The Orange County District Attorney secured convictions for four individuals for federal crimes involving medical fraud in what is turning out to be the largest single prosecution of its type in the country. The defendants are alleged to have recruited healthy patients to undergo unnecessary surgeries in order to bill insurance companies fraudulently. The prosecution has split the case into parts based on the sheer volume of counts and indictments involved, including income tax evasion.The Unity Outpatient Surgery Center in Buena Park is said to have recruited more than 2,800 people to undergo unnecessary surgery in exchange for low-cost cosmetic procedures or monetary payments. Insurance companies were billed a total of $20 million in less than a year. Before returning a 70-page indictment against 13 defendants, a grand jury heard testimony from 56 witnesses and examined 1,054 exhibits or pieces of evidence.
A teaching assistant was recently arrested on multiple counts of workers' compensation fraud in Southern California. Faced with counts of felony fraud, he was picked up by officers of the California Department of Insurance Fraud Division and officers from the Los Angeles County Probation Department and is currently incarcerated. As an employee of the Los Angeles County Office of Education, he filed a claim alleging injury to his back while ending an altercation within the classroom. In March 2009, he saw a physician for an evaluation. During that time, he stated that he was harmed during the fight. In April 2009 and December 2009, he allegedly provided false information to investigators about his injuries. Even though he claimed that the damage to his back was related to an incident on school grounds, investigators concluded that was not the case.