Showing posts with label falls at work. Show all posts
Showing posts with label falls at work. Show all posts

Wednesday, September 24, 2014

Workers Compensation Fraud By The Godfather What's Next



                       Peyman Heidary is a chiropractor known to call himself “The Godfather.”

Law enforcement authorities say Heidary is a crime boss beyond his alias, accusing him of masterminding one of the largest insurance fraud cases the Riverside County District Attorney’s Office has ever prosecuted.

Heidary, 44, of Riverside is charged with heading a criminal organization that established medical clinics in Riverside, Orange and Los Angeles counties and a law firm that submitted thousands of workers’ compensation claims for nonexistent or exaggerated injuries that billed insurance companies for at least $50 million, court records say.

Investigators from the Riverside County District Attorney’s Office and the State Fund had also been able to document a loss of $5 million to the State Fund as of July 23, court documents say.

District attorney spokesman John Hall said the amount that insurance companies actually paid to Heidary was less than $50 million.

The criminal complaint filed July 25 in Superior Court in Riverside lists Heidary’s aliases as Brian Heidary, The Godfather and Number One.

The District Attorney’s Office wouldn’t say how it learned of Heidary’s aliases, but a search of public records showed that Heidary indeed is the No. 1 person in many companies. He is listed as president of California Health Care Management in Corona, Anaheim and La Habra; The Best of California Promotions and Management in Corona, Fullerton and Orange; Heidary Chiropractic in Corona, Fullerton and Anaheim; Doctor’s Reports Inc. in Fullerton and La Habra; California Injury Lawyers in Corona; and California Lawyers Network in Industry.

Other records show Heidary as past managing member of Riverside Health Clinic, Corona Health Clinic and Santa Ana Health Clinic.

In Riverside, the Corona/Riverside Health Clinic on Riverwalk Parkway is shuttered. A notice from the landlord, to Riverside Health Care Management, orders the business to vacate. Delivery notices from UPS are stuck to the door.

Heidary is scheduled to be arraigned today in Superior Court in Riverside. Heidary and three of his employees have been charged with 22 counts each of making fraudulent claims for payment of a health care benefit in excess of $950.

Heidary and Cary David Abramowitz, 57, of Los Angeles were also charged with practicing medicine without certification. Heidary and Erica Torres, 31, of Riverside were charged with practicing law without a license. Heidary, Abramowitz, Torres, and Michael Angel Tuosto Jr., 62, of Long Beach all were charged with conspiracy to commit a crime. All charges are felonies.

Heidary is being held in lieu of $1.3 million bond. Abramowitz and Torres, who are scheduled to be arraigned Sept. 23, posted $50,000 bond and were released. Tuosto was being held in lieu of $50,000 bond and isto be arraigned today.

“Defendant is neither a medical doctor nor an attorney,” district attorney Senior Investigator William Hanley wrote in a court document. The medical clinics’ “main purpose is to milk money out of Workers’ Compensation Insurance Companies,” Hanley added.

The District Attorney’s Office investigated Heidary along with the State Fund and other state agencies, including the Franchise Tax Board, after State Fund investigators alerted the D.A.’s office to a suspected fraud, Hall said.

Saturday, August 30, 2014

Injured At Work? Let Jim Vander Linden Help Call Today 612-339-6841!! How Common Is An Injury At Work?



Seven occupations had rates greater than 375 cases per 10,000 full-time workers: transit and intercity
bus drivers; police and sheriff’s patrol officers; correctional officers and jailers; firefighters; nursing assistants; laborers and freight, stock and material movers; and emergency medical technicians and paramedics. transit and intercity bus drivers; police and sheriff’s patrol officers; correctional officers and jailers; and firefighters. Laborers and freight, stock, and material movers had the highest number of days-away-from-work cases in 2012 with 63,690 cases (primarily in private industry). 

Private sector incidence rate for days-away-from-work cases decreased to 102 per 10,000 full-time

workers in 2012 from 105 in 2011. Despite the overall decrease, four occupational groups had increases in their incidence rates in 2012 including: computer and mathematical occupations; community and social service occupations; personal care and service occupations; and transportation and material moving occupations. The number of cases for these four broad occupation groups also increased. Transportation and material moving occupations had the highest incidence rate (258, up from 251 in 2011) of all occupation groups.

Transit and intercity bus drivers had an incidence rate of 852 cases per 10,000 full-time workers for
all ownerships. The majority of injuries and illnesses to bus drivers occurred in local government
with a rate of 1,026—statistically unchanged from the previous year. For private sector bus drivers, the incidence rate increased to 417 from 342 in 2011. Three other occupations with high rates and at least 0.1 percent of full-time equivalent employment occurred primarily in local government or state government: police and sheriff’s patrol officers; correctional officers; and fire fighters.
Musculoskeletal disorder cases (388,060) accounted for 34 percent of all injury and illness
cases in 2012. Both the incidence rate and case count remained unchanged from the
previous year; however the median days away from work increased by 1 day to a median of 12 days.

Laborer and freight, stock, and material movers had the highest number of MSD cases and an
incidence rate of 164 per 10,000 full-time workers—up from 140 in 2011.


Occupation
 

Seven occupations had rates greater than 375 cases per 10,000 full-time workers: transit and intercity
bus drivers; police and sheriff’s patrol officers; correctional officers and jailers; firefighters; nursing
assistants; laborers and freight, stock and material movers; and emergency medical technicians and
paramedics. Injuries and illnesses to four of the seven occupations occurred primarily to state and local government workers: transit and intercity bus drivers; police and sheriff’s patrol officers; correctional officers and jailers; and firefighters. Laborers and freight, stock, and material movers had the highest number of days-away-from-work cases in 2012 with 63,690 cases (primarily in private industry) and an incidence rate of 391 (up from 367 in 2011).Only occupations that had at least 0.1 percent of full time employment are included in the list of high rate occupations.

For all occupations, the incidence rate for the public sector was over 71 percent higher than in the
private sector. The public sector rates were more than two times greater than private sector rates for
laborers, freight, and material movers, janitors and cleaners, and landscaping and grounds keeping.
 

Laborers and freight, stock, and material movers, hand 63,690 10 Overexertion and bodily reaction (44%),
Contact with object or equipment (33%)
Nursing assistants 44,100 6 Overexertion and bodily reaction (55%),
Falls, slips, trips (18%)
Heavy and tractor-trailer truck drivers 41,840 18 Overexertion and bodily reaction (36%),
Falls, slips, trips (29%)
Janitors and cleaners, except maids and
housekeepers 38,610 11 Overexertion and bodily reaction (41%),
Falls, slips, trips (30%)
Police and sheriff's patrol officers 32,190
Violence and other injuries by persons or
animals (27%), Transportation incidents
(20%), Overexertion and bodily reaction
(20%), Falls, slips, trips (20%)