozens of patients a day and bringing in millions of dollars in fees for his suburban New York medical group. In fact, he was inflating charges and billing for …

4 Tips to Successfully Use Social Media Discovery to Prove Insurance Fraud

Fraud steals $80 billion a year across all lines of insurance, according to the Coalition Against Insurance Fraud. The number of fraud cases has been rising over the last few years, primarily because of the increase of “soft” insurance fraud, …

Fraud News: Chiropractor Billing Scheme, Scammers Change Auto Policies

Colorado Woman Gets 2 Years in $5 Million Medical Billing Scheme A Colorado woman has been sentenced to about two years in federal prison for fraudulently billing insurance companies for $5 million by using unsuspecting chiropractors in the Louisville area. …

Mercury Insurance SIU Celebrates 40 Years of Crime Fighting

Mercury Insurance’s Special Investigations Unit (SIU), founded in 1978, is the company’s secret weapon against fraudulent insurance claims, which cost the average U.S. family $700 per year in increased premiums. The goal of the unit, which consists of 40 seasoned …