Workers' Comp Fraud Blotter (8/18/2011) – Chiropractor Charged With Billing For Non-Existent Treatment While Patients Were Actually In Jail

Each week we'll be surveying what the media, state agencies, insurance companies, and others report in terms of workers' comp fraud. Just like a police blotter, our workers' comp fraud blotter lists recent arrests, charges, convictions and investigations.

 

Workers' Comp Fraud Blotter - August 18, 2011

Chiropractor May Join His Alleged Patients Behind Bars (WA) - The State of Washington has charged Dr. Alex W. Styles with theft in the second degree and making false statements, accusing him of billing the Washington State Department of Labor and Industries for patients who were incarcerated at the time he claimed that he was treating them or while they were supposedly injured at work. The charges allege that he submitted eight billings for patients that he could not have treated because they were in prison. Dr. Styles told investigators that the billings were mistakes make by his office staff, but it was discovered that those staff were not reported for his own workers' compensation insurance coverage.   Read more

Claimant Travels Across Entire State To Obtain Narcotics From Doctors (OH) - Charles Watson has pled guilty to one count of deception to obtain dangerous drugs for fraudulently receiving Ohio Bureau of Workers' Compensation paid narcotic prescriptions from two different physicians. Watson was traveling from one physician in Western Ohio to another physician in Eastern Ohio to obtain similar narcotics. Neither physician knew Watson was receiving the narcotics from the other doctor at the same time they writing prescriptions.   Read more

Cousins Stole Insurance Premiums To Maintain Lavish Lifestyle (PA) - Kevin John Pickell and Robert Francis Pickell, cousins who operated an insurance agency, have been sentenced to jail for stealing workers' compensation and liability insurance premiums from several school districts. The cousins used the stolen premiums to purchase luxury cars for themselves and their spouses, have expensive wine and other items delivered to their business, write checks for thousands of dollars in personal items, and to make large payments to themselves and other family members   Read more

Woman Worked For Multiple Employers While Receiving Temporary Total Disability (OH) - Misti Marshall has entered a plea of guilty to one count of workers' compensation fraud for working while receiving benefits. Marshall was receiving wages from Assured Home Health, Rono Investments, Industrial Plastics and Kelly Services while she was collecting Temporary Total Disability and Living Maintenance benefits.   Read more

Truck Driver Pleads Guilty to Workers' Comp Fraud (TX) - Sergio Garcia has been sentenced to deferred adjudication and community service on workers' compensation fraud-related charges. Garcia reported a job-related injury while working as a laborer for Sun Fab Industrial Contractors Inc. He claimed that he was unable to work as a result of the injury, but it was later discovered that Garcia was working as a truck driver while receiving income benefits.   Read more

Grandpa Used Granddaughter To Sell His Workers' Compensation Drugs (OH) - Donald Fisher has pleaded guilty to one count of deception to obtain a dangerous drug, a fourth degree felony. Investigators found that Fisher was having his granddaughter use and sell narcotics prescribed by his workers' compensation physician. Between May 2010 to March 2011, Fisher gave his adult granddaughter 10 Opana and 10 Percocet pills each week to traffic on the street in exchange for sexual favors, and the granddaughter sold the Opana for $50 per pill and the Percocet for $12 per pill and split her profits with Fisher.   Read more

Cannabis Club Owners Charged With Workers' Compensation Violation In addition To Marijuana and Tax Crimes (CA) - Teddy Miller and Bob Uwanawich, the owners of the NBD Collective pot club, have been charged with a misdemeanor failing to obtain workers' compensation insurance as well as numerous felony drug and tax crimes. The club has been shuttered since it was raided by a major crimes task force in late June and is also in a zoning dispute with municipal authorities.   Read more

Truck Driver Double-Dipped Between Michigan and Ohio (OH) - Benton Crist has pled guilty to one count of workers' compensation fraud for working while receiving benefits. Crist was working as a truck driver for Martin Transportation Systems in Michigan during the time that he was applying for and collecting Ohio Non-Working Wage Loss benefits.   Read more

Connecticut Department of Labor Division of Wage and Workplace Closes Construction Sites (CT) - Six construction worksites have been closed and 19 companies have been cited because they have misclassified workers as independent contractors. The Connecticut Department of Labor Division of Wage and Workplace explained that the actions were taken because contractors often misclassified employees in order to reduce their payroll and unemployment taxes and workers' compensation premiums.   Read more

Claimant Worked For Clothing Stores and Other Employers While On Temporary Disability (OH) - Annette McDaniel has been found guilty of workers' compensation fraud for working four jobs while collecting Temporary Total Disability and Living Maintenance Wage Loss benefits. McDaniel, also known as Annette Fair and Ronette Fair, worked for KC Men's Clothing, AmeriCoat, Value City Department Stores and Adecco USA while she was collecting benefits.   Read more

Contractor Pleads Guilty To Using Brother's License and Homeowners Are Decked (CA) - Lavaki Fale, who was doing business as Vei Construction, has pled guilty to fraudulently using a contractor's license and failing to have workers' compensation insurance. Fale falsely claimed to be working under his brother's contractor's license while constructing a deck on a home. The deck was constructed without the proper permits and not in accordance with the local codes, and thus the homeowners were required to have the deck removed.   Read more

Bus Driver Worked While Receiving Disability For Driving Injury (OH) - Pamela Myers has pled guilty to a felony count of workers' compensation fraud related to her work as a bus driver while receiving disability payments for a workplace injury she sustained while working as a driving instructor. She worked as a bus driver for the Little Miami School District in Morrow from July 20, 2006 to September 4, 2006, and from March 12, 2007 to September 16, 2007, in violation of the rules associated with receiving Temporary Total Disability benefits.   Read more

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