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	<title>Wisconsin Senior Medicare Patrol &#187; Blog</title>
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	<link>http://www.wisconsinsmp.org</link>
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		<title>New Cyber Scam Reported in Wisconsin</title>
		<link>http://www.wisconsinsmp.org/2012/02/new-cyber-scam-reported-in-wisconsin/</link>
		<comments>http://www.wisconsinsmp.org/2012/02/new-cyber-scam-reported-in-wisconsin/#comments</comments>
		<pubDate>Mon, 06 Feb 2012 19:18:36 +0000</pubDate>
		<dc:creator>awinder</dc:creator>
				<category><![CDATA[Blog]]></category>
		<category><![CDATA[Scams]]></category>

		<guid isPermaLink="false">http://www.wisconsinsmp.org/?p=1327</guid>
		<description><![CDATA[The Wisconsin Department of Trade and Consumer Protection (DATCP) and the Federal Bureau of Investigation (FBI) have uncovered an email phishing scam called “Gameover.”  The scam targets victim&#8217;s banking accounts. “All phishing scams aim to collect your personal data, but the ‘Gameover’ scam goes straight for your banking accounts,” said Sandy Chalmers, Division Administrator for Trade and [...]]]></description>
			<content:encoded><![CDATA[<p>The <a href="http://datcp.wi.gov/news/index.aspx?ID=477">Wisconsin Department of Trade and Consumer Protection</a> (DATCP) and the <a href="http://www.fbi.gov/news/stories/2012/january/malware_010612">Federal Bureau of Investigation</a> (FBI) have uncovered an email phishing scam called “Gameover.”  The scam targets victim&#8217;s banking accounts. <span id="more-1327"></span></p>
<p style="padding-left: 30px;">“All phishing scams aim to collect your personal data, but the ‘Gameover’ scam goes straight for your banking accounts,” said Sandy Chalmers, Division Administrator for Trade and Consumer Protection. “Falling prey to this scam can do a tremendous amount of damage to your finances.”</p>
<p>Here&#8217;s how the scam works:</p>
<ol>
<li>You receive an unsolicited and fraudulent email claiming to be from the National Automated Clearing House Association (NACHA), Federal Reserve Bank or Federal Deposit Insurance Corporation (FDIC).</li>
<li>The email will note that there is a problem with your banking accounts or with a recent transaction.</li>
<li>You will be asked to click a link to correct the information.</li>
<li>By clicking the link, you will be taken to a phony website where you will inadvertently download the Gameover malware. The malware promptly infects your computer and steals your banking information.</li>
</ol>
<p>Here&#8217;s how to protect yourself from this scam:</p>
<ul>
<li>Do not open an email from any of the agencies listed above. Delete it immediately!</li>
<li>If you wish to confirm if there is a problem with your account or a recent transaction, contact your financial institution directly.</li>
<li>Make certain your computer anti-virus protection is up to date.</li>
<li>Never click on links in unsolicited emails.</li>
</ul>
]]></content:encoded>
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		<title>Atlanta Man Pleads Guilty to Five Years of Fraud</title>
		<link>http://www.wisconsinsmp.org/2012/02/atlanta-man-pleads-guilty-to-five-years-of-fraud/</link>
		<comments>http://www.wisconsinsmp.org/2012/02/atlanta-man-pleads-guilty-to-five-years-of-fraud/#comments</comments>
		<pubDate>Mon, 06 Feb 2012 16:15:58 +0000</pubDate>
		<dc:creator>awinder</dc:creator>
				<category><![CDATA[Blog]]></category>
		<category><![CDATA[Frauds]]></category>

		<guid isPermaLink="false">http://www.wisconsinsmp.org/?p=1323</guid>
		<description><![CDATA[The Department of Justice, the FBI, the Department of Health and Human Services (HHS) and the Louisiana State Attorney General’s Office were all involved in the uncovering of a fraud case that billed Medicare for $1.15 million.  Atlanta resident  Fred D. Belcher, 61, pleaded guilty to billing for unnecessary durable medical equipment (DME). Belcher worked as a [...]]]></description>
			<content:encoded><![CDATA[<p>The Department of Justice, the FBI, the Department of Health and Human Services (HHS) and the Louisiana State Attorney General’s Office were all involved in the uncovering of a fraud case that billed Medicare for $1.15 million.  Atlanta resident  Fred D. Belcher, 61, pleaded guilty to billing for unnecessary durable medical equipment (DME).<span id="more-1323"></span></p>
<p>Belcher worked as a recruiter for Healthcare 1 LLC, Medical 1 Patient Services LLC and Lifeline Healthcare Services Inc., from 2004 to 2009. Belcher recruited Medicare beneficiaries to attend “health fairs” that he organized at churches and other locations in the beneficiaries’ communities.  At these fairs, he obtained information from the beneficiaries and paid a doctor to prescribe medically unnecessary DME for the beneficiaries.  Belcher then sold these prescriptions so they could be billed to Medicare by Healthcare 1 LLC, Medical 1 Patient Services LLC and Lifeline Healthcare Services Inc. He faces up to 10 years in prison and a $250,000 fine.  A sentencing date has not yet been set.</p>
<p><a href="http://www.stopmedicarefraud.gov/HEATnews/louisiana.html#jan-31-2012">Read more about his case here</a>.</p>
]]></content:encoded>
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		<title>Caller ID Can Be Misleading</title>
		<link>http://www.wisconsinsmp.org/2012/01/caller-id-can-be-misleading/</link>
		<comments>http://www.wisconsinsmp.org/2012/01/caller-id-can-be-misleading/#comments</comments>
		<pubDate>Tue, 31 Jan 2012 05:08:57 +0000</pubDate>
		<dc:creator>awinder</dc:creator>
				<category><![CDATA[Blog]]></category>
		<category><![CDATA[Frauds]]></category>

		<guid isPermaLink="false">http://www.wisconsinsmp.org/?p=1316</guid>
		<description><![CDATA[A recent case in Illinois has prompted officials to urge consumers to pay especially close attention to the phone calls they&#8217;re getting. An Illinois telemarketing firm will pay half a million dollars in settlement fees to the Federal Trade Commission after it was caught calling individuals who had signed up for a no-call list and [...]]]></description>
			<content:encoded><![CDATA[<p>A recent case in Illinois has prompted officials to urge consumers to pay especially close attention to the phone calls they&#8217;re getting. An Illinois telemarketing firm will pay half a million dollars in settlement fees to the Federal Trade Commission after it was caught calling individuals who had signed up for a no-call list and for providing misleading caller-ID names. <a href="http://www.ftc.gov/os/caselist/0923082/111216americallcmpt.pdf"> Americall Group, Inc.</a> calls consumers on behalf of major banks, credit card issuers, insurance companies, and other financial institutions. They are charged with instructing employees not to put consumers on their no call list unless they explicitly asked to be on it. The words &#8220;Don&#8217;t call again.&#8221; weren&#8217;t good enough. The company also purposely displayed caller ID names that had nothing to do with the company whose behalf they were calling on. The $500,000 fine was issued by the <a href="http://www.justice.gov/">Department of Justice</a>.  <span id="more-1316"></span></p>
<p>Here are a few tips to follow when dealing with someone on the phone.</p>
<ol>
<li>Never volunteer personal information such as date of birth or social security numbers.</li>
<li>Hang up immediately if uncomfortable with the phone call and the content.</li>
<li>Never give payment in advance for a product, service or award.</li>
<li>Contact the National Do Not Call Registry at 1-888-382-1222 to have a phone number removed from call lists.</li>
</ol>
]]></content:encoded>
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		<title>Two Cases Uncover $49 Million Fraud</title>
		<link>http://www.wisconsinsmp.org/2012/01/two-cases-uncover-49-million-fraud/</link>
		<comments>http://www.wisconsinsmp.org/2012/01/two-cases-uncover-49-million-fraud/#comments</comments>
		<pubDate>Tue, 31 Jan 2012 04:50:34 +0000</pubDate>
		<dc:creator>awinder</dc:creator>
				<category><![CDATA[Blog]]></category>
		<category><![CDATA[Frauds]]></category>
		<category><![CDATA[Medicare]]></category>

		<guid isPermaLink="false">http://www.wisconsinsmp.org/?p=1313</guid>
		<description><![CDATA[Two individuals have pleaded guilty in the case of a Miami health care agency&#8217;s acts of health care fraud. Marietha Morales, 38,  and Eduardo Saborit-Dominguez, 48, each face up to 10 years in prison. Under a federal endictment, Morales and Saborit-Dominguez were charged with conspiring to bill Medicare for unnecessary home health care and therapy [...]]]></description>
			<content:encoded><![CDATA[<p>Two individuals have pleaded guilty in the case of a Miami health care agency&#8217;s acts of health care fraud. Marietha Morales, 38,  and Eduardo Saborit-Dominguez, 48, each face up to 10 years in prison. Under a federal endictment, Morales and Saborit-Dominguez were charged with conspiring to bill Medicare for unnecessary home health care and therapy services on behalf of Prime Home Health Services Inc. to the tune of $22 million. The pair admitted to paying kickbacks and bribes to patient recruiters in return for the recruiters providing patients to Prime Home Health. The case was investigated by the FBI and HHS-OIG, and was brought as part of the Medicare Fraud Strike Force, supervised by the <a href="www.stopmedicarefraud.gov">Criminal Division’s Fraud Section</a> and the U.S. Attorney’s Office for the Southern District of Miami.<span id="more-1313"></span></p>
<p>In a second case from Miami, an area nurse has pleaded guilty to participating in a $25 million home health Medicare fraud scheme. Jorge Pineiro, 42, was charged in February 2011 with conspiracy to commit fraud. Pineiro worked for two Miami area home health care agencies, ABC Home Health Care Inc. and Florida Home Health Care Providers Inc. Pineiro and others billed Medicare for unnecessary services or services that were never provided. Dr. Jose Nunez is a co-defendant in the case. He&#8217;s charged with prescribing medically unnecessary services.  Both were charged after it was discovered they had falsified patient files for Medicare beneficiaries to make it appear that they qualified for home health care and therapy services. Pineiro also solicited and received kickbacks and bribes from the owners and operators of Florida Home Health in return for allowing the agency to bill Medicare on behalf of the patients he recruited even though they didn&#8217;t qualify.There are 18 total co-defendants in this case. In addition to potentially spending 10 years in prison, defendants also face fines and supervised release, as well as forfeiture of any property or proceeds derived from criminal activities.</p>
<p>To read more about either of these cases, <a href="http://www.stopmedicarefraud.gov/HEATnews/florida/index.html#jan-26-2012">click here</a>.</p>
]]></content:encoded>
			<wfw:commentRss>http://www.wisconsinsmp.org/2012/01/two-cases-uncover-49-million-fraud/feed/</wfw:commentRss>
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		<title>More than $4 Million in Fraudulent Charges Uncovered</title>
		<link>http://www.wisconsinsmp.org/2012/01/more-than-4-million-in-fraudulent-charges-uncovered/</link>
		<comments>http://www.wisconsinsmp.org/2012/01/more-than-4-million-in-fraudulent-charges-uncovered/#comments</comments>
		<pubDate>Mon, 23 Jan 2012 22:14:12 +0000</pubDate>
		<dc:creator>awinder</dc:creator>
				<category><![CDATA[Blog]]></category>
		<category><![CDATA[Frauds]]></category>
		<category><![CDATA[Medicare]]></category>

		<guid isPermaLink="false">http://www.wisconsinsmp.org/?p=1308</guid>
		<description><![CDATA[The Department of Health and Human Services, Office of the Inspector General (HHS-OIG), with the collaboration of the United States Secret Service (USSS) and the Federal Bureau of Investigation (FBI) has uncovered a massive health care fraud operation that led to the arrests of 10 people.  They include the presidents and employees of four medical organizations, [...]]]></description>
			<content:encoded><![CDATA[<p>The Department of Health and Human Services, <a href="http://oig.hhs.gov/">Office of the Inspector General</a> (HHS-OIG), with the collaboration of the <a href="http://www.secretservice.gov/">United States Secret Service</a> (USSS) and the <a href="http://www.fbi.gov/">Federal Bureau of Investigation</a> (FBI) has uncovered a massive health care fraud operation that led to the arrests of 10 people.  They include the presidents and employees of four medical organizations, Monte Mar Health Corporation (Monte Mar), PROMEDS Medical Inc. (PROMEDS) Quality Care Medical Supply (Quality), and Preferred Medical Equipment (PME).  In multiple indictments the businesses were charged with filing fraudulent claims to Medicare for Durable Medical Equipment and other unnecessary costs. <span id="more-1308"></span>Physician Francisco Garrastegui was allegedly in on the scams by accepting kick-backs for signing and completing false progress notes, prescriptions, Certificates of Medical Necessity (CMNs) and Statements of Ordering Physician for Medicare beneficiaries that were billed by Monte Mar, PROMEDS, Quality, and PME.  Others involved are charged with creating and submitting fraudulent claims to Medicare.  If found guilty the defendants could spend 10 years in prison.</p>
<p><a href="http://www.stopmedicarefraud.gov/HEATnews/puertorico.html#jan-19-12">Read more about the indictments here</a>.</p>
]]></content:encoded>
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		<title>Woman Pleads Guilty in $200 Million Medicare Fraud Case</title>
		<link>http://www.wisconsinsmp.org/2012/01/woman-pleads-guilty-in-200-medicare-fraud-case/</link>
		<comments>http://www.wisconsinsmp.org/2012/01/woman-pleads-guilty-in-200-medicare-fraud-case/#comments</comments>
		<pubDate>Fri, 20 Jan 2012 22:01:05 +0000</pubDate>
		<dc:creator>awinder</dc:creator>
				<category><![CDATA[Blog]]></category>
		<category><![CDATA[Frauds]]></category>
		<category><![CDATA[Medicare]]></category>
		<category><![CDATA[Scams]]></category>

		<guid isPermaLink="false">http://www.wisconsinsmp.org/?p=1302</guid>
		<description><![CDATA[The Department of Justice, the FBI and the Department of Health and Human Services (HHS) together have been investigating the case of $200 Million in fraudulent claims to Medicare under the guidance of American Therapeutic Corporation (ATC); its management company, Medlink Professional Management Group Inc.; and the American Sleep Institute (ASI). Involved in the scheme [...]]]></description>
			<content:encoded><![CDATA[<p>The Department of Justice, the FBI and the Department of Health and Human Services (HHS) together have been investigating the case of $200 Million in fraudulent claims to Medicare under the guidance of American Therapeutic Corporation (ATC); its management company, Medlink Professional Management Group Inc.; and the American Sleep Institute (ASI). Involved in the scheme was Sandra Jimenez, 38. She admitted in a district court in Miami that she conspired to commit health care fraud and that she was involved in paying and receiving illegal health care kickbacks. She admitted to billing for unnecessary Medicare services and recruited beneficiaries to home health who were not actually eligible for the services.  Jiminez&#8217;s involvement in multiple schemes accounted for $46 million in fraudulent billings to the Medicare program. Jimenez faces a maximum penalty of 15 years in prison and a $250,000 fine when she is sentenced in June.  <span id="more-1302"></span>The case was investigated by the FBI and HHS-OIG, and was brought as part of the Medicare Fraud Strike Force, supervised by the Criminal Division’s Fraud Section and the U.S. Attorney’s Office for the Southern District of Florida. The Medicare Fraud Strike Force is charged with looking for other fraudulent providers like Jimenez, who all together, have charged billed more than $2.9 billion to Medicare.</p>
<p><a href="http://www.stopmedicarefraud.gov/HEATnews/florida/index.html#jan-17-12">Find more details about this case here</a>.</p>
]]></content:encoded>
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		<title>Medical Imaging Company Sued for $150 Million Dollars Under False Claims Act</title>
		<link>http://www.wisconsinsmp.org/2012/01/medical-imaging-company-sued-for-150-million-dollars-under-false-claims-act/</link>
		<comments>http://www.wisconsinsmp.org/2012/01/medical-imaging-company-sued-for-150-million-dollars-under-false-claims-act/#comments</comments>
		<pubDate>Thu, 12 Jan 2012 18:18:12 +0000</pubDate>
		<dc:creator>awinder</dc:creator>
				<category><![CDATA[Blog]]></category>
		<category><![CDATA[Frauds]]></category>

		<guid isPermaLink="false">http://www.wisconsinsmp.org/?p=1298</guid>
		<description><![CDATA[A radiology physician and his wife are credited with uncovering a massive case of health care fraud, after they called the government and filed a qui tam whistleblower suit under the False Claims Act. Detroit&#8217;s Universal Imaging, Inc., it&#8217;s current and former owner, and primary care physician Gwendolyn Washington are named in a $150 Million [...]]]></description>
			<content:encoded><![CDATA[<p>A radiology physician and his wife are credited with uncovering a massive case of health care fraud, after they called the government and filed a qui tam whistleblower suit under the False Claims Act. Detroit&#8217;s Universal Imaging, Inc., it&#8217;s current and former owner, and primary care physician Gwendolyn Washington are named in a $150 Million dollar lawsuit that claims the company gained most of its business by paying kickbacks to physicians. Washington is one of those physicians. The suit claims she ordered unnecessary tests and put patients in danger by ordering tests that involved  injections of radioactive material. The suit also alleges Universal violated a number of <a href="http://www.google.com/url?sa=t&amp;rct=j&amp;q=&amp;esrc=s&amp;source=web&amp;cd=1&amp;ved=0CF0QFjAA&amp;url=http%3A%2F%2Fwww.medicare.gov%2F&amp;ei=hx8PT9KzH-ezsAKOkeHTAw&amp;usg=AFQjCNHK8NBQj-aFwXJjj4Tg7F10T-8t5Q&amp;sig2=L3ATPGPA3Lt2OCTE5Uwr_A">Medicare</a> rules, which include inadequate supervision of diagnostic tests, and operating as a for-profit agency, despite filing as a non-profit corporation, by filtering funds to Universal&#8217;s owners under a secondary business that took ownership of Universal&#8217;s equipment.  <span id="more-1298"></span></p>
<p>Read more about the case <a href="http://www.stopmedicarefraud.gov/HEATnews/michigan.html#jan-6-12">here</a>.</p>
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		<title>Why Seniors are Targeted</title>
		<link>http://www.wisconsinsmp.org/2012/01/why-seniors-are-targeted/</link>
		<comments>http://www.wisconsinsmp.org/2012/01/why-seniors-are-targeted/#comments</comments>
		<pubDate>Wed, 11 Jan 2012 05:01:11 +0000</pubDate>
		<dc:creator>awinder</dc:creator>
				<category><![CDATA[Blog]]></category>
		<category><![CDATA[Frauds]]></category>

		<guid isPermaLink="false">http://www.wisconsinsmp.org/?p=1292</guid>
		<description><![CDATA[The Federal Bureau of Investigation (FBI) works to promote fraud awareness. They acknowledge that seniors are often an easy target for those looking to take advantage of others. They provide tips for avoiding fraud with their Common Fraud Schemes webpage.  The page highlights a variety of frauds that are often perpetrated against seniors. If you [...]]]></description>
			<content:encoded><![CDATA[<p>The <a href="http://www.fbi.gov/">Federal Bureau of Investigation</a> (FBI) works to promote fraud awareness. They acknowledge that seniors are often an easy target for those looking to take advantage of others. They provide tips for avoiding fraud with their <a href="http://www.fbi.gov/scams-safety/fraud/seniors">Common Fraud Schemes webpage</a>.  The page highlights a variety of frauds that are often perpetrated against seniors.</p>
<p>If you are a senior or help care for someone in this group, read through the following points to help educate yourself and others about the potential for fraud and scams on the basis of age.  Or <a href="http://www.fbi.gov/scams-safety/fraud/seniors">visit the wepage</a> for even more information. <span id="more-1292"></span></p>
<blockquote>
<ul>
<li>Senior citizens are most likely to have a &#8220;nest egg,&#8221; to own their home, and/or to have excellent credit—all of which make them attractive to con artists.</li>
<li>People who grew up in the 1930s, 1940s, and 1950s were generally raised to be polite and trusting. Con artists exploit these traits, knowing that it is difficult or impossible for these individuals to say &#8220;no&#8221; or just hang up the telephone.</li>
<li>Older Americans are less likely to report a fraud because they don&#8217;t know who to report it to, are too ashamed at having been scammed, or don’t know they have been scammed. Elderly victims may not report crimes, for example, because they are concerned that relatives may think the victims no longer have the mental capacity to take care of their own financial affairs.</li>
<li>When an elderly victim does report the crime, they often make poor witnesses. Con artists know the effects of age on memory, and they are counting on elderly victims not being able to supply enough detailed information to investigators. In addition, the victims&#8217; realization that they have been swindled may take weeks—or more likely, months—after contact with the fraudster. This extended time frame makes it even more difficult to remember details from the events.</li>
<li>Senior citizens are more interested in and susceptible to products promising increased cognitive function, virility, physical conditioning, anti-cancer properties, and so on. In a country where new cures and vaccinations for old diseases have given every American hope for a long and fruitful life, it is not so unbelievable that the con artists’ products can do what they claim.</li>
</ul>
</blockquote>
<p>If you know of a cyber crime, one that happens online, you can contact the FBI&#8217;s <a href="http://www.ic3.gov/default.aspx">Internet Crime Complaint Center</a>.</p>
]]></content:encoded>
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		<title>Better Business Bureau Names Biggest Scams of the Year</title>
		<link>http://www.wisconsinsmp.org/2012/01/better-business-bureau-names-biggest-scams-of-the-year/</link>
		<comments>http://www.wisconsinsmp.org/2012/01/better-business-bureau-names-biggest-scams-of-the-year/#comments</comments>
		<pubDate>Thu, 05 Jan 2012 19:39:37 +0000</pubDate>
		<dc:creator>awinder</dc:creator>
				<category><![CDATA[Blog]]></category>
		<category><![CDATA[Scams]]></category>

		<guid isPermaLink="false">http://www.wisconsinsmp.org/?p=1289</guid>
		<description><![CDATA[After reviewing the information reported by agencies across the U.S. throughout 2011, the Better Business Bureau (BBB) has named the top 10 scams of the year.  They&#8217;ve broken the information into nine categories. Included is everything from credit theft to social media scams to mortgage fraud. Plus, they&#8217;ve named a scam of the year.  In addition to providing general [...]]]></description>
			<content:encoded><![CDATA[<p>After reviewing the information reported by agencies across the U.S. throughout 2011, the <a href="https://www.bbb.org/us/">Better Business Bureau</a> (BBB) has named the top 10 scams of the year.  They&#8217;ve broken the information into nine categories. Included is everything from credit theft to social media scams to mortgage fraud. Plus, they&#8217;ve named a scam of the year.  In addition to providing general information about the various scams, the BBB gives tips for protecting yourself from becoming a victim to one of them. <span id="more-1289"></span>They are offering an email service that will send out email alerts when new scams are detected. Find that <a href="http://www.bbb.org/us/scam-source/">here</a>.</p>
<p><a href="http://www.bbb.org/us/article/bbb-names-top-ten-scams-of-2011-31711">Click here to find the BBB&#8217;s list</a>.</p>
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		<title>Fraud Case Prosecutions High in 2011</title>
		<link>http://www.wisconsinsmp.org/2012/01/fraud-case-prosecutions-high-in-2011/</link>
		<comments>http://www.wisconsinsmp.org/2012/01/fraud-case-prosecutions-high-in-2011/#comments</comments>
		<pubDate>Tue, 03 Jan 2012 06:15:44 +0000</pubDate>
		<dc:creator>awinder</dc:creator>
				<category><![CDATA[Blog]]></category>
		<category><![CDATA[Frauds]]></category>

		<guid isPermaLink="false">http://www.wisconsinsmp.org/?p=1285</guid>
		<description><![CDATA[According to an article by the Transactional Records Access Clearinghouse (TRAC) at Syracuse University, the Department of Justice had a record breaking year for health care fraud prosecutions in 2011. It claims monetary recoveries from such crimes are also on the rise. There were 1,235 new cases reported, the most in the twenty years since [...]]]></description>
			<content:encoded><![CDATA[<p>According to an article by the <a href="http://trac.syr.edu/">Transactional Records Access Clearinghouse</a> (TRAC) at Syracuse University, the Department of Justice had a record breaking year for health care fraud prosecutions in 2011. It claims monetary recoveries from such crimes are also on the rise. There were 1,235 new cases reported, the most in the twenty years since the current reporting system began.  It&#8217;s nearly 70% more cases than the previous year.  Of all of the health care cases prosecuted, mail fraud accounted for the highest number, which includes attempted fraud and conspiracy to commit fraud, up from a number 3 ranking the previous year.  A close second was health care benefits fraud.  Following behind these two categories was insurance fraud.</p>
<p><a href="http://trac.syr.edu/whatsnew/email.111214.html">Click here to read the full article</a>.</p>
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