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June 19, 2019
California Workers’ Compensation Appeals Board Posts Proposed Updated Rules of Practice and Procedure for Public Comment

June 18, 2019
California’s Division of Workers’ Compensation to Revise Independent Medical Reviews (IMR), Independent Bill Reviews (IBR) Requests for Proposal

June 13, 2019
Paul Turley, D.C. To Testify In Dr. Uwaydah Criminal Organization Case In L.A. Judge Concerned With Turley's Proffer Stating Uwaydah Controls Everything From Lebanon.

June 13, 2019
California Division of Workers’ Compensation Posts Adjustments to Official Medical Fee Schedule (Physician Services / Non-Physician Practitioner Services)



Neurosurgeon Laura Anderson From Sacramento Area Charged With Half Million Dollar Scheme For Workers' Compensation Fraud
By Lonce Lamonte and the California Department of Insurance - April 9, 2019

A 64-year-old neurosurgeon from Carmichael, California, Laura Anderson, M.D, has been charged with multiple counts of medical insurance fraud, workers’ compensation fraud, and grand theft after allegedly submitting over $500,000 in fraudulent medical services reimbursement claims to the State Compensation Insurance Fund (SCIF). 

Dr. Anderson was arrested yesterday and booked on these charges at the Sacramento County Jail. She was released on bail and is scheduled to appear in Sacramento County Superior Court Department 8 on April 18, 2019, for her arraignment.

“My department is committed to investigating fraud and working with our law enforcement partners to ensure California consumers and insurers are protected,” said Insurance Commissioner Ricardo Lara. “Medical insurance fraud drives up the cost of health care when insurers pass the losses along to consumers in the form of higher premiums.”

From 2013 to 2018, Dr. Anderson allegedly orchestrated a fraudulent scheme of billing the State Compensation Insurance Fund for medical services she never provided her patients and “upcoding” of bills to illegally obtain a greater payout from the insurer.

The case was investigated by the Northern Impact Workers’ Compensation Insurance Fraud Task Force comprised of investigators and attorneys from the California Department of Insurance, El Dorado County District Attorney’s Office, Yolo County District Attorney’s Office, Nevada County District Attorney’s Office, Placer County District Attorney’s Office, Sacramento County District Attorney’s Office, and the Franchise Tax Board. 

A Deputy District Attorney from El Dorado County has been cross-designated to prosecute the case in Sacramento County, where it has been filed.

#

by Lonce Lamonte, editor, adjustercom, lonce@adjustercom.com; and the California Department of Insurance news department:  cdipress@insurance.ca.gov

 

 

 
 

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