Needles in a paystack

Dr. Susan Shamrock wanted to give a non-approved, experimental allergy treatment to her suffering patients. Unfortunately, she overcharged for the drug to the tune of about a half a million dollars. Here's how fraud examiners found the incriminating evidence. 

This article is excerpted from the "Insurance Fraud Casebook: Paying a Premium for Crime," edited by Laura Hymes, CFE, and Dr. Joseph T. Wells, CFE, CPA, published by John Wiley & Sons Inc. ©2013 Used with permission. Names in this case have been changed.

Susan Shamrock became a doctor because she wanted to provide people with relief from their allergy suffering. Although sticking needles in patients wasn't her favorite thing to do, Susan knew she was helping them get back to their normal lives. She enjoyed being a physician and helping people.

On the home front, Susan was happily married. She and her husband had two daughters who enjoyed a lifestyle most kids would envy. The girls attended private schools, had the latest electronic gadgets and even received expensive professional golf lessons. The family lived in a big house, and Susan and her spouse drove fancy cars. Dr. Shamrock was highly respected in her community and she gave generously to various local charities.