The owner of a southwest Riverside County drug and alcohol rehabilitation center, who filed fraudulent medical insurance claims that netted her more than $231,000 in ill-gotten gains, pleaded guilty Wednesday, July 5 to insurance fraud and was immediately sentenced to about nine months in county jail.
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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.
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.
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.
FRED SCHULTE, KAISER HEALTH NEWS- DOJ alleged that the insurer made patients appear sicker than they were to collect higher Medicare payments