Category Archive: Healthcare


Medical Record Healthcare

The Health Impact of Fraud

By David D., Account Executive

December 21, 2018

As the PI Director at an MCO and as the VP at the South-Central US ZPIC, I saw the impact…

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Learning analytics identify human technology

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, 2018

During 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

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

An “Amazing” Contributor to the Nation’s Opioid Crisis

By Jon Coss, CEO

February 26, 2018

The 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

A New Way to Rip Off the Taxpayer

By Jon Coss, CEO

February 23, 2018

I 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

Social Security Fraudster Captured in Honduras

By Jon Coss, CEO

December 13, 2017

Several 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

Ebola Relief Fraud

By Jon Coss, CEO

November 13, 2017

As a country, we have become accustomed to reading stories about fraud in healthcare, financial services, and government programs. It…

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A Reminder of Government’s Important Role in Helping Americans

By Jon Coss, CEO

October 30, 2017

Regular 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

Disturbing Reports of Dentists Committing Medicaid Fraud

By Jon Coss, CEO

October 4, 2017

A 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?

$1.5 Million to Clip Toenails?

By Jon Coss, CEO

September 9, 2017

While I don’t think healthcare fraud is a particularly humorous subject, a recent case in Florida does lead to a…

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