During the recorded conversation with the physician, Gumila was discussing several patients who the doctor felt did not qualify for certain services. Gumila reportedly told the doctor she was an “artist” who should “paint the picture” of each patient in a way that Medicare would accept. While the surrounding context of that conversation isn’t clear, others in the health care industry should take note. Audio and video surveillance are common in federal health care fraud investigations, and it’s all too easy for careless or loosely worded statements to be used against you.