See the full video at https://rumble.com/v15xwbx-true-crime-of-insurance-fraud-video-number-80.html and at https://youtu.be/NIE7BGGSJUE
Wo Ping Chen was trained as a doctor in Hong Kong. Until Hong Kong was returned by Britain to the People’s Republic of China, he was the most famous orthopedist in the Crown Colony. Fearing problems with the new government, he emigrated to Vancouver, British Columbia, Canada as a citizen of the Commonwealth.
He worked as an employee of the National Health Service for a year and then obtained a work visa to the United States and crossed the border into the United States only to discover that he could not work as a doctor without a license from a US state and attended a US-based medical school. After a year of medical school, a year of practice at a Seattle hospital and a year as a resident, Chen was able to restart her life.
His first attempt at obtaining a license was to apply to the US Government’s Medicare and Medicaid system for a medical provider number that would allow the government to deposit money electronically into his bank account without having to wait for a check to be received. and collected. .
His youngest daughter had found a husband and he was facing a cost of over $ 100,000 to pay for a traditional Chinese wedding and reception. He did not have the money. However, he had a large list of Medicare and Medicaid patients in his database.
He knew from experience that no one in the US government or their agents would control his billing. He had served the public at low prices for many years. He decided to get the cost of his daughter’s wedding by using his computer.
He created invoices for 300 of his male Medicare patients for an office visit and a complete blood test for $ 250 each. He dated the service carefully so he showed only ten of the 300 every day for 30 days. He did the same for 300 female patients for an office visit, a pelvic exam and an x-ray to look for a potentially broken hip, each for only $ 250. At the end of the month, $ 150,000 was deposited into his account without being asked. He had the money for his daughter’s wedding and did not have to work for it.
Dr. Wo did not consider himself a criminal or the United States Government. He just played the system with the knowledge that it was run by people who did not care as long as the right boxes in the computer were selected.
His crime was successful because he was not greedy. He only committed the great crime once. The computer operators at Medicare’s pay office never noticed that he did a cervical examination of an eighty-three-year-old man named Louis Jones.
Insurance fraud is often successful, just as it was for Dr. Wo, because the state units have few incentives to even look for fraud, investigate criminal behavior or even try to do the job for which the state employees were prosecuted. Dr. Wo was right, this is a fantastic country, and it gives away other people’s money to anyone who is eager to ask. It includes my money and yours and Dr. Wo’s success offends me and should offend you.
(c) 2022 Barry Zalma & ClaimSchool, Inc.
Barry Zalma, Esq., CFE, now limits his internship to the position of insurance consultant specializing in insurance coverage, insurance claims handling, insurance bad faith and insurance fraud almost equally for insurers and policyholders. He practiced law in California for more than 44 years as a lawyer for insurance coverage and claims management and more than 54 years in the insurance industry. He is available at http://www.zalma.com and zalma@zalma.com.
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