Artifice and fraud schemes are rampant in healthcare and insurance. Typical insurance fraud criminal charges will result in licensee disciplinary action. By typical I mean submitting claims for unemployment benefits while working another job or failing to report accurately income amounts to qualify for child and other state Medicare/ Medicaid benefits.
In April 2018 a Pennsylvaniappellate court issued a decision in Abruzzese v BPOA, --- A.3d --- (2018). This case is one of three Spring 2018 cases reversing a Pennsylvania licensing board arbitrary disciplinary decision. I've written about the other two cases, .