Insurance Fraud or Government Scapegoat?

Dan LeSieur did what most any other person would do, but he got caught in the government’s crosshairs.

Why?

Because he was already on their radar for standing up for himself and his community, and they (aka the government) didn’t like it.

So what did he do, and was it really fraud?

I’ll let you decide for yourself in a moment; giving you a chance to read about it and letting it soak all in.

It all started with damage to the LeSieur’s home, which was covered by insurance.

There is no reason to go off on insurance companies, but we all know for a fact that we pay in to insurance, but they don’t like to pay out.

Enough on that…

The insurance paid out and the work was completed.

That should have been the end of the story.

But it wasn’t…

Prior to this…

Dan stood up and took the lead position for local small businesses. LeSieur was the voice against new regulations that would ultimately hurt small business in the community and in the state. However, when he voiced his concerns; LeSieur humiliated the government.

He didn’t lie or mock them; he did it with the truth…unsugar-coated and raw.

They didn’t like it.

Soon after that meeting…

“Coincidentally” Dan’s business got audited, which they passed.

Dan LeSieur was on the government’s radar.

Which takes us to LeSieur’s insurance claim on his home…

The one that everything was ok on.

Somehow the claim gets re-examined and the term “insurance fraud” gets tossed around.

Not for the work on the home, or the family’s temporary living arrangements, but on the dogs. The insurance company paid for the dogs to stay in a kennel while the house was being repaired.

HOLD ON…we’re going to side step this for a moment and work our way back to it (there’s another piece to this story).

The dog kennel themselves…

NOTE: The name of the facility will not be named. They are a good business with real nice people. Their reputation shouldn’t have to suffer.

When a lot of small businesses start out, they start as something that the owners love to do, but doing something that you love and running a business are two different things.

This kennel for example…

Great with dogs, not so great with paperwork (in the beginning at least).

All businesses have growing pains…lots and lots of growing pains.

Like not having an accurate record of when Dan’s dogs were there.

Example…

Bookkeeper: Were the LeSieur dogs here every day last week?

Employee: I don’t remember…I think so.

Bookkeeper: It doesn’t matter, it’s an insurance claim. I’m sure that they were here all week.

HOLD UP…STOP…

Is this wrong?

Yes it is, but isn’t that exactly what we are taught to do?

Let’s say that you have to go to the doctor for whatever reason, and you have insurance.

You call to make an appointment, but they have to schedule you for a pre-exam first. On your second visit, you get to see the doctor that should have been on your first visit. Your insurance company has now been billed twice.

The doctor schedules you for lab works and an x-ray. At this point, your insurance company has been billed four times.

Then you have to come back to get you lab results, and then a follow up appointment for your x-ray results. Then you have to schedule another follow up appointment in a week or two. Your insurance company has been invoiced for seven different visits, when it could have been only one or two.

Let me back that up…

I met with a Homeopathic doctor the other day, and they like you to pay with cash because they don’t except most insurances.

I asked why?

The answer was the most honest answer that I have ever received…

We feel that $45 is what the office visit is worth, and so that is what we charge if you pay cash. If we were to bill your insurance company, we’d have to bill them $65 in hopes of getting the $45 we charge.

Most honest answer ever…

So…

Did the kennel do anything wrong? Doctors do it, why can’t they?

Let’s start bringing things together…

The insurance company was re-examining the claim, the dog kennel didn’t keep accurate records, and we’re taught to screw the insurance agencies because they screw us.

Ok…are we all up to date?

When insurance pays something (usually) you get a copy of what was being paid and how much you would have paid…”Not An Invoice” written across it.

Dan LeSieur was receiving these copies in the mail, but noticed that the kennel portion seemed to be off. The insurance was paying for days that the dogs were and weren’t physically there.

Did Dan worry about it?

No he didn’t, because we’re taught this stuff by our doctors. Plus the kennel was doing such a great job that they deserved a little bonus for it. In all actuality…Dan didn’t care.

However…

During the investigation, it was found that Dan had placed quite a few calls to the kennel. When asked about the calls (and not thinking anything of it) Dan told the claims person that those were the times that he called to say that his dogs wouldn’t be there that day.

So now there are bills to the insurance company stating that the dogs were there every day, a statement from the owner stating that they weren’t, and a dog kennel that can’t remember.

So who committed fraud?

Who do they go after?

The small business that can’t remember, and so they have to go off of their past invoices as to what the truth may be?

Or…

The person who has been fighting the government and winning?

Dan LeSieur was the scapegoat.

The only thing that Dan did that was wrong…

Was not telling when he noticed the discrepancies.

He did not tell, and for that they tried, and tried, and tried to pin something on him.

There were other articles written about this, but they don’t tell you the complete story because the media is one-sided. Nobody wants the truth.

They say they want the truth, but they don’t.

The media doesn’t want the truth…they want to sell stories.

The judicial system doesn’t want the truth…they want a conviction.

Dan LeSieur did what was right in standing up for his freedoms, and they went after him for it.

It’s not right, but what can we do about it?