Zalma's Insurance Fraud Letter September 1, 2023

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Zalma's Insurance Fraud Letter - September 1, 2023

The Source for Insurance Fraud Professional

Barry Zalma

Sep 1, 2023




Read the full article at https://lnkd.in/gtkirss4 and see the video at https://lnkd.in/gXtgJmxf and at https://lnkd.in/gU2RqPv7 and at https://zalma.com/blog plus more than 4600 posts.




This, the seventeenth issue of the 27th year of publication Zalma’s
Insurance Fraud Letter provides multiple articles on how to deal with
insurance fraud in the United States.




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Allstate’s Qui Tam Actions Work to Take the Profit Out of Fraud




Man Bites Dog Story – Allstate May Sue on Behalf of State for Insurance Fraud




Allstate Insurance Company and several of its affiliates
(collectively, Allstate) brought qui tam actions on behalf of the State
of California alleging insurance fraud under the California Insurance
Frauds Prevention Act (IFPA) (Ins. Code, § 1871 et seq.) and the Unfair
Competition Law (UCL) (Bus. &Prof. Code, § 17000 et seq.) against
three medical corporations, a medical management company and its parent
company, four physicians, and Sattar Mir, an individual.

Read the full September 1, 2023 issue at https://zalma.com/blog/wp-content/uploads/2023/08/ZIFL-09-01-2023.pdf




More McClenny Moseley & Associates Issues




This is ZIFL’s Thirteenth installment of the saga of McClenny,
Moseley & Associates and its problems with the federal courts in the
State of Louisiana and what appears to be an effort to profit from what
some Magistrate and District judges indicate may be criminal conduct to
profit from insurance claims relating to hurricane damage to the public
of the state of Louisiana.




Read the full September 1, 2023 issue at https://zalma.com/blog/wp-content/uploads/2023/08/ZIFL-09-01-2023.pdf




Bad Men Must Serve the Time for Crimes from Insurance Fraud to Murder

Insurance Fraud is a Violent Crime




After a multiple-count indictment against dozens of members of the
Gangster Disciples five of them, Alonzo Walton, Kevin Clayton, Donald
Glass, Antarious Caldwell, and Vancito Gumbs, appealed their convictions
and sentences following a joint trial. Each raised several grounds for
reversal contending they were overcharged and over-sentenced. Some
argued that the Racketeer Influenced and Corrupt Organizations Act
violated the Sixth Amendment because the jury failed to find that the
conspiracy involved murder.




Read the full September 1, 2023 issue at https://zalma.com/blog/wp-content/uploads/2023/08/ZIFL-09-01-2023.pdf




Good News From the Coalition Against Insurance Fraud




Edgar Perez, 51, of Miramar, Florida, the final defendant of a 12
person, $53M healthcare fraud conspiracy has been sentenced to federal
prison. This will be followed by three years of supervised release and
ordered to pay restitution of $547K for his participation in a
healthcare fraud conspiracy that billed Coalition member Blue Cross Blue
Shield for more than $53M for services, including allergy tests and
physical therapy, that patients never received. The defendants opened
multiple clinics throughout South Florida and paid recruiters to provide
personal information for insurance beneficiaries. The defendants then
submitted fraudulent bills to BCBS and received payments into clinic
bank accounts before transferring them to personal accounts, making cash
withdrawals, and laundering money through various businesses and
individuals.




Read the full September 1, 2023 issue at https://zalma.com/blog/wp-content/uploads/2023/08/ZIFL-09-01-2023.pdf




Health Insurance Fraud Convictions




Four East Tennessee Doctors Convicted in Drug Trafficking and Fraud Scheme




Evann Herrell, Mark Grenkoski, Keri McFarlane, and Stephen Cirelli
were each physicians who worked for EHC Medical in Harriman and
Jacksboro, Tenn. Robert Taylor, who opened EHC Medical in 2013 and
operated it through late 2018, pleaded guilty to a drug trafficking
conspiracy charge and was sentenced earlier this year to 30 months in
prison. He forfeited $13.8 million and paid an additional fine of
$200,000. Lori Barnett, a registered nurse who helped Taylor supervise
day-to-day operations, and three other physicians – Matthew Rasberry,
Helen Bidwaid, and Eva Misra – also pleaded guilty to related drug or
money laundering charges and are awaiting sentencing.




Read the full September 1, 2023 issue at https://zalma.com/blog/wp-content/uploads/2023/08/ZIFL-09-01-2023.pdf

Other Insurance Fraud Convictions




Murdaugh’s Friend Pleads to More Charges in Helping Steal Insurance Funds




Cory Fleming, a 54-year-old former attorney, convicted murderer Alex
Murdaugh `s old college buddy has pleaded guilty to a second set of
charges for helping the disgraced South Carolina attorney steal millions
of dollars of insurance settlements from the sons of Murdaugh’s dead
housekeeper.

Read the full September 1, 2023 issue at https://zalma.com/blog/wp-content/uploads/2023/08/ZIFL-09-01-2023.pdf





insurers or claimants defrauding people who are insured. Much to the
shame of the insurance industry, the reverse also happens.

Read the full September 1, 2023 issue at https://zalma.com/blog/wp-content/uploads/2023/08/ZIFL-09-01-2023.pdf

Barry Zalma

Barry Zalma, Esq., CFE, now limits his practice to service as an
insurance consultant specializing in insurance coverage, insurance
claims handling, insurance bad faith and insurance fraud almost equally
for insurers and policyholders. He also serves as an arbitrator or
mediator for insurance related disputes. He practiced law in California
for more than 44 years as an insurance coverage and claims handling
lawyer and more than 55 years in the insurance business. He is available
at http://www.zalma.com and zalma@zalma.com