Medical Identity Theft


It’s easier than you think for a thief to use your patients’ health insurance to see another physician, or get prescriptions, even to file false claims with their insurance provider!

Please encourage your patients to protect their medical information and insurance statements just like they would credit card information, and to store these items securely so they don’t inadvertently fall into the wrong hands. Fuoco Group professionals suggest you advise your clients not to throw items with medical and/or insurance information in the trash, but to “shred instead.” Patients should be reminded to check their medical records and insurance records for errors, just like bank statements, both to look for red flags and to be sure to correct any mistakes.

To protect themselves from medical identity theft and insurance fraud Fuoco Group urges individuals, and their family members who act as caregivers, to develop good safety habits. Please share these suggestions with your patients:
•    Review the Explanation of Benefits (EOB) monthly statement as soon as it is received;
•    Verify that the dates, provider, medications or therapies administered are all correct; and
•    Ascertain that the claims paid do match up with the diagnosis and services received.
Everyone now the warning signs of medical identity theft. Share these red flags with your patients:
•    Bills for medical services, medications, or therapies and equipment not received;
•    Debt collectors calling for medical debt not owed;
•    Collections notices on a credit report that are incorrect;
•    Health plan notices where benefit limits have been reached when that is clearly false; and
•    Denial of insurance for a condition your patient doesn’t have!
An ounce of prevention is worth a pound of cure, so please share these top tips with your patients to help them steer clear of insurance fraudsters and healthcare scams:
•    Never sign blank insurance claim forms;
•    Never give blanket permission to a healthcare provider to bill for services not yet rendered;
•    Ask medical providers what they charge and what is expected to be paid for out-of-pocket;
•    Carefully review the insurer’s explanation of any benefits statement inquires;
•    Give insurance/Medicare identification only to those who have provided you with medical services;
•    Keep accurate records of all medical appointments and know if your doctor ordered medical equipment or therapy for you; and
•    Beware of salespeople trying to sell you something they claim will be paid for by Medicare or is FREE.

If we all work together to prevent healthcare scams and medical fraud, as taxpayers and healthcare consumers we will all ultimately benefit from lower costs and premiums, and physician practices will reap better reimbursement rates.
CONTACT US: Our new financial dialogue includes a 360 degree business advisory program for physicians. Our services are all designed to take the burden off you and your medical practice partners because worrying about costs, collections, reimbursement, margins, operations and fraud shouldn’t be keeping you awake at night! Call 855-534-2727 to learn more.


In The News

The New York Real Estate Journal recently featured a "Ones To Watch" Spotlight, focusing on both up and coming professionals as well as industry veterans across all areas of real estate. Congratulations to Lou Fuoco CPA, CEPA, for being included in this prestigious group of “OTW” for 2019!

Press and Events

Fuoco Group and TFG Related Entities are proud to announce that Managing Partner Lou J. Fuoco, CPA, CEPA, CVB, has received the 2020 Palm Beach Post Community Choice Award for Best Accountant in Palm Beach County. Lou Fuoco and the Fuoco Group won this award in 2019 as well.
Fuoco Group and TFG Related Entities are proud to announce that Fuoco Group’s Hauppauge Office, was voted #2 overall in the category of “Accounting Firm Less Than 100 Employees” in the 2019 Long Island Business News Reader Rankings. The Firm was also honored to be recognized as a “top three” Best Accounting Firm Finalist.