Corruption in the Medicaid program is nothing new but the complaint, filed this week by the U.S. Attorney in Manhattan, indicates the problem is much worst than previously reported. Federal authorities claim that nearly 18,000 people in the city received costly, taxpayer-financed personal care services that should not have been covered or weren’t medically necessary.
The FBI considers mortgage fraud as one of the fastest growing white collar crime in the country. Its true size is unknown, but the FBI is sure that costs billions each year. Who pays for this? We pay the costs and consequences s mortgage expenses, higher taxes and expensive homes. Although its true extent is unknown, we can still do something to stop it. We will educate ourselves so we can identify fraudulent activity and we know a witness. In this case, it shall immediately so it can be studied and will be processed correctly.
A Pennsylvania doctor has repaid South Carolina a whopping $2.3 million in restitution, costs and fees following a judgment against him in a Medicaid fraud case.
The South Carolina Attorney General’s office said the state collected the money today from Dr. Saroj K. Parida, of Lititz, Penn. Parida was charged by South Carolina with first degree computer crime and defrauding the state Medicaid program.
Industry Groups Seek Crackdown on Insurance Scams
Florida motorists pay second-highest auto liability premiums in the nation
Mortgage fraud is still on the rise, according to a report released Monday, despite efforts by law enforcement and policy makers to rein it in.
Incidents of mortgage fraud perpetrated by industry professionals increased 7% in 2009, after jumping 26% the year before, said the Mortgage Asset Research Institute (MARI), a division of LexisNexis. The worst-hit states include Florida, California, Arizona, New York, New Jersey and Maryland.
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Common law fraud has nine elements:
1. a representation of an existing fact;
2. its materiality;
3. its falsity;
4. the speaker’s knowledge of its falsity;
5. the speaker’s intent that it shall be acted upon by the plaintiff;
6. plaintiff’s ignorance of its falsity;
7. plaintiff’s reliance on the truth of the representation;
8. plaintiff’s right to rely upon it; and
9. consequent damages suffered by plaintiff.
Most jurisdictions in the United States require that each element be pled with particularity and be proved with clear, cogent, and convincing evidence (very probable evidence) to establish a claim of fraud. The measure of damages in fraud cases is to be computed by the “benefit of bargain” rule, which is the difference between the value of the property had it been as represented, and its actual value. Special damages may be allowed if shown proximately caused by defendant’s fraud and the damage amounts are proved with specificity.
Fraud can be committed through many media, including mail, wire, phone, and the Internet (computer crime and Internet fraud). The international dimensions of the web and ease with which users can hide their location, the difficulty of checking identity and legitimacy online, and the simplicity with which crackers can divert browsers to dishonest sites and steal credit card details have all contributed to the very rapid growth of Internet fraud.
Types of criminal fraud include:
* bait and switch
* bankruptcy fraud
* benefit fraud, committing fraud to get government benefits
* counterfeiting of currency, documents or valuable goods
* confidence tricks such as the 419 fraud and Spanish Prisoner
* creation of false companies or “long firms”
* embezzlement, taking money which one has been entrusted with on behalf of another party
* false advertising
* false billing
* false insurance claims
* forgery of documents or signatures,
* Franchise fraud where the real profit is earned, not by the sale of the product, but by the sale of new franchise licenses.
* fraud upon the court
* health fraud, for example selling of products known not to be effective, such as quack medicines,
* identity theft
* Insurance fraud
* investment frauds, such as Ponzi schemes and Pyramid schemes
* Moving scam
* religious fraud
* marriage fraud to obtain immigration rights without entitlement
* rigged gambling games such as the shell game
* securities frauds such as pump and dump
* tax fraud, not reporting revenue or illegally avoiding taxes. In some countries, tax fraud is also prosecuted under false billing or tax forgery
FBI’s Most Wanted Cyber Criminals.
Senior citizens are most likely to have a “nest egg,” to own their home, and/or to have excellent credit—all of which make them attractive to con artists.