An investigation into what’s being called one of the largest cases of workers’ compensation healthcare insurance fraud in California Department of Insurance history led to 13 indictments announced today against seven Southern California-based medical professionals. This is the second wave …
The owners of a janitorial company serving luxury hotels in Southern California and Nevada are charged with running a $7 million workers’ compensation insurance and tax evasion scam, prosecutors announced Monday. Hyok “Steven” Kwon and Woo “Stephanie” Kwon were arrested …
California Department of Insurance detectives arrested nine individuals involved in a complex scheme allegedly targeting more than 230 workers’ compensation insurers and self-insured employers. Siblings Francisco Javier Gomez, Jr. and Angela Rehmann, owners of G&G Interpreting Services, allegedly fraudulently billed …
A Spanaway, Washington, woman who admitted stealing injured-worker benefits while operating a BBQ eatery must pay back Washington state more than $56,000. Susan Kathleen Ruiz, former owner of Roadside BBQ, pleaded guilty recently to felony first-degree theft, stemming from a …
Fraud continues to be problem for the insurance industry and medical fraud, in particular, is growing according to Andy Tolsma, solutions manager for the P&C Medical Fraud payments accuracy division for Verisk Health. Industrywide 10 percent of all P&C have …
A former Tri-Cities construction worker who said an on-the-job injury made him too disabled to work now faces a felony theft charge. The Washington Attorney General’s Office has charged Richard Robson Trott, 47, with first-degree theft of workers’ compensation benefits. …
A physician assistant who wasn’t licensed or trained to perform surgery operated on hundreds of patients while the orthopedic surgeon who billed for the procedures schemed with colleagues to hide a massive insurance fraud conspiracy, Los Angeles prosecutors said. Prosecutors …
An orthopedic surgeon was charged as the ringleader in one of the state’s biggest health fraud schemes, which included unnecessary operations by an untrained assistant that scarred patients forever, according to indictments unsealed Tuesday. Dr. Munir Uwaydah and 14 associates, …
The manager of a Spokane, Wash., used car dealership must serve a year in jail for stealing more than $76,000 in disability benefits from the state. Gary Bruce Farnworth II, 48, was caught running the dealership while telling the Department …
More than one in 10 small business owners (13 percent) are concerned that one of their employees would commit workers’ compensation fraud by faking an injury or illness in order to collect benefits, according to a new poll by Employers. …