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.
Every day I do legal research on at least one of the my cases. Staying current on the law, burdens of proof, abuse of discretion standards, and learning which experts the appellate courts reject are important legal tasks. During a recent afternoon research session I discovered an amazing case that ratifies a consistent legal objection I make in every case.