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D.A. adds attorneys to enlarge war on workers' comp fraud.


The Los Angeles Los Angeles (lôs ăn`jələs, lŏs, ăn`jəlēz'), city (1990 pop. 3,485,398), seat of Los Angeles co., S Calif.; inc. 1850.  County District Attorney's Office plans to boost the number of attorneys in its workers' compensation workers' compensation, payment by employers for some part of the cost of injuries, or in some cases of occupational diseases, received by employees in the course of their work.  fraud unit 60 percent this month by transferring in nine new deputy prosecutors, bringing the total to 24.

Partly as a result, the number of prosecutions brought by that unit should rise sharply in fiscal 1995, which began July 1, said Edward Feldman, acting head deputy of the workers' comp fraud division.

"It (the number of prosecutions) should be 50 percent to 100 percent higher," he said.

From July 1 of last year to May 31 of this year, the unit prosecuted 41 new defendants, and 24 of those were convicted, with one defendant acquitted and another whose case was dismissed. Cases are still pending for the other 15 new defendants. Figures for June were not yet available at press time.

The numbers suggest convictions have been steadily rising since the District Attorney's office created the unit in January 1992 to address the rising tide Noun 1. rising tide - the occurrence of incoming water (between a low tide and the following high tide); "a tide in the affairs of men which, taken at the flood, leads on to fortune" -Shakespeare
flood tide, flood
 of fraud cases.

During the unit's first 18 months, a period ended June 30, 1993, a total of 56 workers' comp fraud cases were prosecuted, leading to 25 convictions. One case was dismissed.

Feldman said he is unable to compare the latest 11-month figures with year-earlier data because the unit did not break out statistics for the 11 months from July 1, 1992 to May 31, 1993. The unit began work in the middle of a fiscal year and the D.A.'s office decided to aggregate statistics for those initial 18 months, he said.

Feldman attributed the projected rise in prosecutions in part to the new staff -- which includes the nine attorneys slated to be brought on board this week, plus four new investigators Certain scientific funding agencies make a distinction between investigators and new investigators. New investigators would be evaluated in a different way when competing for funding with more seasoned researchers, or they would be able to access funding resources specific to them.  and two legal clerks, along with a yet undetermined number of paralegals. The non-attorney additions are scheduled to be made before year's end.

Feldman also cited complicated cases scheduled to come to trial within the next few months.

The most notable involves Beverly Hills Beverly Hills, city (1990 pop. 31,971), Los Angeles co., S Calif., completely surrounded by the city of Los Angeles; inc. 1914. The largely residential city is home to many motion-picture and television personalities.  physician Mark Kaplan
For the former South African tennis player see Mark Kaplan (tennis).


Mark Kaplan is an American violinist who studied at the Juilliard School under Dorothy DeLay. He is currently a professor at Indiana University's Jacobs School of Music.
, who was indicted INDICTED, practice. When a man is accused by a bill of indictment preferred by a grand jury, he is said to be indicted.  last September, along with 11 others, for operating a workers' compensation fraud ring that may have netted as much as $50 million. Kaplan and his co-defendants allegedly used a dummy Sham; make-believe; pretended; imitation. Person who serves in place of another, or who serves until the proper person is named or available to take his place (e.g., dummy corporate directors; dummy owners of real estate).  employment office and a chain of clinics to recruit laid-off workers to file false claims, Feldman said.

Jury selection for that case is slated to begin later this month. But Feldman said he believes it may be delayed, although he added that he is certain a trial will begin by year's end.

Feldman said the unit would also devote more time to insurance premium fraud cases, in which an employer makes false claims to an insurer, and to applicant cases, in which individuals make false claims.

The number of so-called medical legal fraud prosecutions, which involve clinics and doctors such as those in the Kaplan case, may actually decline, according to according to
prep.
1. As stated or indicated by; on the authority of: according to historians.

2. In keeping with: according to instructions.

3.
 Feldman.

"A lot of those mills have gotten wary and shut down," he said. "Workers' comp claims in the state are down dramatically, 27 percent to 41 percent, depending on which insurer you talk to." Bob Gore, a spokesman for the Association of California Insurance Cos., confirmed claims are down.

There are no immediate plans to conduct undercover operations, as were recently conducted in Orange County, Feldman said. An elaborate sting operation Noun 1. sting operation - a complicated confidence game planned and executed with great care (especially an operation implemented by undercover agents to apprehend criminals)  recently concluded by Orange County prosecutors that included creating a dummy law firm to field medical clinic solicitations led to the indictments of 20 fraud suspects.

Meanwhile, the L.A. County unit will make do with the same amount of funding it received last fiscal year -- about $5.3 million granted from a request of $7 million.

The big difference is there was a large pool of carryover funds from last year -- up to $2 million, according to Feldman's estimates. About $1.3 million of that is money the state did not deliver to the D.A.'s office before the fiscal year ended, but is expected to allocate this month. That will be used to pay for the transfers and new hires, which District Attorney Gil Garcetti Gilbert "Gil" Garcetti (b. August 5, 1941) served as Los Angeles County's 39th District Attorney for two terms, from 1992 until November 7, 2000. Background
Gil Garcetti received a bachelor's degree in Management from the University of Southern California and a Juris
 and the L.A. County Board of Supervisors The examples and perspective in this article or section may represent an unduly geographically limited view of the subject.
Please [ improve this article] or discuss the issue on the talk page.
The Board of Supervisors is the body governing counties in the U.S.
 approved in May.

The condition of the unit is a far cry from earlier this year, when Garcetti was on the brink of transferring prosecutors out because of a $3.5 million shortfall in the D.A.'s overall budget. The Board of Supervisors voted in April to grant Garcetti the money to keep the workers' comp fraud unit and similar units intact.

"We're in pretty solid shape," Feldman said.
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tekmerc1
rick manley (Member): i went to a court case the evidence was rediculous 9/30/2009 10:04 PM
the summary of the case is this..the sting officer representing a paralegal at a fictional attorneys office said to the chiro we want you to reduce the cost of your(the chiropractors services) by 30%. response by the chiro ok sure but i need the patient to show up and get treated i don't commit fraud...response by sting officer ok then i the sting officer will take money from the money you didn't get and do illegal things with it!!?? dr. yeah what ever i just will make sure the patient is healthy and i'll get paid less.....um what exactly did the doc do wrong I'm not sure. then the doctor called the sting officers fictional attorneys office to give him legal referrals for the the 30% money the doctor himself didn't get....now he's being charged with taking kickbacks...most silly thing i have ever seen

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Title Annotation:workers' compensation fraud unit of Los Angeles County District Attorney expanded
Author:Shinkman, Ronald
Publication:Los Angeles Business Journal
Date:Aug 1, 1994
Words:757
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