Thursday, February 28, 2013 7:36:55 PM
March 2012 Workers’ Compensation Law Update
Dr. Donovan and Friends! Organized Crime In The Workers’ Compensation System?
Allstate Insurance Company and its affiliates recently filed suit against a number of providers. William Donovan, M.D., Lorenzo Farolan, M.D., Omar Vidal, M.D., David Dent, D.O., Northshore Orthopedics Association, and Memorial MRI are on the hot seat. The claims asserted are for racketeering, conspiracy, and fraud. The complaint alleges that certain law firms and chiropractors associated with them referred patients to the defendants’ enterprise, which converted minor soft-tissue bodily injury claims into major medical claims through inter-enterprise referrals. The plaintiffs claim that patients were referred to Memorial MRI for MRIs, which were reviewed by a specified radiologist, who embellished the findings to justify referral to Northshore Orthopedics for neurodiagnostic testing (conducted by a specified neurologist, who also embellished the results to justify additional testing and procedures), additional MRIs, surgical injections including ESIs, and additional orthopedic consultations, typically ending with a surgical recommendation. The suit is currently pending in the U.S. District Court for the Southern District of Texas in Houston.
SOURCE:http://www.nwcdn.com/state-news/dr-donovan-and-friends-organized-crime-in-the-workers-compensation-system?page=news
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