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Scams and the Elderly ...Health Insurance Fraud

10/22/2013

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Every U.S. citizen or permanent resident over age 65 qualifies for Medicare, so there is rarely any need for anyone to research what private health insurance company the elderly  have in order to scam them out of some money. The scam artists already knows.  The perpetrator may impersonate a Medicare Representative in order to obtain personal information such as birth dates and social security numbers of the senior citizen.  The scam artist may provide fraudulent services in makeshift mobile offices or clinics and then bill Medicare for services never provided. 

Several years ago a nursing home owner in Brooklyn opened a medical clinic.  He would have people on the payroll approach elderly and ask them if they wanted tickets to go to the movies.  In exchange for their birth dates and social security numbers, he gave them free tickets to the local Loews complex.   He then began billing Medicare and Medicaid for ongoing physical therapy and expensive medical procedures.  At one point his little clinic in Brooklyn was billing 3/4 of the entire charges budgeted for New York.  Needless to say after monitoring him for several years he was indicted and found guilty of tax evasion.  Evidently the mistake he made was not paying taxes on the money he fraudulently billed....
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    Holly T. Gemme

    I am a private Geriatric Care Manager, Social Worker and Psychologist practicing in the NYC area for the past 30 years.  I specialize in services to the elderly which include Case Management, Home care Services, Assisted Living Placement,  Nursing Home Placement and Medicaid eligibility counseling and Medicaid applications.
    www.hollygemme.com

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