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California Supreme Court Denies Sim Hoffman, M.D.'s Petition For Review And Depublication Request
By Lonce Lamonte - February 14, 2018

Today, February 14th 2018, Sim Hoffman, M.D.’s Petition for Review and De-Publication Request was denied by the California Supreme Court. 

Now this case of workers’ compensation billing fraud of the People vs. Sim Hoffman, M.D. and Thomas Heric, M.D. will return to the Orange County Superior Court, the court room of the Honorable Richard King, and will proceed to trial. 

Disposition, Hoffman vs. Superior Court (PEOPLE)
Case Number: S245814


Buena Park radiologist, Sim Hoffman, was indicted in May of 2011 with 884 counts pertaining to his egregious workers’ compensation claims billing frauds.  His frauds consisted of billings for single fiber EMGs, which are very rare procedures never performed on workers’ compensation patients, 3D MRIs for which he didn’t even have the software, patient interpreting fraud for which the interpreter was not even aware he’d done an interpreting job let alone had his license number used on the billing, and bogus sleep studies for which Dr. Thomas Heric wrote meaningless reports. 

The indictment was dismissed in December of 2013 on a successful 995 Motion by Hoffman’s defense team citing Johnson error.  Johnson error occurs when the prosecution fails to present exculpatory evidence to the grand jury.  It was alleged that the prosecutor, Shaddi Kamiabipour, failed to disclose to the grand jury the fact that Dr. Hoffman reimbursed State Compensation Insurance Fund the amount of $75,000 for overbillings.

California's Division of Workers’ Compensation Posts Fee Schedule Adjustments for Hospital Outpatient Departments / Ambulatory Surgical Centers
By Lonce Lamonte and Newsline from the California Department of Industrial Relations - February 13, 2018

The Division of Workers’ Compensation (DWC) has posted adjustments to the Hospital Outpatient Departments and Ambulatory Surgical Centers section of the Official Medical Fee Schedule (OMFS) to conform to changes in the Medicare payment system as required by Labor Code section 5307.1. The changes take effect on March 15.

The public should take note of the following:

Los Angeles area couple, Clement Chichester and Brittney Sias, insurance agents, arrested by Department of Insurance
By Lonce Lamonte and the Californa Department of Insurance - February 9, 2018

Victims' money used to buy homes and vacations.  Search for more victims is underway. 

Clement Ignatius Lancelot Chichester, 68, and Brittney Jade Sias, 56, both from the Los Angeles area, were arrested at their residence yesterday by detectives from the California Department of Insurance.

The couple is charged for allegedly scamming a senior victim out of more than $1 million in cash and property. The two face more than two dozen felony counts, including identity theft, embezzlements, forgery and fraud.

Florida's SB 1568 Hopes To Keep Injured Workers Protected By Workers' Compensation Regardless Of Immigration Status
By Lonce Lamonte - February 8, 2018

Florida state Senator Gary Farmer has introduced a new bill designed to stop insurance companies from shirking off paying workers’ compensation to illegal immigrants by aiding in their arrests and deportations.  The bill, SB 1568, would eliminate the “false identity provision”, which exists in a 2003 workers’ compensation law that makes it a crime to file a work comp claim using a false identification. 

More News

February 5, 2018 - Travelers Institute to Address Distracted Driving, Cybersecurity and Small Business Challenges in 2018

February 1, 2018 - AB 479, Relating To Work Place Causation Of Breast Cancer Resulting In Permanent Disability, Passes California Assembly Unanimously

January 29, 2018 - California Insurance Commissioner, Dave Jones, issues formal notice to insurers regarding mudslide coverage for homeowners.

January 25, 2018 - California Division of Workers' Compensation Suspends 11 Medical Providers for Fraud, Conspiracy or Loss of License

January 22, 2018 - California Division of Workers' Compensation Medical Unit Accepting Applications for Upcoming Qualified Medical Evaluator Examination on April 28th 2018

January 21, 2018 - Sim Hoffman, M.D. Defense Sends Petition To The Supreme Court On Recent Appeals Court Ruling

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