Patricia E. Kefalas Dudek
Advocate for Elders, People
with Disabilities
and Their Families
Lincoln wrote the first law on fraud
Below are links to information to help protect yourself from being a victim of fraud, and news/info on Medicaid/Medicare fraud.


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Fraud / Scams:

Businessman Stole Tens of Thousands (Traverse City Record-Eagle - March 29, 2008)
A prominent local businessman helped himself to an elderly German immigrant's finances.

Census Fraud (Consumer Affairs.com - Aug. 23, 2007)
Seniors targeted by mailer asking for information...and credit card numbers.

Don't Be Fooled by Bogus Phone Calls (Michigan Supreme Court - Oct. 2007)
Warning re: Scammers posing as court officials seeking confidential information.

Elder Abuses (Investment Fraud Lawyer Blog - Feb. 2008)
Stockbrokers and financial advisors often target seniors for "free" investment seminars in hopes of obtaining new business relationships. Many so-called "senior advisors" use misleading professional designations to engender trust.

Elder Protection Roundtable (Essex County)
A partnership of law enforcement, healthcare, victim & elder service agencies working together to increase awareness and prevention of elder financial exploitation and fraud.

Fraud Alert (Coalition of Wisconsin Aging Groups)
Archives of newsletters which contain relevant information on healthcare and consumer protection issues, including fraud, waste and abuse in the Medicare program. It also highlights volunteer activities around the state of Wisconsin.

Freeze Care Recipient's Credit Report to Prevent Fraud (Coalition of Wisconsin Aging Groups)
Identity theft can happen to any of us. But, if it happens to a care recipient, the repercussions can impact the ability to pay for future care needs.

Gratiot County Commission Warns About Scam (Caregiving.com - Nov. 2007)
Retirees are receiving telephone calls from people misrepresenting themselves as agents of the Social Security Administration asking for banking account information.

Investor Fraud Study Final Report (NASD Investor Education Foundation - May 12, 2006)
A study that investigated the issue of consumer fraud that targets older Americans.

IRS Warns of E-mail Scam Soliciting Donations to CA Wildfire Victims (IRS - Nov. 2, 2007)
Taxpayers should be on the lookout for a new e-mail scam that appears to be a solicitation from the IRS and the U.S. government for charitable contributions to victims of the recent Southern California wildfires

Marketers Use Trickery to Evade No-Call Lists (Wall Street Journal- Oct. 26,2007)
Older Americans around the country are getting duped by a seemingly innocuous tactic that can expose them to hard-sell pitches from the insurance industry.

Scams Against Seniors (ScamBusters.org)
A special issue on a few scams that are more often committed against seniors, either because the scam artists will have greater success if they target someone older or because seniors seem to fall for them more often.

They Can't Hang Up (Fraud.org)
According to the National Consumers League's National Fraud Information Center, nearly a third of all telemarketing fraud victims are age 60 or older. Studies by AARP show that most older telemarketing fraud victims don’t realize that the voice on the phone could belong to someone who is trying to steal their money.

Utility Bill Refund Email is a Scam (Consumer Affairs.com - Oct. 2007)
Don't fall for this "phishing" scheme that promises a refund, but whose purpose is to steal sensitive information from your computer.

When Telemarketers Call Seniors, Unintended Donations Can Result (Fox Business - Jan. 9, 2008)
While there have been recent hearings on Capitol Hill aimed at preventing the financial abuse of seniors, there's been very little talk about how many people are probably being taken advantage of by legitimate fundraising telemarketers, to the tune of hundreds or thousands of dollars per year.

News / Articles re: Medicaid/Medicare Fraud

Albuquerque Business Owner Charged With Medicaid Fraud (Las Cruces Sun-News - Dec. 26, 2007)
An Albuquerque business owner is facing two counts of Medicaid fraud for submitting false billing to the Medicaid program.

Corporate Whistleblower Center Says Medicare/Medicaid Fraud Out of Control (PR Web - Jan. 11, 2008)
Americas Watchdog's Corporate Whistleblower Center is releasing its annual report on Medicare & Medicaid fraud, and according to the group things have never been worse. The report focuses on nursing homes, drug/medical device companies, not for profit, and boutique hospitals. The group referred to its findings as grim with respect to Medicare and Medicaid over billing & fraud.

Guy Bell Sentenced for Role in Felony Medicaid Fraud Scheme (InsuranceNewsNet.com)
Company received more than $4 million for services never rendered.

Campaign Promises a Year Later: Medicaid Fraud Collections Rise (Newsday.com - Dec. 25, 2007)
A year ago, candidates for governor and attorney general promised voters they would crack down on Medicaid fraud to bring back millions of taxpayer dollars that have been wasted by unscrupulous doctors and scam artists.

Cuomo vs. Medicaid Fraud (New York Post - Oct. 29, 2007)
Some 18 home-health-care workers and a patient were arrested on charges of defrauding the state through improper billing and no-show jobs.

Dentists Charged $150K in False Medicaid Claims (Crain's New York Business.com - Jan. 22, 2008)
Five New York City dentists overcharged the city’s Medicaid program by thousands and potentially millions of dollars for dental fillings, according to an audit released Tuesday by state Comptroller Thomas DiNapoli.

Erie County Suing Merck for Medicaid Fraud (Buffalo Business First - Oct. 2007)
Lawsuit filed against Merck & Co., the maker of the prescription drug, Vioxx, alleging the pharmaceutical maker defrauded the Medicaid program of an estimated $6 million.

Former Kentucky Dentist Arrested for Medicaid Fraud (Kentucky.gov - Dec. 21, 2007)
According to the indictment, Craig L. Ralston fraudulently billed and accepted payments from the Kentucky Medicaid Program for tooth extractions that he did not perform between 1998 and 2004.

Legislature proposes 2008 Medicaid Fraud Waste and Abuse Reduction Initiative (CBS Albany - Oct. 2007)
Responding to a proposed 9.7% tax hike, the Schenectady County legislature has made several amendments to the 2008 budget proposal.

Medicaid Fraud (Lawyers & Settlements.com - Dec. 10, 2007)
The State and Federal Governments brought charges against Harris Methodist Hospital in Bedford, alleging that the hospital submitted improper Medicaid and Medicare claims.

Medicaid Fraud Suspects Busted (Bradenton Herald - Oct. 26, 2007)
More than two dozen people were being sought by law enforcement officials today in Onondaga County's latest crackdown of fraud by Medicaid recipients.

Medicaid Fraud Nets Therapist Probation Term (The Post-Standard - Oct. 24, 2007)
A respiratory therapist charged with Medicaid fraud was sentenced to 15 years of probation and 200 hours of community service after pleading guilty to fraud charges.

Medicaid Fraud Victimizes Public, State, Experts Say (Capital News Service - March 21, 2008)
A Medicaid recipient dies of lung cancer after being given a clean bill of health from unqualified doctors.

Medicare and Medicaid Fraud Happen Quite a Lot (Bay State Detective Blog - Oct. 2007)
If you suspect fraud as far as your Medicaid is concerned, check out these guidelines.

Miami-Dade Pediatrician Arrested for Defrauding Medicaid (Florida Attorney General - Dec. 13, 2007)
Attorney General Bill McCollum today announced the arrest of a Miami-Dade physician for defrauding Florida’s Medicaid program out of more than $65,000.

Overpayment to Mental Health Providers (Hudson Valley Press Online - Dec. 26, 2007)
A psychiatrist improperly billed Medicaid on eight separate occasions for more than 24 hours of treatment in a single day and appears to have billed for patients he never treated.

Pharmaceutical Companies Pay $6.75M to Settle State Medicaid Fraud Case (Birmingham Business Journal - Jan. 9, 2008)
Two pharmaceutical companies will pay the state of Alabama to settle cases of fraudulently inflation of prescription drug prices to the state's Medicaid Agency.

Probe Finds 30,000 Medicaid Providers Cheating on Taxes (USA Today - Nov. 2007)
...but the government can't trim health care payments in order to collect.

Rhode Island Receives Medicaid Fraud Settlement - (Rhode Island News - Oct. 2007)
Rhode Island’s Medicaid Fraud Control Unit has recovered $589,310 as part of a $160-million national settlement with two out-of-state companies in a case involving Medicaid fraud.

Southfield Adult Care Consultant Accused of License Fraud - (Freep.com - Oct. 18, 2007)
A Southfield woman who worked as a Department of Human Services consultant was arraigned on charges that she took bribes and forged paperwork to expedite three adult foster care license applications.

State Investigating Ambulance Company Accused of Medicaid Fraud - (Myrtle Beach Online - Nov. 15. 2007)
The state attorney general's office is investigating whether Gaffney-based Ambu-Star billed Medicaid and Medicare for providing basic life support when it wasn't needed.

Tennessee Home and Community-Based Mental Retardation Services - (DHHS Report)
HCBS claims not properly documented by Medicaid agency - 10/25/07

Thousands of Medicaid Providers Abuse the Federal Tax System - (Government Accountability Office)
Report to the Permanent Subcommittee on Investigations, Committee on Homeland Security and Governmental Affairs, U.S. Senate

Whistle-Blower 'Blown Away' by DOJ Reward Stance (ABA Journal - Oct. 25, 2007)
Cell Therapeutics has agreed to settle a whistle-blower suit that contended the company marketed a cancer drug for unapproved uses, costing Medicare millions of dollars. But the whistle-blower could get nothing.