Category Archive: Healthcare


coronavirus and earth

Coronavirus Security

By Adi K, ISO

March 13, 2020

Friends of Pondera, with “coronavirus” the number one searched subject matter in the world, it is not a surprise that…

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coronavirus

Coronavirus Fraud

By Jon Coss, CEO

March 12, 2020

With the old expression “Never let a crisis go to waste” ringing through my head, I am not at all…

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prescription drugs and money

Rampant Greed at Any Cost

By Jon Coss, CEO

February 19, 2020

In a particularly disturbing drug fraud scheme, John Kapoor, the billionaire founder of Insys Therapeutics, was sentenced last month to…

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man on hoverboard in business clothes

Hoverboard Dentist Update

By Jon Coss, CEO

February 3, 2020

Way back in October of 2017, I wrote a blogpost about an Anchorage dentist who was defrauding Medicaid by performing…

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doctor in cuffs

A $28,000 Case of the Sniffles

By Jon Coss, CEO

January 2, 2020

Imagine going to the doctor because you just can’t shake that cold before the holidays and then receiving a bill…

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dna strand

Forensic Genetic Genealogy

By Jon Coss, CEO

December 24, 2019

In a move that a decade ago could have only been imagined by writers of science fiction novels, the Justice…

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shows people working in an ambulance

Using Big Data to Improve Emergency Response Times

By David D., Account Executive

July 15, 2019

Using Big Data to Improve Emergency Response Times Ten thousand lives could be saved each year if emergency crews were…

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piles of money

Is $56B enough to get our attention?

By Tom M., Project Manager

February 27, 2019

All Posts $56 billion in overpayments? That’s more than the entire budget for the Department of Homeland Security.  In a…

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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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Does the Mylan EpiPen Settlement Send the Wrong Message to Fraudsters?

Does the Mylan EpiPen Settlement Send the Wrong Message to Fraudsters?

By Jon Coss, CEO

August 23, 2017

The 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

Largest Health Care Fraud Bust in History

By Jon Coss, CEO

July 18, 2017

Last week, the Department of Justice announced that they had made the largest “National Health Care Fraud Takedown” in history….

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