It’s the ethnic gang; Nigerians, Chinese, Russians, Norks - name more for great prizes! -
whose very language is their security.
Open a front in a strip mall.
When the heat gets turned up (usually takes the incompetent feds @ a year or two to notice unusual billing patterns)-
Off they go in the middle of the night.
Miami. Houston. Dallas. LA. Chicago.
All cities provide anonymity for these thieves.
The true amount of fraud is purposefully hidden by the feds.
Ain’t that a kick?
Private insurance companies hire people to audit insurance claims from hospitals and clinics, looking for patterns. Why doesn’t the government?