See the full video at https://youtu.be/avv-v9eai-k  People who commit insurance fraud think it is a crime without punishment or concern. When caught, prosecuted and convicted, the perpetrator is so surprised that he or she is one of the few unfortunates caught that they use their poor
profits to fund unfounded and frivolous appeals.
Peter Costas bribed dozens of people addicted to heroin and other drugs to enter rehab centers so that the Red Bank, the NJ man and his comrades could illegally suck up money for lucrative referrals. Costas worked with several marketing companies to recruit potential
patients who had robust private health insurance from New Jersey and elsewhere. Costas paid them up to several thousand dollars each. Costas was in contact with the patients at the rehabilitation facilities. He instructed them to stay long enough to generate referral payments. Sometimes he directed patients to different rehabilitation facilities month after month to generate more referrals. The facilities paid the marketing companies $ 5,000 – $ 10,000 per patient reference and about half went to Costas and other body brokers. Costas received 13 months in federal prison.
Thousands of healthy people plus patients with diseases such as Alzheimer's and dementia were wrongly told that they only had 6 months to live so that they could be registered at Medicare hospice for $ 150 million in fraudulent billing. Rodney Mesquias ran a hospice chain called the Merida Health Care Group in Texas. In many cases, sports still walked, drove, and even coached when Merida's marketers told them they were dying. Mesquias even sent chaplains to discuss final rituals and prepare people for imminent death – while registering them in group homes, nursing homes, and housing projects. People were kept in hospice for several years – food in the pockets of Mesquias and his conspirators. Sometimes Mesquia's doctors had emergency surgery to keep hospice patients alive and the fake bills flowed. Doctors also received discounts to qualify patients for hospice. Mesquia's falsified medical records to create the illusion that his patients were dying. He bought luxury cars, jewelry, clothing, real estate, season tickets to the San Antonio Spurs and bottle services at Las Vegas nightclubs. He treated marketers to parties and tens of thousands of dollars in liquor. Mesquias was sentenced to 20 years in federal prison.
Read the last two issues of ZIFL here https://zalma.com/zalmas-insurance-fraud-letter-2/
© 2020 – Barry Zalma  Barry Zalma, Esq., CFE, now limits his practice to employment as an insurance consultant specializing in insurance coverage, insurance management, insurance claims and insurance fraud almost equal for insurance policyholders. . He also acts as an arbitrator or mediator for insurance-related disputes. He practiced law in California for more than 44 years as an insurance coverage and claims lawyer and more than 52 years in the insurance business. He is available at http://www.zalma.com and email@example.com.
Mr. Zalma is the first recipient of the first annual Claims Magazine / ACE Legend Award.
For the past 53 years, Barry Zalma has devoted his life to insurance, insurance claims and the need to defeat insurance fraud. He has created the following library of books and other materials to enable insurers and their claims staff to become professional in insurance claims.
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