SIU Today Summer 2021 - 3

Summer 2021
UPDATE ON INSURANCE FRAUD
MEDICAL CANVASSING VS.
RECORD RETRIEVAL: WHEN
IS IT NECESSARY TO OBTAIN
A PATIENT AUTHORIZATION?
page 6
UPDATE ON INSURANCE FRAUD
FEATURES
AUTHENTICATING HANDBAGS
AND AREA RUGS
page 9
REMOTE VIRTUAL EUOS - NO NEED
FOR BATHROOM BREAKS ANYMORE!
(REMOTELY CONDUCTED V. IN-PERSON
EUOS - WHICH ARE MORE EFFECTIVE?)
page 12
WORKERS' COMPENSATION CASE
STUDY: APPEALED FRAUD CONVICTION
AFFIRMED, PRISON SENTENCE UPHELD
page 15
SUMMER 2021 | SIU TODAY 1
Update from the global association
of insurance fraud investigators
International Association of Special
Investigation Units
ph 518.580.4072 * fx 518.463.8656
www.iasiu.org
230 Washington Ave Ext Suite 101
Albany, NY 12203
Email: info@iasiu.org
Editor
Brent Walker, SCLA, CIFI
Managing Editor
Audrey McDonald
Editorial Committee
Juli Hyde, CIFI, FCLS
Jesse Lopez
Amanda Skidd, CIFR, FCLA, CFE
Ellen Withers, CIFI, FCLA
Executive Director
Liz Mancini
©2021 International Association of
Special Investigation Units
SIU Today is the quarterly publication
of the International Association of
Special Investigation Units (IASIU).
Its distribution is to IASIU members
and non-member subscribers. It is
published in March, June, September
and December. The opinions expressed
by the authors published in SIU Today
are not necessarily those of IASIU, its
officers, directors or members, and
should not be construed as legal advice
or a recommendation of conformity. The
products and services advertised in SIU
Today are not to be construed as being
endorsed by IASIU, its officers, directors
or members.
For advertising information
please contact:
Kevin Hall
khall@allenpress.com
785.965.9143
Summer 2021 Vol 35, No. 2
6
9
12
15
Medical Canvassing vs. Record
Retrieval: When Is It Necessary to
Obtain a Patient Authorization?
By Melanie Pita, Esq. & Steven DeRossett
Authenticating Handbags and Area Rugs
By Doug Davis, Haley Bliss, & Amanda Skidd, CIFR, FCLA, CFE
Remote Virtual EUOs - No Need for
Bathroom Breaks Anymore! (Remotely
Conducted v. In-Person EUOs - Which
Are More Effective?)
By Scott D. Storm
Workers' Compensation Case Study:
Appealed Fraud Conviction Affirmed,
Prison Sentence Upheld
By Dalene Bartholomew, CFE, CIFI
COLUMNS
19
21
Social Media Update
By Joe Stephenson, CIFI, FCLS
What's the Alternative? Not So Mainstream Social
Media
Law Update
By Eric W. Moch
Federal Health Care Fraud Prosecution Spotlights
the Intersection of a Familiar Fraud Medium and
New Technology: Bribes for Unnecessary Durable
Medical Equipment Prescriptions in the Telehealth
Context
DEPARTMENTS
4 Presidential Column
4 Chapter News
4 Upcoming Webinars
5 Member Spotlight
5 Certification Update
22 Member Nominations
23 IASIU Leadership
23 IASIU Code of Ethics
23 Advertisers Index
SUMMER 2021 | SIU TODAY 3
http://www.iasiu.org

SIU Today Summer 2021

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