Los Angeles Dentist Charged With Fraud for Allegedly Billing Insurance Carriers for Services Not Provided Over 7 Year Period

We have seen an increase in audits of dentists by private insurers. Big data and updated computer systems have made it easier for insurance ...

Orange County Workers' Compensation Fraud Cases Plead Out. Aspen Durable Medical Equipment Owners Get Minimal Jail Time, Pay Over $8 Million in Restitution and Dismiss $139 Million in Liens at WCAB

In criminal fraud cases, restitution is usually key to obtaining favorable plea terms. In workers' compensation fraud cases, releasing t...

When Is Physician Billing for In Office Prescriptions, Compounded Medications and Urine Toxicology Screening for Workers’ Compensation Patients Illegal? Orange County DA Charges Doctors, Pharmacists and Business Owners Alleging Insurance Fraud and Illegal Referral Fees

For years, there have been companies who approach physicians and offer ways they can add to their revenue stream.   This has been more commo...

Two Florida Owners of Sober Homes and Alcohol and Drug Treatment Centers Plead Guilty for Filing Fraudulent Insurance Claims and Paying Kickbacks for Referrals

Audits of alcohol and drug addiction treatment centers have been on the rise. We have also seen an increase in criminal filings relating to ...

Minnesota Chiropractors Who Paid Referral Fees to Marketers Charged in Federal Criminal Case for Personal Injury Auto Insurance Accident Cases

For years, health care providers  in personal injury or workers' compensation cases  were rarely prosecuted federally unless they billed...

Two Apparel Executives and Their Accountant Plead No Contest to Workers' Compensation Premium Fraud for Underreporting Payroll to Insurance Carriers

On December 1, 2016, t wo clothing manufacturing executives and their accountant pleaded no contest for their roles in underreporting worker...

California Owner and CFO of Chain of Outpatient Drug Rehab and Sober Living Facilities Charged With Insurance Fraud and Identity Theft In State Case in LA County Superior Court

There have been investigations into the drug rehabilitation business the past two years with insurance investigators leading the way. The in...

Los Angeles Area Insurance Company Owner Pleads Guilty to Misdemeanor for Allowing Unlicensed Employee to Advise Clients About and Sell Insurance

Insurance agents are required to be licensed. In an unusual case for criminal prosecution, an owner of an insurance agency and two of his em...

Sacramento Dentist Pleads Guilty to Billing for Unnecessary or Unperformed Dental Work Billed to Delta Dental From 2008 to 2010

We have seen an increasing number of audits by Delta Dental where billing for services not provided is suspected . In some cases, the issue ...

Los Angeles Nightclub Owner and Sacramento Construction Company Owner Arrested for Workers' Compensation Insurance Fraud, EDD Payroll Tax Fraud. Get Compliant and Seek Professional Advice When Faced With Audits.

On January 8, 2016, two criminal cases were filed against individual company owners for workers' compensation insurance fraud and payrol...

CALIFORNIA INSURANCE AGENT SENTENCED TO STATE PRISON FOR "ADVANCE COMMISSION FRAUD" IN ORANGE COUNTY SUPERIOR COURT

We are used to insurance fraud cases brought against those who file fraudulent claims. There has been an increased number of cases against t...