California Capper Gets 1 Year for Role in $154M Insurance Scam

One California woman, who has been known to many as a “capper,” has struck a deal with prosecutors and has pleaded guilty for her role in what is being called “the largest medical fraud prosecution in the nation.” A capper is someone who illegally recruits healthy patients to undergo unnecessary...

November 28th, 2011 | Insurance Fraud, s | Read More

FL Patient Recruiter Pleads Guilty in $25 Million Scam

On November 8th, the Department of Justice, the FBI and the Department of Health and Human Services (HHS) announced that a patient recruiter from a Miami health care agency has pled guilty for her part in a $25 million home health Medicare fraud scheme. According to the press release, Beatriz Torres-Cruz,...

November 9th, 2011 | 2, Insurance Fraud | Read More

24 New Yorkers Charged in Fraudulent Billing Scam

Two dozen New Yorkers are in serious trouble with the law, stemming from 3 separate indictments for health care fraud. Twenty-two of those defendants are charged with participating in fraudulent billing scams that forced no-fault insurance carriers to dole out millions of dollars in reimbursements for...

October 25th, 2011 | Insurance Fraud, s | Read More

CA Lawyer Shot Down by “Phantom Menace”

On April 1, 2010 we brought you the story of a Los Angeles area attorney who was arrested for her involvement in an auto fraud ring. She was recently sentenced to probation and ordered to pay restitution for that role. According to the Insurance Journal, on August 22nd the California Insurance Commissioner...

August 25th, 2011 | 2, Rings & Mills | Read More

Orange County Surgery Scam Falls Apart

Add a couple more to the long line of doctors that are billing medical insurance companies for unnecessary exams. According to the Los Angeles Times, 65-year-old Dr. Michael Chan of Cerritos was convicted on August 4th of performing unnecessary and dangerous surgeries. More than 160 patients were involved...

August 5th, 2011 | Insurance Fraud | Read More

NJ Ring of Chiros and Runners Dismantled

Several people were arrested by state officials on July 27th for their alleged involvement in a scheme designed to keep the chiropractor’s offices full of patients. Attorney General Paula Dow called it one of the biggest cases of its kind in state history. According to the New Jersey Real-Time News,...

August 2nd, 2011 | Rings & Mills | Read More

Star Witness in Salem Fraud Trial Takes the Stand

In a Salem, MA court room yesterday, a Lawrence man sat in the witness stand as the prosecutions star witness for an insurance fraud scam, detailing his involvement in what prosecutors call “paper” accidents that never actually took place. As the Eagle-Tribune reports, Leo Lopez spent...

April 27th, 2011 | 2, Rings & Mills, Staged Accidents | Read More

Personal Injury Attorney Charged in Fraud Ring

Her website reads, “”We pride ourselves on our honesty, integrity, detailed knowledge and real-world application of the law.” However, according to the San Francisco Chronicle, the Alameda County District Attorney’s Office is alleging that this attorney, Susana Ragos Chung, 59, strayed...

April 1st, 2010 | Rings & Mills | Read More

Posts Tagged ‘Patient Recruiting’