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Breaking News

  • News Icon Published March 31, 2021

    Melamed, Pharmacist in Workers’ Compensation Kickback Fraud Scheme, Sentenced to 6 Months, $1.4M Forfeiture

    Hootan Melamed, the pharmacist whose kickback scheme resulted in losses to insurance carriers of between $9 million and $20 million, has been sentenced to a 6 month jail term, and must repay $1.4 million in an asset forfeiture. The judgment requires Melamed, who entered a plea agreement in November of 2020, to turn himself in and serve his sentence by October 1st, 2021.

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  • News Icon Published March 25, 2021

    California Legislature Passes SB 95, Providing Supplemental Paid Sick Leave for COVID-19

    On March 18, 2021, the California Legislature passed SB 95, which reestablishes and expands supplemental paid sick leave for reasons related to COVID-19.

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  • News Icon Published March 23, 2021

    Landscaper in San Jancinto Charged with Workers’ Compensation Insurance Fraud

    The California Department of Insurance (DOI) has announced that Angel Maces, a San Jacinto landscaper, has been arraigned for felony insurance fraud for falsifying symptoms following a work-related injury. Mr. Maces received over $42,000 in workers’ compensation benefits that he did not deserve.

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  • News Icon Published March 10, 2021

    Former City of Hollister Employee Faces Four Felony Counts in Workers’ Compensation Insurance Fraud Case

    The California Department of Insurance (DOI) has announced that Daniel Clampitt, a former Hollister firefighter, was charged with four felony counts including workers’ compensation insurance fraud, grand theft and perjury. He claimed to be too injured to work and collected over $94,000 in workers’ compensation benefits while continuing to work for another company.

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  • News Icon Published March 10, 2021

    California DWC Extends Emergency Regulations for Medical-Legal Evaluations and Reporting Through October 12, 2021

    California’s Division of Workers’ Compensation (DWC) announced today that its emergency regulations 36.7 and 46.2 for medical-legal evaluations and reporting, which went into effect on May 14, 2020 and were set to expire in January 2021, have been extended until October 12, 2021.

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  • News Icon Published March 4, 2021

    Nutrition Assistant Arraigned on Four Workers’ Compensation Insurance Fraud Charges in Merced

    The California Department of Insurance (DOI) announced on Thursday, March 4, 2021, that Kia Lor, 54, of Merced has been arraigned on multiple counts of workers’ compensation insurance fraud. Lor, a Nutrition Assistant at the Merced Community Action Agency, suffered a back injury at a company picnic in 2018, while lifting a cooler.

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  • News Icon Published February 25, 2021

    Long Beach Division of Workers’ Compensation (DWC) Office Moves to New Location

    The California Department of Industrial Relations (DIR) Division of Workers’ Compensation announced on February 25th that the Long Beach office has moved to a new location, effective immediately.

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  • News Icon Published February 23, 2021

    School District Employee Faces Charges of Workers’ Compensation Insurance Fraud, Grand Theft in COVID-19 case

    The California Department of Insurance (DOI) announced in a bulletin today that Stephanie Medrano, 33, of West Covina, was arraigned on multiple charges of workers’ compensation insurance fraud and grand theft after making false statements about her condition.

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  • News Icon Published February 23, 2021

    Workers’ Compensation Fraud Conviction Upheld in Illegal Kickback Scheme Case People v. Paredes

    California’s Court of Appeal for the 4th District has upheld the workers’ compensation fraud conviction of Gonzalo Ernesto Paredes, the former Office Administrator for Advanced Radiology. Paredes had been found guilty of 35 counts of “offering or delivering compensation for workers’ compensation patient referrals” in the illegal kickback scheme.

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  • News Icon Published February 10, 2021

    Fusion Rx Pharmacy Owner Enters Guilty Plea in Healthcare Fraud Conspiracy Case

    Navid Vahedi, owner of Fusion Rx Compounding Pharmacy in Los Angeles, stood accused of conspiring with marketers to commit healthcare fraud and pay kickbacks. Vahedi, 41, pleaded guilty on behalf of himself and his business, and will be sentenced on June 28.

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  • News Icon Published February 3, 2021

    Buttonwillow Worker Faces Felony Charges in Workers’ Compensation Insurance Fraud Case

    The California Department of Insurance has announced that a warehouse worker in Buttonwillow has been arraigned on multiple felony counts, and will be prosecuted by the Kern County District Attorney’s office.

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  • News Icon Published January 21, 2021

    Fresno Man Faces Felony Workers’ Compensation Insurance Fraud Charges

    The California Department of Insurance (DOI) has announced the self-surrender to the Fresno County Jail of a man accused of perjury and workers’ compensation insurance fraud. Jose Zepeda, 45, of Fresno, faces multiple charges stemming from a claim filed after a 2017 injury.

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  • News Icon Published January 12, 2021

    WCAB Decision Addresses Remote Testimony In Response to the COVID Pandemic

    In a significant panel decision (PDF) issued Tuesday, January 12, 2021, the California Workers’ Compensation Appeals Board (WCAB) ruled that continuing a trial indefinitely to get in-person testimony was inappropriate.

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  • News Icon Published January 7, 2021

    California DIR, Division of Workers’ Compensation Expand District Office Services Effective January 11, 2021

    The Department of Industrial Relations (DIR) Division of Workers’ Compensation (DWC) announced on Thursday that beginning Monday, January 11th, walk-through appointments would be made available at District Offices, using the LifeSize video platform.

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  • News Icon Published December 16, 2020

    Ventura Man Pleads Guilty to Felony Workers Compensation Fraud

    Ventura County District Attorney Gregory D. Trotten announced that a sentence of 120 days in jail has been handed down in a case involving a violation of Insurance Code section 1871.4(a). Sergio Ordonez of Ventura pled guilty to making a “false and fraudulent material statement” in order to obtain workers’ compensation benefits.

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  • News Icon Published December 10, 2020

    Firefighter Pleads Guilty to Felony Workers’ Compensation Fraud

    Perry Adam Lieber, 34, has pled guilty in a workers’ compensation fraud case that saw the former Ventura County firefighter receive more than $145,000 in workers’ comp benefits. In June, Lieber had been charged with three felony counts, including workers’ compensation fraud and perjury.

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  • News Icon Published December 4, 2020

    Orange County Attorney Faces 20 Felony Charges in Workers Compensation Insurance Scheme

    The California Department of Insurance announced today that Moses Luna, 73, of Newport Beach was arrested on 20 felony counts after an investigation into his business found that he had fraudulently billed multiple insurance carriers for translation and interpreting services, generating over $300,000 in fraudulent billings.

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  • News Icon Published November 24, 2020

    13 charged in $20M Supplemental Job Displacement Benefits Fraud Conspiracy

    Riverside County prosecutors announced Monday that the first of 13 defendants across three criminal cases have been arraigned, facing a range of charges that include conspiracy, workers’ compensation insurance fraud, caping, and receiving kickbacks.

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  • News Icon Published November 23, 2020

    Plea Agreement Filed in Melamed Workers’ Compensation Fraud Criminal Case

    The criminal case against Hootan Melamed, the former owner of several pharmacies, appears to be coming to a close. A plea agreement for Melamed was filed in the U.S. District Court for Southern California in early November, at the same time that prosecutors filed superseding information that outlines a conspiracy charge and a plan to recover assets in a forfeiture plan.

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  • News Icon Published November 12, 2020

    Canoga Park Man Arraigned on Three Felony Charges in California Workers’ Compensation Insurance Fraud Case

    The California Department of Insurance (DOI) has announced that Alexander Cody Smith, 30, has been arraigned on three felony charges for worker’s compensation insurance fraud stemming from a claim made while working for Engen Enterprises Inc.

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  • News Icon Published November 11, 2020

    30 Month Prison Sentence in California Disability Fraud Scheme

    Angela Stubblefield, 49, of Tacoma Washington was sentenced on Monday to two and half years in prison for disability fraud and identity theft. She and Katherine Decker, who worked for the California Employment Development Department, filed multiple fraudulent diability claims, and illegally extended benefits for existing claims, using real identities.

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  • News Icon Published October 28, 2020

    California Workers’ Compensation Appeals Board Reinstates Rules Previously Suspended During COVID-19 Pandemic

    On Tuesday, the California Department of Industrial Relations Workers’ Compensation Appeals Board (WCAB) issued two en banc decisions which lift the suspensions of rules on lien claims and documentary trial exhibits.

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  • News Icon Published October 13, 2020

    Emergency COVID-19 Medical-Legal Reporting Regulations To Expire March 12, 2021

    California Division of Workers’ Compensation has announced that Emergency Regulations 36.7 and 46.2, which took effect on May 14, 2020 in response to the COVID-19 pandemic, will expire in March, in accordance with Governor Newsom’s Executive Orders.

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  • News Icon Published October 1, 2020

    $18 Million in Liens Dismissed in Case Involving Workers Compensation Fraud

    A judge has dismissed liens totaling over $18 million in the case of Michael E. Barri, who pled guilty in 2016 to multiple federal charges, including conspiracy and receiving illegal kickbacks from Pacific Hospital.

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  • News Icon Published September 17, 2020

    Gov. Newsom Signs SB1159 Into Law, Creating COVID-19 Presumption for Workers’ Compensation

    Governor Newsom has now signed SB1159 into law, as anticipated, creating a rebuttable presumption of compensability for COVID-19 cases. An urgency measure, the law goes into effect immediately.

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  • News Icon Published September 9, 2020

    California DWC and WCAB Further Expand Hearing Options to Include Lien Trials

    California’s Department of Industrial Relations announced today that judges will resume hearing a limited number of lien trials beginning on September 14th.

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  • News Icon Published September 1, 2020

    California Senate Sends SB 1159 Coronavirus Presumption Bill to Governor Newsom for Signature

    The legislature’s passage of the bill through both houses in the final hours of the legislative session sends the urgency measure to the governor’s desk, where it will take effect upon his signature.

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  • News Icon Published August 25, 2020

    California Division of Workers’ Compensation Suspends Three Doctors, Three Nurses

    Among the grounds for suspension were a failure to respond to allegations from Florida regulators that the nurse in question was diverting Fentanyl, and a failure to report that the physician in question was seeing patients seeking medical marijuana recommendations (the physician was already on probation).

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  • News Icon Published August 20, 2020

    Three Bills on COVID-19 Workers’ Compensation Presumptions Under Review by Appropriations Committees

    The California legislature will hear testimony today on the costs for the three California bills under consideration to create workers’ compensation compensability presumptions for coronavirus (COVID-19) cases.

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  • News Icon Published August 12, 2020

    California DWC and WCAB Further Expand Workers’ Compensation Hearing Options to Include Video

    In a statement released today, the California Department of Industrial Relations announced that the Division of Workers’ Compensation (DWC) and the Workers’ Compensation Appeals Board (WCAB) will expand their capabilities for remote hearings with a video option.

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  • News Icon Published August 6, 2020

    Federal Charges Brought in Opioid Trafficking and Fraud Case

    Ten individuals, including Dr. John Michael Korzelius of Camarillo, face federal drug trafficking and fraud charges after a two-year investigation by DEA and IRS agents resulted in two federal grand jury indictments. The charges allege that the individuals were part of a narcotics scam that sold illegal opioids for cash through fraudulent pain clinics.

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  • News Icon Published August 5, 2020

    COVID19 Compensability Presumption Could Extend to 2024 For Some Workers

    A new amendment to Senate Bill 1159 by Sen. Jerry Hill of San Mateo would extend the presumption that COVID-19 is compensable, through July 1, 2024, for certain workers, including those on the front line of the pandemic.

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  • News Icon Published July 16, 2020

    California DIR, WCAB Rescind COVID-19 Rules Suspension of Timeframes for Reconsiderations, Effective 9/1

    The California Department of Industrial Relations Workers’ Compensation Appeals Board has issued an en banc ruling, reinstating the requirements and time frames for the WCJ’s Report and Recommendation on a party’s Petition for Reconsideration, effective 9/1.

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  • News Icon Published May 28, 2020

    California Division of Workers’ Compensation and WCAB Expand Hearing Schedule to Include Lien Conferences, Effective June 8

    California’s Department of Industrial Relations (DIR) Division of Workers’ Compensation (DWC) and Workers’ Compensation Appeals Board (WCAB) have announced updated hearing procedures, effective June 8th, in an effort to improve operations during the coronavirus (COVID-19) pandemic. 

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  • News Icon Published May 19, 2020

    New Emergency Workers’ Compensation Rules Allow Remote Med-Legal Evaluations By AMEs or PQMEs During Stay-At-Home Orders Due to COVID19 Pandemic

    Emergency rules have been passed due to the COVID-19 pandemic to allow remote med-legal evaluation by AMEs or PQMEs while the stay at home orders are in effect. This emergency regulation may have the effect of speeding up the med-legal process which has been stalled somewhat under the stay at home orders.

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  • News Icon Published May 6, 2020

    Executive Order from Governor Newsom Establishes Presumption That Workers Infected With COVID-19 Contracted Virus At Work

    California Governor Gavin Newsom announced an Executive Order in response to the Coronavirus COVID-19 outbreak, establishing a rebuttable presumption that a worker who tests positive for the virus contracted it arising out of and during the course of employment.

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  • News Icon Published April 28, 2020

    California DWC, WCAB Expand District Office Hearing Schedule, Suspend Exhibit Filing Requirement

    Case-in-chief trials will now be heard by the DWC, beginning May 4, via the judges’ individually assigned conference lines. An en banc order by the WCAB also suspended the 20-day requirements laid out in WCAB Rules 10620 and 10670(b)(3).

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  • News Icon Published April 14, 2020

    WCAB Issues En Banc Decision in Anthony Dennis v. State of California – Department of Corrections and Rehabilitation

    On Monday April 13, 2020, the California Workers’ Compensation Adjudication Board (WCAB) issued an en banc decision affirming it’s July 31, 2018 decision in the case of Anthony Dennis v. State of California – Department of Corrections and Rehabilitation 2020 Cal. Wrk. Comp. LEXIS 19, W.C.A.B. Case No. ADJ9346293.

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  • News Icon Published April 9, 2020

    California Department of Industrial Relations to Require Certain Appearances by Phone

    California’s Department of Industrial Relations (DIR) will require MSCs, status conferences, and priority conferences to occur by phone beginning Monday, 4/13/2020.

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  • News Icon Published April 3, 2020

    California DIR, DWC, WCAB Announce Updated Procedures for Hearings and Filings Due to COVID-19

    California’s Department of Industrial Relations (DIR) announced today that the Division of Workers’ Compensation (DWC) and Workers’ Compensation Appeals Board (WCAB) have released updated procedures through April 10th to prevent the spread of COVID-19.

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  • News Icon Published March 19, 2020

    California DIR, DWC Announces Updates For QME Med-Legal Exams Due To COVID-19

    California’s Department of Industrial Relations (DIR) announced today that the Division of Workers’ Compensation (DWC) is taking further steps to ensure public safety, evaluating the viability of telemedicine for Qualified Medical Examiner (QME) evaluations.

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  • News Icon Published March 18, 2020

    WCAB Issues En Banc Order, Suspends Some Rules of Practice & Procedure

    The California Department of Industrial Relations (DIR) Workers’ Compensation Appeals Board (WCAB) issued an en banc order today in response to the continuing threat of the novel Coronavirus COVID-19. The order suspends “specific WCAB Rules of Practice and Procedure contained in Title 8 of the California Code of Regulations.”

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  • News Icon Published March 17, 2020

    California DWC Announces Temporary Office Closures

    California’s DIR announced today that the Division of Workers’s Compensation (DWC) will temporarily close its district offices in San Jose, Oakland and San Francisco to comply with shelter-in-place orders intended to protect the health and safety of the public as well as DWC staff.

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  • News Icon Published March 16, 2020

    California DWC and WCAB Announce Hearing and Filing Updates in Response to Coronavirus

    California’s DIR announced today that the DWC and WCAB will limit court appearances “to protect the health and safety of our staff and the community,” hearing only expedited hearings on a revised schedule. Filing deadlines have also been revised and extended. 

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  • News Icon Published March 3, 2020

    Woman Charged With Fraud Over Workers’ Compensation Claims

    52-year-old Maria Mendoza has been charged with multiple counts of fraud after filing workers’ compensation claims against four employers over four years.

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  • News Icon Published January 29, 2020

    Two Arrests in $20 Million Workers’ Compensation Insurance Fraud Scheme

    California’s Department of Insurance has announced that two men have been arrested on multiple felony charges after self-surrendering in Orange County. The two men’s alleged conspiracy resulted in billings to insurers of over $20 million between 2014 and 2017.

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  • News Icon Published January 2, 2020

    IRS Reduces Mileage Reimbursement Rate for 2020

    The IRS mileage reimbursement rate for medical care and evaluations has been updated for 2020. The rate has been reduced by half a cent, from $.58 to $.575 per mile. The new rate will apply to all mileage incurred in 2020, regardless of the original date of injury.

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  • News Icon Published December 20, 2019

    Southern California Attorney Sentenced to 14 Months in $22 Million Kickback Scheme

    Attorney Lee Mathis was sentenced to 14 months in federal prison for honest services mail fraud as a result of his role in a scheme that saw Mathis and another man, Fernando Valdes, pay kickbacks to providers for patient referrals to a company they co-owned, Los Angeles-based Foremost Shockwave Solutions.

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  • News Icon Published November 26, 2019

    Southern California Surgeon Sentenced to 30 Months For Kickbacks Scheme

    Dr. Daniel Capen, a spinal surgeon in Huntington Beach, CA, was sentenced on Friday to 30 months in federal prison for conspiring to commit honest services fraud. He had received at least $5 million in kickbacks for performing surgeries at Pacific Hospital of Long Beach in a scheme coordinated by former Pacific Hospital owner Michael Drobot, and for referring patients for other medical services.

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  • News Icon Published November 15, 2019

    WCAB en banc Decision in Colamonico v. Secure Transportation Places Burden of Proof on Lien Claimant/Provider

    The WCAB has held en banc in Colamonico v. Secure Transportation that it is the lien claimant/provider’s (in this case a photocopy service) burden to prove that its services were both reasonable and necessary and that the defendant’s failure to cite reasonableness or necessity in its objection to a med-legal bill doesn’t act as waiver of those defenses at the time of the lien conference. 

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