Wednesday, August 10, 2022

Social Security Fraud Investigation Process

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Does The Ssa Investigate Disability Fraud

Undercover Investigation into Disability Fraud

The Social Security Disability Insurance program provides benefits to individuals who are no longer able to work due to a disability. To be eligible for the program, you must meet certain requirements, such as paying adequate Social Security taxes and being diagnosed with a qualifying disability. If you meet these requirements, your application should be approved.

Unfortunately, there are some individuals who fraudulently apply for SSDI benefits. Many people wonder if the Social Security Administration investigates fraudulent claims, and the answer is a resounding yes. Sometimes the SSA mistakenly investigates legitimate claims, which can be extremely stressful for an applicant who has done nothing wrong.

The SSDI claims process is often complicated and confusing. If you are having trouble with your application or appeal, contact The Law Offices of Michael Hartup for expert legal advice and representation in Tennessee. To schedule a consultation, call 731-424-5559 or contact us online.

How Do Disability Fraud Investigations Get Started

Most CDI investigations take place before the SSA awards benefits, although the program may also help investigate potential fraud in the Continuing Disability Review process. Most CDI investigations start when someone reports suspected fraud.

Anyone can make a report of suspected fraud, but most reports come from SSA employees or state DDS employees. These employees may make a report of suspected fraud if they come across inconsistencies in a claim or suspect that an applicant may be lying.

During a disability fraud investigation, the CDI unit may contact the applicants doctors and record the applicants activities and statements. CDI units may reach out to third parties when looking for evidence of fraud. For example, if the CDI agent suspects that an applicant is faking their difficulties with walking, they may talk with neighbors to determine whether the applicant always uses a walker or wheelchair while at home.

Fraud Prevention And Reporting

25/08/2021 | Latest News

The Department of Social Security and the Income Support and Compliance Division are committed to deliver social security benefits and services that meet the needs of the public. Moreover, our employees strive to ensure the public receives the Social Security benefits and services it deserves. We work diligently to ensure the integrity of Social Security benefits and provide a high level of service to the public. Nevertheless, in some cases persons seek to abuse of Social Security benefits.

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Information Sharing And Matching Between Work And Income And Other Government Agencies

Social Security Act 2018, s 6, Sched 2, Sched 6, cl 13, cl 14, cl 15 Privacy Act 1993, Part 9 & Sched 2A, Part 10 & Sched 3 Privacy Order 2017

Work and Income regularly shares or matches information about beneficiaries with other government agencies under a range of information sharing and information matching agreements with those other agencies. For the difference between the two types of agreements, see the chapter Privacy and information, under Restrictions on people using and giving out your information / Information-sharing and information-matching between government bodies.

Fresno Business Owner Indicted For Additional Tax And Social Security Fraud Charges

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A federal grand jury returned a four-count indictment Thursday against Marcus Asay, of Fresno, charging him with making false tax returns, and concealing a matter with an intent to fraudulently secure Social Security disability benefits, U.S. Attorney Phillip A. Talbert announced.

According to court documents, from 2016-2018, Asay reported very little taxable income although he knew that his taxable income was more than $50,000. As the chairman of American Labor Alliance , Asay caused the organization to pay for hundreds of thousands of dollars’ worth of personal expenses, including over $50,000 to dating and escort websites and $120,000 in rent for Asay’s personal residences.

Asay also received Social Security disability benefits beginning in 2010. The benefits are available for individuals who cannot perform full-time work due to a qualifying disability. In approximately 2015, Asay began working full time as the chairman of ALA. From 2016-2019, Asay worked full time and was not entitled to receive benefits, but he concealed this fact from the Social Security Administration. During this time, the Social Security Administration paid Asay and a dependent over $90,000.

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Where Next If You Are Facing The Benefit Fraud Investigation Process

If you or someone you care about is facing the investigation process, it helps to get professional advice about your situation. Such advice will not only help you to plan your next steps, but it is also likely to settle some major concerns you may have about the investigation and the impact it may have on your day to day life. For confidential and friendly support, contact the team at Stuart Miller Solicitors today and we will arrange a no-obligation consultation to help you figure out where to turn next.

How Is Social Security Fraud Detected

An important method of determining whether a communication with SSA is genuine is to contact the Social Security customer service line at 800-772-1213. SSA can help you report fake callers or emails via their detailed online form if you receive one. Alternatively, you can reach Social Security Fraud Hotline at 800-269-0271.

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Concerned About A Social Security Disability Investigation

by Chloe Chew | Jan 14, 2020 | SSD Legal Process

If you recently started receiving Social Security Disability benefits, you may find that your relief is followed by sudden worry about possibly receiving a Social Security Disability investigation notice.

Perhaps you have questions about what constitutes an investigation and who conducts it. That is why we have a team of experts versed in SSD benefits and investigations that are ready to help you with all of your questions and concerns.

Simply call the number above for immediate assistance! We also created this guide to help you better understand how a Social Security Disability investigation works. Or, complete this FREE evaluation form. There are no upfront costs to work with us. We only receive a fee directly from the Social Security Administration if you win your disability case no out-of-pocket expense for you!

The Problem With The Internet Ssa Investigation

Does the Social Security Administration investigate fraud claims involving its disability programs?

The problem with this approach is that Facebook photos can be taken at any time. Just because you post a photo on a certain date, doesnt mean that you took the photo on a certain date.

In the above case, the investigator claims the photos show the claimant can walk and stand without any problems. The claimant had to refute this evidence at her hearing. She testified that the photos were from her past. They were not taken on the dates they were posted on Facebook.

If you are under investigation, the SSA will look at all of your social media accounts. You should protect your privacy by blocking access to your social media accounts to anyone that you do not personally know. Likewise, you can password protect your accounts to deny access to anyone but yourself.

Upon completion of an SSA investigation, a report detailing the investigation is sent to Disability Determination Services . A DDS staff worker then decides whether you are eligible to receive a monthly disability benefit payment. Unfortunately, whether the investigation is accurate or not, this same report is also part of the disability file that your judge will read. If there are photos of you or allegations about you from the investigation, then you will have to explain why the investigator is wrong.

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Cannon Disability Has The Legal Experience You Need

Cannon Disability has lawyers and representatives in many states. We can help you with your disability claim. Find out more about Utah disability information here. Likewise, find out more about Nevada Disability information here. If you need medical treatment and do not have insurance, then read here to find free or low cost medical treatment.

Cannon Disability Law has been representing clients with disabilities for over 30 years. During that time, we have won over $100 million in ongoing and back-due disability benefits for our clients. We work with you to build the evidence in your case. Also, we will help you from the day you apply for benefits through the day you have your hearing before a disability judge. We can help you even if you live in Idaho, Colorado, and California.

The attorneys at Cannon Disability Law are members of the National Organization of Social Security Claimants Representatives . NOSSCR is a national group whose members dedicate themselves to assisting disability claimants. We attend NOSSCR conferences every year to make sure we are up to date on the law that effects your claim. Contact us today for a free consultation. Let us help you win your case, whether or not you are under SSA investigation.

How Social Security Investigates Fraud

The agency has created more Cooperative Disability Investigation units, which are designed to find and prosecute healthy people who are collecting disability benefits. Unfortunately, it takes very little to start an investigation. You can be the victim of a neighbor with a grudge, a hostile ex or a jealous relative who thinks you somehow have it easy.

All it takes is a anonymous report to start an investigation against you.

How, then, can you avoid being accused of fraud when your disability isnt the kind that shows up on an MRI or some other physical test? We know a few approaches that can help you with your Social Security fraud investigation if it ever comes to that.

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Common Application Mistakes Potentially Viewed As Fraud

In short, modifying any info on an application that isnt truthful could be deemed as fraud and thus, denial. Its important to be 100% accurate and correct on an application as that gives you the best chances of an accepted application.

If you are approved for benefits, this extends to keeping your medical and financial records accurate and current. If either situation changes, you must notify the SSA as soon as possible in order for them to adjust your benefits accordingly.

In short, its easy to avoid anything related to fraud just by applying and reporting truthfully and accurately. If youve had a truthful application denied and you think youre entitled to benefits, call Drew L. Johnson, P.C. today at 434-6466 to schedule a free consultation.

Office Of The Inspector General

Federal Criminal Investigation Process: An Overview

The Office of the Inspector General at the Social Security Administration was established in March 1995. The purpose of the OIG is to:

  • Oversee efficiency and effectiveness of administration of SSA programs.
  • Prevent and detect fraud, waste, and abuse in SSA programs.
  • Inform SSA and Congress about agency problems and recommend corrections.

The OIG works alongside the Office of Anti-Fraud Programs and Disability Determination Services in the Cooperative Disability Investigation program to effectively combat cases of fraud, waste, and abuse.

These programs exist to ensure that the SSA is able to provide adequate aid to those in dire need. This is why the OIG takes responsibility for intensely investigating all potential instances of fraud and aggressively prosecuting individuals who commit fraud.

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What Will The Ssa Investigator Do

The investigator will listen to you if you are talking on your phone to someone. They will watch how you act and what you do. They are watching to see if you can drive a car. Also, they will write about whether you need a cane or some sort of assistance to walk into the appointment.

If you bring your cane, use it, dont carry it. They will write down whether you use your cane. Likewise, they will watch to see if someone drops you off at the appointment or picks you up.

If you are using your phone, they might say in their report that you can concentrate on a phone or computer game. Also, if you sit in the waiting room and dont stand up, but you are claiming back pain, they will write down the amount of time you sat on a chair.

Recently, a person who read this blog wrote to Cannon Disability claiming that this article is not accurate. His exact words were, none of this ever happens. Social Security doesnt do this. Unfortunately, he is wrong.

Every single example cited in this article is something we have seen the SSA do when they are investigating the claimant. We wish these examples were not true, but they are.

How To Conduct A Fraud Investigation: The Complete Guide

Learn the steps to a successful fraud investigation, which can help protect your organization from reputation damage and financial losses.

In 2018, businesses around the world lost more than $7 billion to fraud and abuse, according to the Association of Certified Fraud Examiners . No matter what industry you work in, you are at risk of fraud schemes from employees, clients, vendors and others.

Fraud investigations aim to uncover what behaviours occurred, by whom and how. If you conduct a poor investigation, youre not only at risk of failing to recover losses. You could also face reputation damage, legal fees or fines. Use this guide to ensure your fraud investigations are thorough, timely, accurate and compliant.

Download our fraud investigation checklist to ensure you dont forget any key steps.

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Medicare And Medicaid Benefits Are At Risk Too

Additionally, your ability to receive Medicaid and Medicare depends upon whether you win your disability claim. Learn more about Medicaid benefits here. Also, you can learn more about your Medicare benefits here on our website. Even your future retirement benefits are at risk if you do not win benefits.

You also need to be able to hire an attorney without worrying about whether or not you can pay the attorney fee. At Cannon Disability Law, we work on a contingency fee basis. This means if you do not win benefits, you do not owe an attorney fee. Therefore, hiring us to represent you creates no financial risk for you. Again, you only pay an attorney fee if and when we win your SSD & SSI case.

Ask yourself, when you hire a representative, what it is you are looking for. We think you should want a firm that you can work with and who cares about you. Also, find a firm who understands Social Securitys rules and regulations. In short, you need a disability advocate on your side to win benefits. You must replace your income. Do it with disability benefits. Ask Cannon Disability to help you today.

What Is Social Security Fraud

More Arrests In Disability Fraud Investigation

Fraud involves receiving social security benefits through willful misrepresentation, whereby, with intent to defraud, a person makes a false statement, conceals or fails to disclose information for use in determining benefit eligibility or entitlement under the provisions of the Social Security Act .

Examples of fraud include:

  • Making a false statement on benefit claims
  • Concealing facts or events that affect eligibility or entitlement for benefits
  • Failing to notify the Department of Social Security of change in circumstances such as ones income, resources, marital status or when a living circumstance has changed

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Protect Yourself From Identity Theft

The OIG provides 10 tips on Protecting Personal Information and details several actions to take if you suspect identity theft.

If someone uses your SSN to obtain credit, loans, telephone accounts, or other goods and services, contact the Federal Trade Commission . The FTC collects complaints about identity theft from those whose identities have been stolen. You may reach the FTCs identity theft hotline toll free at 1-877-IDTHEFT or visit their website at www.ftc.gov/idtheft.

Additional Resources:

Its helpful to know facts about the alleged fraud, such as:

  • Description of the fraud.
  • Location where the fraud took place.
  • When the fraud took place.
  • How the fraud was committed.
  • Why the person committed the fraud .
  • Anyone else who has knowledge of the potential violation.

The OIG will carefully review your allegation and take appropriate action. However, they cannot provide information regarding the actions taken on any reported allegation. Federal regulations prohibit the disclosure of information contained in law enforcement records, even to the individual making the allegation.

To learn more about reporting fraud, visit the OIGs Reporting Other Issues page. You will find information about Misuse of SSNs, Elder Abuse, Direct Express Account Fraud, and more. Also, watch their video How to Report Social Security Fraud for more details about the fraud referral process.

Hiding Of Relevant Information

In 2019, a Washington state woman was charged with a felony for disability fraud. She claimed that her condition prevents her from doing any type of work that qualified her for disability payments. While receiving benefits, she was running her own business and earning way more than her previous wage.

Failure to declare additional income or an improvement in medical condition, also qualify as fraud. Regardless if its intentional or not.

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What Is Customer Error

Customer error occurs where there has been a failure by the customer to notify a reportable change, or has provided incorrect or incomplete information that affects the benefit in payment but there is no suspicion of fraud /fraudulent intent.

Customer Error takes many forms. Below are examples of the most common types of error our officers see regularly. This list is not exhaustive

  • failing to report a source of income
  • failing to report savings
  • failing to report a change in circumstances

All of these examples and many more can have a big effect on the rate of benefit entitlement so it is essential all changes are reported.

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