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Overbilling Medicaid and Medicare by $2.5 Million: Orange Man Pleads Guilty - News - Sp... - 2 views

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    According to Steven M. Dettelbach, United States Attorney for the Northern District of Ohio, a man who lives in Orange, Ohio admitted to overbilling Medicaid and Medicare by more than $2.5 million. Thirty-nine year old, Divyesh "David" C. Patel, pleaded guilty to one count of conspiracy to having been involved to health care fraud and four counts of health care fraud. Patel is anticipated to be sentenced later on this year. Dettelbach said, "This defendant enriched himself and his company by flouting rules designed to protect the public." "Mr. Patel defrauded the tax payers by scamming Medicaid and Medicare," said Stephen D. Anthony, Special Agent in Charge of the FBI's Cleveland Field Office. "Waste, fraud, and abuse take critical resources out of our health care system and contribute to the rising cost of health care for all Americans." According to court documents, Patel was the owner and president of Alpine Nursing Care Inc., located at 4753 Northfield Road, Suite 5, North Randall, Ohio, and employed Belita Mable Bush as the office manager and director of provider services from June 1, 2006 through October 18, 2009. An additional info according to court documents is Patel and Alpine employed Bush to prepare and submit the billings to Medicaid and Medicare for reimbursement for services provided by Alpine as a home health care provider, even though Patel knew that Bush had been previously convicted of a health care-related felony that excluded Bush from being involved in any way with Alpine's Medicaid and Medicare billings. In addition to the fact that Bush was excluded from handling Alpine's medical billings, Patel was aware that Bush falsified documents related to health care services allegedly provided to home health patients where the services were never provided or were provided by home health aide that had previous criminal convictions that excluded them from providing health services in people's houses, a
Chanel Lohan

India becomes world's top spammer-tumblr-blogger - The-looser-it-s-me - 0 views

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    If you've got a junk email folder full of spam, there's nearly a 10 percent chance it came from a computer in India, the world's new top spam producer. India claimed the unwanted crown from the U.S. in the security firm Sophos' most recent "Dirty Dozen" report of the top spamming countries between January and March. Rounding out the infamous top five are South Korea, which accounts for 8.3 percent of spam, and Indonesia and Russia, both of which distribute 5 percent of the spam clogging up inboxes. Trailing Russia are Italy (4.9 percent ), Brazil (4.3 percent), Poland (3.9 percent), Pakistan (3.3 percent), Vietnam (3.2 percent), Taiwan (2.9 percent) and Peru (2.5 percent). [The 10 Biggest Online Security Myths - And How to Avoid Them] According to Sophos' chief technical officer Graham Cluley, the computers in these high-spamming countries might be sending out their junk messages without the complicity of the computers' actual owners. "The vast majority of spam comes from home computers that have been compromised by hackers, and commandeered into a botnet," Cluley explained. Botnets, short for "robot networks," function like automated zombie armies; infected with a malicious piece of software that puts them under the control of a remote operator, they carry out the orders of the command-and-control server - including sending mass amounts of spam emails - all without the computer owner's knowledge. Cluley said total spam output has actually decreased since the same time period last year. He credited this decline to cybercriminals switching up their approach; they are crafting more targeted email scams, and taking advantage of the massive popularity of social networks like Facebook and, more recently, Pinterest, to do the scam-spreading work for them. Fortunately, whatever country you're in, you can download anti-virus software that can help prevent th
Gary Mason

South Springhill Korea Group: India becomes world's top spammer-tumblr - 0 views

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    If you've got a junk email folder full of spam, there's nearly a 10 percent chance it came from a computer in India, the world's new top spam producer. India claimed the unwanted crown from the U.S. in the security firm Sophos' most recent "Dirty Dozen" report of the top spamming countries between January and March. Rounding out the infamous top five are South Korea, which accounts for 8.3 percent of spam, and Indonesia and Russia, both of which distribute 5 percent of the spam clogging up inboxes. Trailing Russia are Italy (4.9 percent ), Brazil (4.3 percent), Poland (3.9 percent), Pakistan (3.3 percent), Vietnam (3.2 percent), Taiwan (2.9 percent) and Peru (2.5 percent). [The 10 Biggest Online Security Myths - And How to Avoid Them] According to Sophos' chief technical officer Graham Cluley, the computers in these high-spamming countries might be sending out their junk messages without the complicity of the computers' actual owners. "The vast majority of spam comes from home computers that have been compromised by hackers, and commandeered into a botnet," Cluley explained. Botnets, short for "robot networks," function like automated zombie armies; infected with a malicious piece of software that puts them under the control of a remote operator, they carry out the orders of the command-and-control server - including sending mass amounts of spam emails - all without the computer owner's knowledge. Cluley said total spam output has actually decreased since the same time period last year. He credited this decline to cybercriminals switching up their approach; they are crafting more targeted email scams, and taking advantage of the massive popularity of social networks like Facebook and, more recently, Pinterest, to do the scam-spreading work for them. Fortunately, whatever country you're in, you can download anti-virus software that can help prevent these spam-spewing armies from enlisting
Gary Mason

South Springhill Korea Group: India becomes world's top spammer-tumblr - The-looser-it-... - 0 views

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    If you've got a junk email folder full of spam, there's nearly a 10 percent chance it came from a computer in India, the world's new top spam producer. India claimed the unwanted crown from the U.S. in the security firm Sophos' most recent "Dirty Dozen" report of the top spamming countries between January and March. Rounding out the infamous top five are South Korea, which accounts for 8.3 percent of spam, and Indonesia and Russia, both of which distribute 5 percent of the spam clogging up inboxes. Trailing Russia are Italy (4.9 percent ), Brazil (4.3 percent), Poland (3.9 percent), Pakistan (3.3 percent), Vietnam (3.2 percent), Taiwan (2.9 percent) and Peru (2.5 percent). [The 10 Biggest Online Security Myths - And How to Avoid Them] According to Sophos' chief technical officer Graham Cluley, the computers in these high-spamming countries might be sending out their junk messages without the complicity of the computers' actual owners. "The vast majority of spam comes from home computers that have been compromised by hackers, and commandeered into a botnet," Cluley explained. Botnets, short for "robot networks," function like automated zombie armies; infected with a malicious piece of software that puts them under the control of a remote operator, they carry out the orders of the command-and-control server - including sending mass amounts of spam emails - all without the computer owner's knowledge. Cluley said total spam output has actually decreased since the same time period last year. He credited this decline to cybercriminals switching up their approach; they are crafting more targeted email scams, and taking advantage of the massive popularity of social networks like Facebook and, more recently, Pinterest, to do the scam-spreading work for them. Fortunately, whatever country you're in, you can download anti-virus software that can help prevent these spam-spewing armies from enlisting
Louis Tomb

Following the Money in Health Care Fraud: Reflections on a Modern-Day Yellow Brick Road - 2 views

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    http://papers.ssrn.com/sol3/papers.cfm?abstract_id=1649474Health care fraud is all about the money. The United States spent an estimated $2.5 trillion on health care in 2009, with over $918 billion of that coming from the federal government. Under some estimates, up to 10 percent of that amount - no one quite knows for sure - might be lost to fraud.
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    You, my pal, ROCK! I found simply the information I already searched everywhere and just could not come across. What a great web-site.
Willow Ranche

Following the Money in Health Care Fraud: Reflections on a Modern-Day Yellow Brick Road... - 1 views

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    Following the Money in Health Care Fraud: Reflections on a Modern-Day Yellow Brick Road http://papers.ssrn.com/sol3/papers.cfm?abstract_id=1649474 Health care fraud is all about the money. The United States spent an estimated $2.5 trillion on health care in 2009, with over $918 billion of that coming from the federal government.
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    Thank you for such a fantastic blog. Where else could anyone get that kind of info written in such a perfect way? I have a presentation that I am presently working on, and I have been on the look out for such information.
Sandy Hayek

Following the Money in Health Care Fraud: Reflections on a Modern-Day Yellow Brick Road - 1 views

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    Abstract: Health care fraud is all about the money. The United States spent an estimated $2.5 trillion on health care in 2009, with over $918 billion of that coming from the federal government. Under some estimates, up to 10 percent of that amount - no one quite knows for sure - might be lost to fraud. But the relationship between health care fraud and the U.S. health care system is far more complex than might first appear. Would-be "fraudsters" are not the only ones who respond to the financial incentives in the system. Due to the unique nature of the laws used to pursue health care fraud, both public and private prosecutors also follow the money in choosing their targets and both may share in the spoils of a successful prosecution. Perceptions about the money lost to health care fraud also have enormous influence on policymakers, as exemplified by the recent health care reform debate. In short, money may drive health care fraud, but not all roads lead in the same direction. This essay explores three different perspectives on the ways in which health care fraud "follows the money" - the would-be perpetrators of fraudulent schemes, the public and private prosecutors who pursue fraudulent activities, and the policymakers who work to prevent fraud and recapture lost funds for legitimate program purposes. Number of Pages in PDF File: 27 Keywords: Health Care, Health Care Fraud, Crime, White Collar Crime Accepted Paper Series
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    I think you've made some truly interesting points. Not too many people would actually think about this the way you just did.
Gary Mason

Reflections on a Modern-Day Yellow Brick Road-livejournal-zimbio - 2 views

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    http://louistomb.livejournal.com/3450.htmlHealth care fraud is all about the money. The United States spent an estimated $2.5 trillion on health care in 2009, with over $918 billion of that coming f...
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    Sounds interesting enough; maybe I'll watch out for this.
Holly Vouger

Following the Money in Health Care Fraud: Reflections on a Modern-Day Yellow Brick Road - 1 views

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    http://hayeksandy.blog.com/2012/07/25/fo llowing-the-money-in-health-care-fraud-r eflections-on-a-modern-day-yellow-brick-r oad/ Health care fraud is all about the money. The United States spent an estimated $2.5 trillion on health care in 2009, with over $918 billion of that coming from the ...
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    You wrote some thing that individuals could comprehend and produced the subject intriguing for everyone. Truly, fantastic blog youve got here.
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