Category Archive: Healthcare
Coronavirus Security
By Adi K, ISO
March 13, 2020Friends of Pondera, with “coronavirus” the number one searched subject matter in the world, it is not a surprise that…
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Coronavirus Fraud
By Jon Coss, CEO
March 12, 2020With the old expression “Never let a crisis go to waste” ringing through my head, I am not at all…
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Rampant Greed at Any Cost
By Jon Coss, CEO
February 19, 2020In a particularly disturbing drug fraud scheme, John Kapoor, the billionaire founder of Insys Therapeutics, was sentenced last month to…
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Hoverboard Dentist Update
By Jon Coss, CEO
February 3, 2020Way back in October of 2017, I wrote a blogpost about an Anchorage dentist who was defrauding Medicaid by performing…
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A $28,000 Case of the Sniffles
By Jon Coss, CEO
January 2, 2020Imagine going to the doctor because you just can’t shake that cold before the holidays and then receiving a bill…
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Forensic Genetic Genealogy
By Jon Coss, CEO
December 24, 2019In a move that a decade ago could have only been imagined by writers of science fiction novels, the Justice…
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Using Big Data to Improve Emergency Response Times
By David D., Account Executive
July 15, 2019Using Big Data to Improve Emergency Response Times Ten thousand lives could be saved each year if emergency crews were…
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Is $56B enough to get our attention?
By Tom M., Project Manager
February 27, 2019All Posts $56 billion in overpayments? That’s more than the entire budget for the Department of Homeland Security. In a…
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The Health Impact of Fraud
By David D., Account Executive
December 21, 2018As the PI Director at an MCO and as the VP at the South-Central US ZPIC, I saw the impact…
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Analytics are more than Numbers and Stats – It’s About People by Tammy Marple, VP – Special Investigations Unit
by Tammy M., Vice President SIU
August 7, 2018During my time as a fraud analyst, I realized that my work was so much more than just numbers and…
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Ambulette Fraud
By Jon Coss, CEO
March 28, 2018“Ambulette” is a term to describe the vans and cars that transport Medicaid patients to non-emergency appointments. Despite the presence…
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An “Amazing” Contributor to the Nation’s Opioid Crisis
By Jon Coss, CEO
February 26, 2018The Sacramento Bee, my local newspaper, reported this week on an area doctor, a seemingly successful cardiologist and graduate of…
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A New Way to Rip Off the Taxpayer
By Jon Coss, CEO
February 23, 2018I often mention how “impressed” I am by the ingenuity of fraudsters and their ability to find new and creative…
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Social Security Fraudster Captured in Honduras
By Jon Coss, CEO
December 13, 2017Several months ago, we wrote a post about the self-proclaimed “Mr. Social Security”, Kentucky attorney Eric Conn, who fled prosecutors…
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Ebola Relief Fraud
By Jon Coss, CEO
November 13, 2017As a country, we have become accustomed to reading stories about fraud in healthcare, financial services, and government programs. It…
Read moreA Reminder of Government’s Important Role in Helping Americans
By Jon Coss, CEO
October 30, 2017Regular readers of this blog know that we often focus our comments on the fraud and abuses in government subsidy…
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Disturbing Reports of Dentists Committing Medicaid Fraud
By Jon Coss, CEO
October 4, 2017A recent spate of high profile arrests of dentists is drawing attention to an often-overlooked segment of Medicaid fraud. Some…
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$1.5 Million to Clip Toenails?
By Jon Coss, CEO
September 9, 2017While I don’t think healthcare fraud is a particularly humorous subject, a recent case in Florida does lead to a…
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Does the Mylan EpiPen Settlement Send the Wrong Message to Fraudsters?
By Jon Coss, CEO
August 23, 2017The United States government and several states recently announced that they had settled a $465 million lawsuit against Mylan Inc.,…
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Largest Health Care Fraud Bust in History
By Jon Coss, CEO
July 18, 2017Last week, the Department of Justice announced that they had made the largest “National Health Care Fraud Takedown” in history….
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