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Tuesday, March 17, 2015

Complaint Accuses Chiropractor of Running Bill Mill

  • By Greg Jones
  • State: California
  • Topic: Top
  • - Popular with: Legal
  • -  0 shares
A civil fraud complaint filed in Sacramento charges 29 physicians, chiropractors and others of parti…

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Mullen & Filippi San Jos Nov 3, 2016 a 2:58 pm PDT

I'm shocked---shocked!---to find that overbilling is going on here.

Anonymous Nov 3, 2016 a 2:58 pm PDT

I am surprised that they can be caught. I can name several clinics that operates just like this with multiple location. These guys are much bigger than Bahar whom I have acquaintance with. However, I tried contacting investigators for some of these guys and all the investigator could say was "these kinds of crimes are so hard to nail..." and went no where. At least somebody is finally doing something to get these fraudsters who are the biggest cost driver. Bahar is only one of so many and I'd consider her a small player.

Jason Bernard Nov 3, 2016 a 2:58 pm PDT

You shouldn't be able to get away with calling people "fraudsters" until they are proven to be so. The problem with slander is, its illegal.

Anonymous Nov 3, 2016 a 2:58 pm PDT

Howard, perhaps I have inside knowledge of some of these people I'm talking about. If I saw these first hand, it's not slander. Slander can only be established if the claims were false. In cases where fraud can be proven, whether they were prosecuted or not, the slander cannot be established. Slander has to have the component of lie.

Anonymous Nov 3, 2016 a 2:58 pm PDT

I am so disgusted when I read these stories. Injured workers are getting abused and taken advantage of by some really bad people (if this medical group is found guilty). I know this type of scam affects insurance companies with over billing, but what about the patients who either did not get the treatment written above or received unnecessary treatment?

As and injured worker who has been subjected to some fraudulent activity by a medical provider, that caused me physical harm I have gotten to the point where I do not feel safe in this system.

Alexander Zaks Nov 3, 2016 a 2:58 pm PDT

Who are these attorneys and why them? Why is it that a presumed Southern Californian, is named a "plaintiff" in an action brought by a Northern California firm, in Northern California? Odd.

But, to address the "substance" of the allegations; where are they? Geesh, I mean yes the entire compensation world KNOWS that the tactics of the carriers is to use all the money they....obtain, to get rid of those who they otherwise would pay to provide the treatment the rules say they are obligated to provide. How that must sting.

Anonymous Nov 21, 2016 a 6:49 pm PST

I can only assume why them as they are among the top insurance fraud law firms around.They have offices in Central and Southern CA. Many attorney's know the name Joe Cotchett, and he is highly respected.

Anonymous Nov 3, 2016 a 2:58 pm PDT

This is why the carriers and the legislators come down so heavy on the system. It is always the same. Crooked medical providers, milking the system. They are always on the applicant side, there are always nonmedical businessmen involved and they are loaded with applicant attorney referrals. Never once is an attorney implicated, one doesn't have to look far for the nexus. Rarely, does this occur on the defense side to this degree. No wonder why the legislature and carriers have come down so strong. The problem is there are some honest doctors on both sides, who want to treat injured workers and receive fair compensation. They are lumped in with the nogoodniks. Maybe a good start would be to get the chiropractors out of the system other than as therapists.

Oscar Rodriguez Nov 3, 2016 a 2:58 pm PDT

I will start out by first saying that I agree with your comments, regarding the involvement on non-businessmen in the workers compensation system. Like you I also feel that there are competent and honest medical providers on both sides, who have a legitimate interest in the welfare of the injured worker and providing medically necessary care to "cure and/or relief the effects of industrial injuries". Unfortunately your comments regarding the role of chiropractors to be limited to "therapist" only shows the ignorance and prejudice of the defense and carriers against the chiropractic profession as a whole. I understand that there are many practicing chiropractors that are just "milking" the system, the same can be said for our medical counter parts, and it is those providers who give us such bad reputations. I will say, that there should be more stringent regulations and sanctions against those doctors that see injured workers as a blank check and order unnecessary treatments only to pad their bills. At the same time there should be some type of penalty against carriers or U.R doctors who unfairly denied legitimate treatment requests to help injured workers. The system is all F&**ed up, but is not just chiropractors who are responsible for it. I recommend that you educate yourself in our ability to care for injured workers, rather than just making blanket statements lumping us all together. And by all means go after those that you feel are just ripping off the system...

George Corson Nov 3, 2016 a 2:58 pm PDT

I have never thought that Chiropractors should do more than provide 24 manipulations or PT visits based upon a Rx FROM a MD or DO. Giving Chiropractors the keys to the WC Bus seems to encourage provision of every single possible treatment within their power. When an AA designates a Chiropractor as PTP on a WC claim (especially a non-back) I believe/infer that the claim is specious, and the claim is usually valued accordingly.

Anonymous Nov 3, 2016 a 2:58 pm PDT

Lets not forget....the whistle blower, who was fired and THEN filed a complaint, has a massive financial incentive to file this type of claim.....

Anonymous Nov 21, 2016 a 6:49 pm PST

It appears whistleblowing is the best way to get evidence of medical provider fraud. Once the word gets out about this, I think there will be more of these types of cases coming forward. I wish there was something similar for those working for the insurance side/UR company/IMR if they commit fraud. Would there be this type of incentive for employees to come forward?

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