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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
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. [read post]
27 Feb 2014, 8:00 am by Jon Robinson
Princess Cruise Lines, Ltd., 657 F.3d 1204, 1218 (11th Cir. 2011) (internal quotation marks omitted). [read post]
8 Sep 2014, 6:00 am by Jon Robinson
  After discussing the history of punitive damages and maritime law, Judge Robreno reasoned (with internal citations omitted, and emphasis added): Having concluded that maritime law does not impose a general bar on punitive damages in unseaworthiness claims, the Court turns to the question of whether punitive damages are appropriate when such claims arise in the context of asbestos cases. [read post]
6 Dec 2013, 5:00 am by Jon Robinson
App. 1 Cir. 11/1/13) (internal citations omitted) Author informationJon RobinsonMember at Mouledoux, Bland, Legrand & BrackettAs a Member at Mouledoux, Bland, Legrand & Brackett, Jon Robinson focuses his practice on the representation of employers and carriers in matters arising under the Longshore and Harbor Workers' Compensation Act, the Defense Base Act, and the War Hazards Compensation Act. [read post]
15 Jul 2019, 7:57 am by Attorney Author
He handles claims under the Longshore and Harbor Workers’ Compensation Act, Section 905(b), Defense Base Act, War Hazards Compensation Act, Jones Act, and Louisiana Workers’ Compensation Act. [read post]
29 Oct 2019, 10:56 am by Injury at Sea
Three mariners drove their 46-foot recreational vessel onto rocks, climbed onto rocks and were they were safely hoisted and transported to Paine Field, a small international airport in Everett. [read post]
15 Feb 2017, 9:58 am by Kit Case
There will be three full-time shifts available, and the positions will be overtime eligible and represented by International Longshore and Warehouse Union Local 9. [read post]
18 Apr 2012, 6:00 am by Jon Robinson
A recent Court of Appeals filing from the Director of the Office of Workers’ Compensation Programs raises questions about whether the Director has a new interpretation of Section 28(b) of the Longshore and Harbor Workers’ Compensation Act (“LHWCA”) or whether the Director has taken inconsistent litigation positions.  [read post]
23 Jun 2014, 7:05 am by Caitlin Byars
Author informationCaitlin ByarsCaitlin Byars works in Mouledoux, Bland, Legrand & Brackett's Longshore, Defense Base Act, and War Hazards Compensation Act group. [read post]
23 Jun 2014, 7:05 am by Caitlin Byars
Author informationCaitlin ByarsCaitlin Byars works in Mouledoux, Bland, Legrand & Brackett's Longshore, Defense Base Act, and War Hazards Compensation Act group. [read post]
4 Jun 2018, 1:10 pm by Green and Associates
The Indictment alleges that the two clinics allegedly defrauded the International Longshore and Warehouse Union, Pacific Maritime Association Benefit Plan, which is the health benefit plan that covers longshore workers in Southern California and their dependents. [read post]
13 Sep 2013, 6:00 am by Jon Robinson
Author informationJon RobinsonMember at Mouledoux, Bland, Legrand & BrackettAs a Member at Mouledoux, Bland, Legrand & Brackett, Jon Robinson focuses his practice on the representation of employers and carriers in matters arising under the Longshore and Harbor Workers' Compensation Act, the Defense Base Act, and the War Hazards Compensation Act. [read post]
4 Oct 2021, 12:21 pm by Attorney Author
Rubin Conference on Maritime Personal Injuries (LSU Law Center); Annual Longshore Conference (Loyola); Greater New Orleans Barge Fleeting Association; Houston Forum on Admiralty and Litigation Claims; St. [read post]
10 Jun 2013, 6:00 am by Jon Robinson
  Those entitles included ArmorGroup  Services (Jersey) Limited (“AG Jersey”), ArmorGroup Services Limited (“AG UK”), and ArmorGroup International, PLC (“AG PLC”). [read post]
27 Aug 2012, 5:34 am by Brennan W. Bolt
Port of Portland Dispute Continues: The Republic reports via an Associated Press article that the NLRB has filed new charges accusing the International Longshore and Warehouse Union of threatening shipping companies fi union members do no get two jobs currently performed by employees of another union. [read post]
5 Mar 2010, 6:38 am by Raúl
The firm has nine offices throughout Florida and one location in South Georgia, from which they serve resident businesses as well as regional, national and international clients with legal matters in Florida and neighboring states. [read post]
15 Aug 2016, 6:01 am by Kit Case
Partners: SSA Terminals, BNSF Railway, International Longshore and Warehouse Union, Puget Sound Pilots and The Northwest Seaport Alliance    Ship Canal 101 When: Wed., Oct. 5 Check in: 3:45 p.m. [read post]
24 Aug 2017, 6:01 am by Kit Case
Partners: SSA Terminals, BNSF Railway, International Longshore and Warehouse Union SHIP REGISTER NOW Space is limited, so reserve your spot early! [read post]
30 Jan 2012, 5:00 am by Jon Robinson
  Because of Section 33(g) of the Longshore and Harbor Workers’ Compensation Act. [read post]