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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
This information helped the defendants submit fraudulent bills to anthem. [read post]
5 Jun 2013, 10:09 pm
As reported by The Deseret News (Salt Lake City): On May 27, Jason West went to Basin Clinic prepared to dispute an outstanding bill, according to Assistant Vernal Police Chief Keith Campbell. [read post]
4 Apr 2012, 7:27 am
Radiotherapy Clinics of Georgia, LLC, located in Decatur, Georgia, and its affiliates RCOG Cancer Centers LLC, Physician Oncology Services Management Company LLC, and Physician Oncology Services L.P. [read post]
2 Apr 2010, 5:00 am by Jacksonville Personal Injury Attorney
Proposed bills will toughen pain clinic laws requiring clinics to register with the Department of Health and to participate in a state database of prescription and addictive drugs to track prescriptions. [read post]
2 Mar 2018, 3:55 am by Michael Roe
  For good and loving parents, the children should have substantial contact with both parents; the clinical research supports this idea. [read post]
27 Jun 2016, 6:50 am by Emily Everson
” Read the rest of Senate Advances Bateman Bill Upping Clinical Experience Requirements for School Nurse Certification (141 words) [read post]
26 Jun 2013, 5:56 am
There's also a video, and I'm inspired to write about an aphorism you can see at 1:57: a shot of a room in a clinic — presumably a room where abortions are performed. [read post]
22 Aug 2019, 4:15 am by IPWatchdog
Taylor’s statistic that 62% of investors he surveyed said they were less likely to invest in companies where patent protection is not available, to Bob Armitage’s characterization of the draft bill’s revision to Section 112(f) as “perfect,” to the Cleveland Clinic’s statement that they are currently less likely to make the necessary investments to bring new advances in diagnostics to market, these responses are a reminder of what’s at… [read post]
26 May 2021, 12:26 pm by Lori Williams
Anti-abortion legislators pushed through such a high volume of bills aimed at restricting abortion access, and the rate at which they were introduced and passed was faster than in years prior. [read post]
12 Jun 2019, 9:34 am by Tim Zubizarreta
A Missouri judge issued an injunction to keep Missouri’s last abortion clinic open while the case is fought in court. [read post]
17 Feb 2014, 12:54 am by Ben Vernia
According to DOJ’s press release: SelfRefind, a chain of addiction treatment clinics, PremierTox LLC, a clinical laboratory that performs urine testing and Drs. [read post]
22 Oct 2021, 2:07 pm by luiza
Clinical laboratory MD Labs Inc., and co-founders and owners, Denis Grizelj and Matthew Rutledge, settled charges the lab falsely billed Medicare, Medicaid, and other federal payors for pricey and unnecessary urine drug tests. [read post]
26 Nov 2014, 9:27 am by Green and Associates
Grewal agreed that he and the clinic would pay $1,087,176.09 to the United States for Medicare and Tricare billing and $112,823.91 to the State of California for Medi-Cal billing.This is not a criminal case only civil. [read post]
5 Jan 2016, 7:13 pm by Green and Associates
Simitian allegedly owned and operated Columbia Medical Group Inc., Life Care Medical Clinic and Safe Health Medical Clinic, three medical clinics in Los Angeles. [read post]
24 Mar 2019, 5:08 pm by David Jensen
(See here, here, here and here.)Mullin's bill would create an advisory board within the state Department of Public Health to study the problems involving unregulated stem cell clinics and make recommendations to the legislature. [read post]
30 Sep 2015, 6:31 am by Jeff Welty
Accepted clinical standards for diagnosing significant limitations in intellectual functioning and adaptive behavior shall be applied in the determination of intellectual disability. [read post]
17 Sep 2019, 12:50 pm by Jordan Ross
Referencing the University of California or the California State University, each public university’s student health care clinic must offer abortion by medication techniques. [read post]
14 Nov 2011, 11:32 am by Reproductive Rights
Reuters: Church-backed abortion bill sparks protest in Russia, by Alissa de Carbonnel: MOSCOW, Nov 8 (Reuters) - Women of all ages used to fill gynecologist Lyubov Yerofeyeva's Soviet state clinic, lined up by the dozen for back-to-back abortions. [read post]
2 Sep 2013, 7:58 am by Green and Associates
 We can expect to see a revised bill presented next year regarding expanding the use of nurse practitioners in clinic and group practice settings.Posted by Tracy Green, Green and Associates, Attorneys at LawYou can reach Ms. [read post]
21 May 2015, 6:35 am by Debra A. McCurdy
Today the House Energy and Commerce Committee is marking up H.R. 6, the 21st Century Cures Act, a high-profile, bipartisan bill that seeks to accelerate the pace of medical cures in the United States through a variety of reforms addressing drug and device development and approval, clinical trial design, research funding, interoperability of health technology, and other issues. [read post]