California Courts of Appeal Decision on Sanjiv Goel Inc v. Regal Medical Group

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By: caselaw.findlaw.com

Appellant Sanjiv Goel, M.D., Inc.1 appeals from a judgment following a court trial on his quantum meruit claim for fees for emergency treatment rendered to four patients as an interventional cardiologist. The trial court found that the fees paid by Respondent Regal Medical Group, Inc. (Regal) for this treatment reflected the reasonable value of the services that Goel provided.
The sole issue presented on appeal is whether the trial court employed the correct legal standard in determining the reasonable value of Goel's services. 

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Operator accused of insurance fraud in Temecula rehab program

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An alcohol and drug rehab home operator in Temecula has been charged with filing fraudulent insurance claims in connection with improper billing of insurance companies for services involving a loss of more than $231,000, according to a Riverside County District Attorney’s Office news release.

By  | gwesson@scng.com | The Press-Enterprise
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Rehab Mogul will stand trial in $176 million fraud case

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Self-titled “Rehab Mogul” Christopher Bathum will stand trial on charges of fraudulently billing companies $176 million, one of the largest criminal cases against an addiction facility in state history, a judge ruled Tuesday.

 

PUBLISHED: May 9, 2017 at 3:54 pm | UPDATED: May 17, 2017 at 9:45 am
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Two Florida Medicare Advantage Insurers Settle Whistleblower Lawsuit For $32 Million

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By Fred SchulteKaiser Health News

Two Florida Medicare Advantage insurers have agreed to pay nearly $32 million to settle a whistleblower lawsuit that alleged they exaggerated how sick patients were and took other steps to over-bill the government health plan for the elderly.

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UnitedHealth doctored medicare records, over-billed U.S. by $1 billion, feds claim

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FRED SCHULTE, KAISER HEALTH NEWS- DOJ alleged that the insurer made patients appear sicker than they were to collect higher Medicare payments

 

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Callahan & Blaine Respond to the Addiction Treatment Articles Published by Orange County Register

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The Southern California News Group journalists at the Orange County Register recently did a three-part "Rehab Riviera" investigation report.

"The report is an attack on the recovery community as a whole, treatment facilities, laboratories and sober livings", says Rich Collins, a Senior Trial Attorney at Callahan & Blaine.

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Playa Del Rey Woman Wins Attorneys' Fees From Passages Malibu In Wrongful Termination Suit

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By PATCH SOCAL (Patch Staff) - May 23, 2017

Cynthia Begazo was previously awarded $1.8 million by a jury for alleged retaliation after she reported workplace violations.

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Health Net insurer tied bonuses to dropping sick policyholders

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Read the story of when Health Net set goals and paid bonuses based in part on how many individual policyholders were dropped, avoiding paying $35.5 million in medical expenses by rescinding about 1,600 policies between 2000 and 2006.

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ATAC and Our Accomplishments

 

Providing Political, Legal Advocacy, Education and Consumer

Protection in the Field of Addiction Treatment

 

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The Addiction Treatment Advocacy Coalition advocates on behalf of substance use treatment providers, as well as those who suffer from Substance Use Disorder. The organization advocates on three fronts:

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Pay to Patient Update #2

 

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ATAC President Stampp Corbin and State Senator Steven Bradford (D-35th District) in the halls of the State Capital in Sacramento

 

 

 

In the past 6 years, to balance the State budget, California has slashed spending for social services, health, education, state parks, state worker compensation, as well as prison and court programs. Additional tax revenues would have made a difference. 

Stampp Corbin, President of the Addiction Treatment Advocacy Coalition (“ATAC”), is known for his ability to crunch numbers. An in-depth analysis by Corbin reveals that at least $100 million a year in tax revenues has been lost to California since 2011 because health plans adopted a new national “pay-to- patient” policy for out-of- network providers.

 

Here is the article I just wrote for the latest edition of RecoveryView

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