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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 also states that Jizmejian, for cash payments, would provide Khadem and others with confidential Anthem information. [read post]
30 Nov 2010, 5:37 pm by Robert McKennon
"In levying these fines, [the state] is addressing an ongoing, systemic issue that harms the ability of providers to care for their patients," said Jan Emerson-Shea, a spokeswoman for the California Hospital Assn. [read post]
22 Aug 2010, 10:10 am by Green and Associates
If you are a health care provider with a Medicare or Medi-Cal provider number -- especially in Southern California --chances are you WILL be audited or have an on-site visit at some point over the years. [read post]
23 Nov 2016, 8:15 am by Green and Associates
 The link for the physican scholarship is: http://www.oshpd.ca.gov/HPEF/Programs/STLRP.html For more information go the website for this program (and for other health care provider scholarships) at State of California Office of Statewide Health Planning and Development, Health Professions Education Foundation. [read post]
22 Jun 2020, 7:42 am by Bill Stalter
A pooled master trust would be the solution to the small trust hurdle, but unlike the Missouri Funeral Trust, there is no state association master care trust. [read post]
22 Apr 2013, 11:17 am
We are privileged for the opportunities we have to build relationships with our HOA clients throughout the state of California. [read post]
22 Aug 2013, 8:35 am
” Similarly, section 17701.10(c)(15) provides that an operating agreement cannot “unreasonably” reduce the duty of care. [read post]
9 Dec 2015, 10:11 am
Seven physicians groups, including the Connecticut State Medical Society, the American Medical Association, the California Medical Association, the Medical Association of Georgia and others, have reached a settlement with insurance company Anthem Blue Cross and Blue Shield ("Anthem") over allegations of 'out-of network shenanigans'. [read post]
9 Dec 2015, 10:11 am
Seven physicians groups, including the Connecticut State Medical Society, the American Medical Association, the California Medical Association, the Medical Association of Georgia and others, have reached a settlement with insurance company Anthem Blue Cross and Blue Shield ("Anthem") over allegations of 'out-of network shenanigans'. [read post]
10 Sep 2008, 1:42 pm
The California Constitution requires the state to reimburse localagencies and school districts for certain costs mandated by thestate. [read post]
14 Aug 2011, 9:42 pm by Anonymous
After further research, however, Austin discovered that a stated policy of the health care law is the containment of health care costs. [read post]
17 Dec 2021, 12:44 am by Gene Takagi
We’ll provide a link to the new Forms when they are published. [read post]
5 Nov 2014, 11:02 pm by Jon Gelman
"Click here to read the entire article.Read more about California and "workers' compensation:"Nurses to Jerry Brown: California isn't ready for EbolaOct 28, 2014The union's call – and a rebuttal from the California Hospital Association – came as Brown met privately with nurses, public health officials and medical providers to discuss Ebola. [read post]
18 Jan 2012, 12:56 pm by JimWieland
” In practical application, SB 24 will extend to cover most health care providers (licensed or not) whether or not they are considered a covered entity or business associate under HIPAA. [read post]
Effective April 1, 2018, California became the first state to require all acute-care hospitals and skilled-nursing facilities to develop and implement comprehensive workplace violence prevention plans. [read post]
9 May 2017, 10:13 am by Green and Associates
 Pacific Pulmonary Services is a DME home medical business and provides stationary and portable oxygen tanks and related supplies, and sleep therapy equipment, such as Continuous Positive Airway Pressure, Bilevel Positive Airway Pressure masks and related supplies, to patients’ homes in California and other states. [read post]
Other States’ Cannabis/Labor Peace Agreement Requirements California is not the only state that has imposed such requirements on cannabis businesses in order to obtain licensure to engage in commercial cannabis activity, as N [read post]
31 May 2018, 9:01 pm by Vikram David Amar
California lawsuit, I very much hope that as these matters begin receiving attention in the judicial forum, they will be analyzed with much more precision and doctrinal care, such that some of the bluster on both sides will ultimately fall away.The complaint, filed in federal court in Sacramento in the Eastern District of California about eight weeks ago, asserts claims by the federal government against the State of California for three distinct… [read post]
31 Jan 2016, 9:30 pm by rquintilone
  The California state minimum wage increased from $9.00 to $10.00. [read post]