Are You a Victim of Medi-Care Fraud? The Fraud Dog is on the Case!

Linda Webb "The Fraud Dog" Reality TV StarPRLog (Press Release) – Jul 21, 2011 – Miami Florida - The Fraud Dog announced today the Medicare Fraud Strike Force cracked one of the nations largest Medi-Care fraud cases. A Miami-area resident and owner of a fraudulent physical therapy company in Lakeland, Fla., pleaded guilty today for his role in a scheme to defraud Medicare, the Departments of Justice and Health and Human Services (HHS) announced.

Jorge Zamora, 48, pleaded guilty before U.S. Magistrate Judge Mark A. Pizzo in Tampa, Fla., to one count of conspiracy to commit health care fraud.  

According to court documents, Zamora was an owner of Dynamic Therapy Inc.  Zamora and his co-conspirators purchased Dynamic from its previous owners, and transformed it into a fraudulent enterprise.  Dynamic purported to provide physical therapy services to Medicare beneficiaries, but in reality used the stolen identities of a physical therapist and scores of patients to bill Medicare for physical therapy services that were never provided.

According to court documents, from fall 2009 to summer 2010, Zamora and his co-conspirators submitted and caused the submission of $757,654 in fraudulent claims to the Medicare program by Dynamic.  Zamora admitted that he and his co-conspirators submitted claims to Medicare for physical therapy services that were never provided.

Three officers of Dynamic Therapy also have pleaded guilty to conspiracy to commit health care fraud. At sentencing, Zamora faces a maximum penalty of 10 years in prison and a $250,000 fine.

Since their inception in March 2007, Medicare Fraud Strike Force operations in nine locations have charged more than 1,000 defendants who collectively have falsely billed the Medicare program for more than $2.3 billion.  In addition, the HHS Centers for Medicare and Medicaid Services, working in conjunction with the HHS-OIG, are taking steps to increase accountability and decrease the presence of fraudulent providers.

WE CAN FIGHT AND STOP THE FRAUDSTER....but we need your help...  FRAUD DOG SAYS..... FRAUDSTER we are coming for you....... with the help of the American people!

Have you been a victim of Fraud? We want to hear your story! Go to http://Frauddog.tv

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Tornado Victims, Don't Become a Victim of Insurance Fraud!

Linda Webb Investigates Tornado Insurance FraudPRLog (Press Release) – Jul 21, 2011 – Jefferson City, Mo. - The Missouri Department of Insurance is warning Joplin-area residents they may be approached by companies illegally offering to negotiate their insurance claims for them. To represent a consumer in negotiations with an insurance company, an individual must have a license as a public adjuster with the Department of Insurance.

Consumers who are having challenges with their homeowners insurance claims may be vulnerable to companies that are unscrupulous or operating illegally in the state. These companies may call themselves insurance claims specialists or say they can get a home rebuilt better than before at no charge to the homeowner.

Missouri's insurance director says many of these offers are too good to be true. He says charitable and religious organizations may inadvertently endorse an unlicensed public adjuster because they're not familiar with Missouri's licensing requirement.

"Policyholders should first try to resolve differences directly with their insurance company," said John M. Huff, director of the Missouri Department of Insurance. "If they reach an impasse, they can file a complaint with our department - our services come free of charge."

The department recently announced that it helped recover more than $5 million for consumers who had filed complaints against their insurance companies in the first half of 2011.

Consumers who choose to use the services of a licensed public adjuster will likely have to pay a commission on the eventual claim payment.

Huff says before selecting a public adjuster to represent them, consumers should contact the department to verify that the individual is properly licensed by the state.

Gov. Jay Nixon has issued an executive order setting strict limitations on the activities of public adjusters working with insurance policyholders in Joplin. Under the order, public adjusters working in Jasper and Newton counties must:

   Show proof of state license to prospective customers;
Not require payment in advance for representation;
Not charge a fee of more than 5 percent of the insurance claim payment; and
Offer consumers 14 days to cancel a contract.

The Department of Insurance says consumers should exercise extreme caution before signing a contract with a public adjuster. Consumers with questions or complaints can call the Insurance Consumer Hotline at 800-726-7390 or visit insurance.mo.gov.

Are you a victim of fraud? We want to hear your story, visit http://frauddog.tv/ We can Help!

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