|Justicia Legal Case Now Steeped In Discovery In Orange County |
By Lonce Lamonte - September 24, 2017
Phase one of the “Justicia Legal” case, which involves $300,000,000 in estimated losses to workers’ compensation and liability insurance payers, according to Orange County District Attorney, Tony Raukauckas, is now deeply ensconced in the discovery period. 11 complaints were filed against six cappers and 10 applicants’ attorneys on June 5th 2017. Partner cappers Carlos Arguello III and Edgar Gonzales were recruiting and exploiting mostly Spanish-speaking-only clients to convert to fraudulent claimants from Los Angeles all the way down to the California-Baja California border for over a decade.
Carlos Arguello and the four others in his clan who are named defendants in one complaint, and Edgar Gonzalez, his capper partner who is charged separately, illegally indulged in unlawful referral of clients-patients for monetary compensation from attorneys while improperly billing and filing liens for photocopy services.
|Jeffrey Campau And Landon Mirallegro Amongst Six Medical Providers Just Suspended For Fraud By California's Division Of Workers' Compensation|
By Lonce Lamonte and Newsline from the California Dept of Industrial Relations - September 21, 2017
The California Division of Workers’ Compensation (DWC) has suspended six more medical providers from participating in California’s workers’ compensation system, bringing the total number of suspended providers to 38.
DWC Acting Administrative Director George Parisotto issued Orders of Suspension against the following providers:
Jeffrey Campau and Landen Mirallegro of Yorba Linda, co-founders of the durable medical equipment company Aspen Medical Resources, MRI diagnostic facility Elite Mgmt. LLC dba Elite Diagnostics, and an MRI services company, Regional Medical Services LLC. Campau and Mirallegro pled guilty in Orange County Superior Court on May 5, 2017 to medical insurance fraud for their involvement in an overbilling scheme in which they defrauded insurance companies of more than $70 million. Along with their co-defendant, Abraham Khorshad of Beverly Hills, Campau and Mirallegro agreed to pay over $8 million in restitution to several insurers and self-insured employers, and to voluntarily dismiss liens before the WCAB of nearly $140 million.
|California Department of Workers' Compensation Posts Adjustments to Official Medical Fee Schedule (Hospital Outpatient Departments/ Ambulatory Surgical Centers)|
By Lonce Lamonte and Newsline from the California Department of Industrial Relations - September 19, 2017
The California DIR's Division of Workers’ Compensation (DWC) has posted an order adjusting 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 Hospital Outpatient Departments and Ambulatory Surgical Centers fee schedule update Order adopts the following Medicare changes:
|Who's Paying For These High Powered Lawyers? Prosecution Gives Court Heads Up About Conflict Of Interest In Criminal Organization Munir Uwaydah Case In Downtown L.A. |
By Lonce Lamonte - September 17, 2017
When the Reverend Sherry Schermbeck, Marisa Schermbeck Nelson’s former mother-in-law, asked this writer early last Summer, “Who’s paying for these high powered lawyers?” for the defendants in the Criminal Organization Munir Uwaydah case in downtown Los Angeles, I thought it was a good question. A very legitimate question. Rev. Sherry brought up the question a few times. It really had her attention.
Sherry felt that her still-loved ex-daughter-in-law didn’t have any money. But she really didn’t know. She wanted to know what was going on with Marisa in court. She was concerned for Marisa and the grandchildren.
September 12, 2017 - California Department of Workers' Compensation Posts Adjustments To Official Medical Fee Schedule
September 10, 2017 - Prosecution Files Petition For Court Inquiry Into Conflicts Of Interest Of Defense Counsel In Criminal Organization Munir Uwaydah Case
September 7, 2017 - California Division of Workers’ Compensation Issues Revised MTUS Drug Formulary Regulations for Second 15-Day Comment Period
September 5, 2017 - United Kingdom Based Charles Taylor Purchases Metro Risk Management In Southern California
August 30, 2017 - California DIR’s Division of Workers’ Compensation Posts Database of Dismissed Liens
August 29, 2017 - Katherine Zalewski Designated Chair of California Workers’ Compensation Appeals Board