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Imaging Company CEO Seeks Acquittal, New Trial on Fraud Charges

health care fraud. The indictment alleges only that Solakyan knowingly engaged in criminal activity when it must allege that he willfully did so according to the filing. The attorneys also argue that the mail fraud charges were brought in the wrong venue. The allegedly fraudulent bills were sent

Category: News

DaisyBill: Record Review Nearly One-Third of $110.5M Clients Billed for Med-Legal Services

records. The reimbursement rate for reviewing additional records is 3 per page. From April 1 through Oct. 18 DaisyBill said clients submitted 46992 bills for a combined 110.5 million for med-legal services an average of 2351 per bill. While evaluations report and testimony expenses

Category: News

4th DCA: Self-Referral Bar Doesn't Apply to Services Provided Through Doctor's Separate Businesses

aggregate amount he billed Berkshire through Kensington. The second fraud charge is based on the aggregate amount billed through Rochester. Prosecutors allege the bills from Kensington and Rochester which totaled 157797 were fraudulent because Banerjee violated section 139.3a by not informing

Category: News

After Contentious Legislative Session, Lower-Profile Comp Bills Head to Newsom's Desk

Following a California legislative session that featured several high-profile pieces of potentially impactful workers compensation legislation a relatively modest set of bills is headed to Gov. Gavin Newsoms desk. Gov. Gavin Newsom And while employer and insurer advocates are likely

Category: News

WCIRB Governing Committee Meets Wednesday

The Workers Compensation Insurance Rating Bureau of California Governing Committee will review pending regulatory legislative and judicial actions during a public meeting Wednesday. Committee members will discuss bills passed during the legislative session that adjourned Sept. 10 as well as

Category: News

CWCI: Average Med-Legal Payment Increased 67% Under New Fee Schedule

interpreter. CWCI reports between that April and May 56.7 of comprehensive medical-legal services were billed using only ML201 and did not include the MLPRR code for additional record review or the ML205 code for reviewing surveillance footage. The median payment for ML201 bills was 2015. The

Category: News

Assembly Passes Firefighter Salary Continuation Measure

Fund to make discretionary investments in properties securities and money market mutual funds. The amended bill also extends State Funds authorization to invest up to 20 of its surplus in stocks mortgages and other instruments. Both bills will be presented to Gov. Gavin Newsom who will have

Category: News

Stakeholders Urge Against Possible Second Hearing on Copy Proposal

requests for copy services are submitted for legitimate reasons. Virtually everyone who has commented on the perjury provision has asked the DWC to either remove it from the proposal or rephrase it so stakeholders know precisely who would be liable. The proposal also states that bills must be paid

Category: News

Omnibus Bill Goes Back to Insurance Committee

Assembly Insurance Committee earlier this week under a rule allowing additional review of bills that are amended in the upper chamber. The bill was amended twice while it was in the Senate. One of the amendments would require additional time to account for mail delays when work comp policy cancellations

Category: News

Senate Passes Omnibus Bill; PTSD Presumption Goes to Inactive File

by Sen. Henry Stern D-Canoga Park would add firefighters for the state Hospitals Developmental Services Veterans Affairs and Military departments to the list of first responders covered by a PTSD presumption. The California Legislature adjourns Sept. 10. Bills not passed this year can be

Category: News

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