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Health Care Fraud Recoveries Hit Record $4.3 Billion Last Year, DOJ Reports

For every dollar federal prosecutors spent on health care-related fraud and abuse investigations under the Health Care Fraud and Abuse Control (HCFAC) Program and other programs over the last three years, the government recovered $8.10. This is the highest three-year average return on investment in the...

Trafficker Sentenced to 10+ Years in Prison; Must Pay $3.8M in Restitution

"Kizzy Kalu of Highlands Ranch, accused of bring nurses to the United States under false pretenses and then collecting much of their pay, was sentenced to serve 130 months in federal prison after being found guilty of visa fraud, human trafficking, mail fraud, and money laundering. Kalu will pay...

New York Announces $2.2 Million Restitution Fund For Victims Of Immigration Scam

"Attorney General Eric T. Schneiderman today announced that thousands of victims who were defrauded by two immigration services organizations, the International Immigrants Foundation, Inc. (IIF) and the International Professional Association, Inc. (IPA), could begin applying for compensation from...

Court Finds Coverage For Settlement Of Restitution Claim

Insurers often take the position that indemnification for claims for “restitution” are barred by public policy, and contend they have no obligation to reimburse a settlement of such claims. They often take this position even if the policy itself states that coverage can only be denied if...

California Workers’ Comp Case Roundup (8/4/2016)

CALIFORNIA COMPENSATION CASES Vol. 81 No. 7 July 2016 A Report of En Banc and Significant Panel Decisions of the WCAB and Selected Court Opinions of Related Interest, With a Digest of WCAB Decisions Denied Judicial Review CONTENTS OF THIS ISSUE © Copyright 2016 LexisNexis. All rights...

California: Staffing Agency Operator Required to Pay $37,000 in Restitution Following Guilty Plea in Workers’ Comp Fraud Case

California’s restitution statute allows for recovery of a broad variety of economic losses resulting from a defendant’s criminal conduct. Accordingly, where the defendant, the operator of an employment staffing agency, pled guilty to workers’ compensation insurance fraud that was based...