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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]
17 May 2018, 12:45 pm by ccollins
The other, for $129.6M, settled claims tied to alleged losses for corporate credit unions Southwest and Members United bought RMBSs. [read post]
10 May 2018, 9:30 pm by Bobby Chen
The Federal Aviation Administration (FAA) has chosen ten participants from various states, localities, and tribes in the United States to explore private sector drone operations under the FAA’s Unmanned Aircraft Systems Integration Pilot Program. [read post]
10 May 2018, 4:12 am by SHG
United States, allowing exemptions to the exclusionary rule in cases of police negligence). [read post]
6 May 2018, 8:35 pm by Lisa Milam-Perez
However, it limited the scope of the injunction to foreign nationals with a bona fide relationship to a person or entity in the United States. [read post]
20 Apr 2018, 2:11 pm by Kevin
The Constitution itself did provide, in Article VI, that “no religious test shall ever be required as a qualification to any office or public trust under the United States,” but “the United States” meant the federal government, not the individual states. [read post]
20 Apr 2018, 1:15 pm by John K. Ross
After the district court refused, Arpaio appealed, and the United States announced that it would not defend the ruling. [read post]
16 Apr 2018, 4:48 pm by Kevin LaCroix
Consider for example, so-called prime bank notes, which have been promoted for decades as sound and safe investments – but are instead bogus financial instruments purporting to derive their value from European secondary markets for stand-by letters of credit, a wholly fictional concoction. [read post]
4 Apr 2018, 9:00 am by Wenqing Zhao, David Stanton
At the March 26 meeting, Japan and the European Union stated their shared concern about Chinese IP policies but warned against non-WTO solutions, and WTO director-general Roberto Azevedo admonished that a U.S. [read post]
4 Apr 2018, 9:00 am by Wenqing Zhao, David Stanton
At the March 26 meeting, Japan and the European Union stated their shared concern about Chinese IP policies but warned against non-WTO solutions, and WTO director-general Roberto Azevedo admonished that a U.S. [read post]
2 Apr 2018, 12:12 pm by Wolfgang Demino
Actions taken regarding rules, orders, and supervisory actionswith respect to covered persons which are not credit unions ordepository institutions ............................................................................... 447. [read post]
31 Mar 2018, 8:56 am by Thorsten Bausch
An overwhelming majority of 96 percent think that the EPO president should be less confrontational with the unions. [read post]
22 Mar 2018, 3:41 am by Richard Morgan, McNair Law Firm, P.A.
She had worked as a fraud investigator for a federal credit union for over 2 years and as a criminal investigation and litigation paralegal for 12 years in the Baltimore County State’s Attorney’s Office. [read post]
22 Mar 2018, 3:41 am by Richard Morgan, McNair Law Firm, P.A.
She had worked as a fraud investigator for a federal credit union for over 2 years and as a criminal investigation and litigation paralegal for 12 years in the Baltimore County State’s Attorney’s Office. [read post]