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![]() "Harry Krause" wrote in message ... NOYB wrote: "Don White" wrote in message ... "Harry Krause" wrote in message Unfortunately, that effort did not succeed, and conditions have gotten worse for them since. The corporations simply fired everyone, knowing that the NLRB during the Bush misAdministration wouldn't uphold labor law. snip That's really bad news.......and people wonder why some early unions were forced to deal with organized crime. When you have both the employer and gov't against you, an an indifferent public, you accept whatever helping hand is offered. "Helping hand" you say? Lawsuit says corruption rampant in Jersey union No-show jobs, nepotism, mob ties cited Thursday, January 13, 2005 BY TED SHERMAN Star-Ledger Staff Some of the highest-paying jobs at Local 734 of the Laborers' International Union of North America -- which represents thousands of workers in New Jersey and Pennsylvania -- had little to do with digging ditches. Now, that's a stupid lead. Very few LIUNA jobs these days have anything to do with digging ditches. There was the wife of one former union official, who was hired after her husband was convicted on federal labor law violations for attempting to create a no-show job. She received $111,799 to come in twice a week to listen to voice mail messages from members with benefits questions, according to court records. She needs to be prosecuted and if convicted, sent to jail. The Laborers' union now is seeking a federal investigation into the New Jersey local, claiming that members were defrauded of more than $2 million in a scheme that saw the hiring of relatives and business cronies to perform "non-essential, part-time and ruse jobs at grossly excessive salaries." That's the appropriate response by an International and usually what happens. And, despite the fact that some officials of that local were corrupt and were removed, there are thousands of corrupt corporate execs in NJ fleecing the public. You might want to look more closely at the bill you get from your dentist: The Office of the Inspector General (OIG) of the Department of Defense (DoD) announced today that on July 17, 2002, Ralph J. Sharow, a Freehold, NJ, dentist, was sentenced in U.S. District Court, Newark, NJ, to 27 months in prison and 3 years probation on each count, to run concurrently; restitution of $264,363.90; and a special assessment fee of $200. The sentence was handed down by U.S. District Court Judge William H. Walls. This sentence is the result of a guilty plea that Sharow entered on January 16, 2002. Sharow pled guilty to a two-count criminal information charging him with one count of health care fraud and one count of income tax evasion. An investigation revealed that from as early as 1994, Sharow, who operates a dental practice at 1 Stonehurst Boulevard, Freehold, NJ, defrauded the DoD insurance program known as TRICARE and private dental insurance programs out of approximately $200,000 by billing for services that he did not provide. The TRICARE loss alone totaled approximately $20,000. Furthermore, for the years of 1995, 1996, and 1997 combined, Sharow evaded $392,998 in federal income tax by submitting false tax returns to the Internal Revenue Service (IRS). In the 3 years combined, Sharow underreported his income by $915,648. January 2002 On January 16, 2002, Ralph J. Sharow, DDS, a Freehold, NJ dentist, pled guilty, in U.S. District Court, Newark, NJ to one-charge of both health care fraud and income tax evasion. According to a report from Defense Criminal Investigative Service (DCIS), Dr. Sharow filed fraudulent claims with various dental insurance programs, defrauding these programs out of approximately $200,000 by billing for services not rendered. Among the dental insurance programs defrauded were the TRICARE Family Member Dental Program (TFMDP), administered internationally by United Concordia for the Department of Defense (DoD). The TFMDP has been replaced by the TRICARE Dental Program (TDP), also administered by United Concordia, providing dental benefits to dependents of active duty uniformed services personnel, including Reservists and their families. Dr. Sharow first came to the attention of United Concordia's Special Investigations Unit (SIU) as a result of a complaint from one of his patients. The subsequent investigation revealed that, as early as 1994, Dr. Sharow defrauded the TRICARE and commercial dental insurance programs, while evading more than $390,000 in federal income taxes by submitting false tax returns to the Internal Revenue Services (IRS). Initially, based on fraud allegations received by DCIS from SIU, the investigation revealed that Dr. Sharow routinely billed United Concordia and other insurers for dental procedures, primarily composite restorations and sealants, which he never performed. On April 29, 2002, Dr. Sharow is scheduled to be sentenced. He faces up to ten years in prison and a $250,000 fine on the health care fraud count and a maximum of five years in prison and a $100,000 fine on the income tax evasion count. On June 1, 2001, James Paul Kalhorn, D.D.S., was sentenced in Federal District Court, Denver, CO, to 2 years probation and ordered to pay $25,000 in restitution and a $5,000 fine. On February 15, 2001, Kalhorn pled guilty to a one-count information charging him with making or causing to be made a false statement or representation involving a Federal Health Care program. A previous indictment was dismissed upon Kalhorn's plea to the indictment. The investigation was conducted jointly by the Defense Criminal Investigative Service (DCIS), the Federal Bureau of Investigation (FBI) and with the assistance of United Concordia's Special Investigation's Unit (SIU). The prosecution was handled by the United States Attorney's Office, District of Colorado. On February 15, 2001, James Paul Kalhorn, D.D.S., plead guilty to making or causing to be made a false statement or representations involving a Federal health care program. A previous indictment was dismissed upon Kalhorn's plea. Between January 1996 and December 1999, Kalhorn submitted numerous claims to TRICARE's contracted dental carrier, United Concordia Companies, Inc., Great-West Life, and Delta Dental for periodontal scaling and root planing that according to medical reviews, were not necessary. The procedure is performed and billed in segments of the mouth, or quadrants. Kalhorn submitted claims for quadrants of root planing and scaling for dates of service when patients were not present. Kalhorn also submitted claims for periodontal pocket depth charts for scaling and root planing that contained measurements, patients said were not performed by Kalhorn. In June 1998, a Fairfield, California dentist plead guilty to a felony health care fraud and paid over a half-million dollars to settle federal civil charges. United Concordia during a routine review of utilization statistics, detected billing irregularities that ultimately led to federal prosecution. The case was one of the first in the nation to be prosecuted under the Kennedy-Kassenbaum federal health care statute. Who knows what we'll be reading about Naples, Florida, dentists, eh? Touche. ;-) But I don't bill insurance companies. I bill the patients...and those who have insurance (less than 40% of my patients) then submit a claim to the insurance company for reimbursement. |
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