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Authorities Uncover $20 Million Health Care Scheme in California Federal authorities arrested five individuals connected to San Fernando Valley clinics and a significant health care fraud scheme. On May 22, a federal grand jury indictment was unsealed. The indictment alleges that the five individuals engaged in a health care fraud conspiracy over multiple years and targeted at least eight health insurance companies and the International Longshore and Warehouse Union, the Pacific Maritime Association Benefit Plan, and the Federal Employees Health Benefits Program. The Conspirators According to the Department of Justice (DOJ) press release, the co-conspirators included: Roshanak “Roxanne” or “Roxy” Khadem, 50: Khadem owned and operated two clinics, R&R Med Spa and Nu-Me Aesthetic and Anti-Aging Center. Dr. Roberto Mariano, 59: Mariano helped operate the clinics. Marina Sarkisyan, 49: Sarkisyan was a clinic office manager. Lucine Ilangezyan, 38: Ilangezyan was an insurance biller for the clinics. Gary Jizmejian, 44: Jizmejian was previously a senior investigator at the Anthem Special Investigations Unit, the insurer’s anti-fraud unit. The Allegations The indictment alleges that the co-conspirators induced patients to visit the clinics for free cosmetic procedures, such as Botox injections, facials, and laser hair removal. These procedures were not covered by insurance. The co-conspirators would gain the patients’ insurance information and bill their insurers for medical services that were unnecessary or never provided. The defendants then used some of the illegally obtained proceeds to calculate a “credit” the patients could use for discounted or free cosmetic procedures. The defendants submitted at least $20 million in insurance claims and were paid approximately $8 million. The indictment also states that Jizmejian, for cash payments, would provide Khadem and others with confidential Anthem information. This information helped the defendants submit fr
30 May 2018, 5:43 am by Gregory J. Brod
Gary Jizmejian, 44: Jizmejian was previously a senior investigator at the Anthem Special Investigations Unit, the insurer’s anti-fraud unit. [read post]
23 May 2019, 7:08 am by Jack Goldsmith
I suspect that a tense back and forth between Mueller and the Justice Department on governing law preceded the report, and explains its odd statutory interpretation analysis. [read post]
5 Jun 2018, 8:00 am
These efforts to  censor criticism of the Israeli government and advocacy for Palestinian rights do a disservice to the real problem of anti-Semitism in the United States. [read post]
5 Jun 2018, 8:00 am
These efforts to  censor criticism of the Israeli government and advocacy for Palestinian rights do a disservice to the real problem of anti-Semitism in the United States. [read post]
3 Feb 2017, 1:27 pm by Orin Kerr
Although the new decision is only a single opinion by a single Magistrate Judge, the decision shows that the Department of Justice is asking judges outside the Second Circuit to reject the Second Circuit’s ruling — and that at least one judge has agreed. [read post]
24 Apr 2019, 6:45 am
Cyberattackers also went after political victims in the United States — whose emails and other data were released publicly to embarrass them — and state elections officials and other targets. [read post]
10 Jul 2007, 12:40 pm
We might imagine Richard Lugar taking over the Defense Department, Joe Lieberman taking over the State Department, Arlen Spector or the equivalent running the Justice Department and a moderate Democrat in charge of the CIA. [read post]
25 Jul 2012, 8:56 pm by J. Gordon Hylton
There seems to be a consensus today that the United States has too many law schools and too many law students. [read post]
25 Jul 2012, 8:56 pm by J. Gordon Hylton
There seems to be a consensus today that the United States has too many law schools and too many law students. [read post]
13 Sep 2013, 3:50 pm
As long as this jurist is a Village Justice, he will follow his oath of upholding our United States and New York Constitutions. [read post]
16 Sep 2009, 8:38 am
"' Officials from both the Justice and Agriculture Departments will testify. [read post]
4 Nov 2021, 11:26 am by Emily Dai
The United States has also contacted Saudi Arabia, the United Arab Emirates and Iraq to increase oil production. [read post]
18 Apr 2018, 9:49 am by Gritsforbreakfast
The new ordinance also requires reentry facilities, approved by the Texas Department of Criminal Justice, to apply for a city permit. [read post]
22 Jun 2018, 3:31 am by Edith Roberts
Securities and Exchange Commission, that SEC administrative law judges are “officers of the United States” within the meaning of the appointments clause, who have to be appointed by the president, a court or a department head. [read post]
8 May 2013, 11:57 am by Hanibal Goitom
My fellow co-participants are having their fellowships in state legislatures and city halls across the United States. [read post]
12 Nov 2008, 11:43 pm
President-elect Barack Obama's transition team unveiled its agency review chiefs and working members for the Departments of Defense, State, Treasury and several other departments and agencies Wednesday. [read post]