SANTA ANA — More than two dozen doctors, pharmacists and business owners, including several from the East Bay, were charged Thursday in an alleged $40 million medical-insurance scam in Orange County and elsewhere that officials said “played with patients’ lives.”

The accused masterminds are Beverly Hills couple Tanya Moreland King, 37, and husband Christopher King, 38, who own medical-billing and medical-management companies Monarch Medical Group, King Medical Management and One Source Laboratories.

Authorities said the couple carried out a complex insurance fraud in which they recruited doctors and pharmacists to prescribe unnecessary treatments for patients on workers’ compensation.

Four of the doctors named in the case are from Pleasanton: Dr. Chris Chen, 55; Dr. Eduardo T. Lin I, 55; Dr. Mannie Joel, 67; and Dr. Parvez Fatteh, 46. Dr. Mohamed Ibrahim, 40, Danville is also named as a defendant.

“The Kings and their co-conspirators played with patients’ lives, buying and selling them for profit without regard to patient safety,” State Insurance Commissioner Dave Jones said in a news conference Thursday in Orange County. “The magnitude of this alleged crime is an affront to ethical medical professionals.”

The Kings, along with 21 doctors, one physician assistant and two pharmacists, face a string of felony charges including insurance fraud, filing false and fraudulent claims, and conspiracy to commit medical-insurance fraud.

Prosecutors alleged that the Kings, from 2011 through 2015, billed for unnecessary creams, tests and treatments to gain profits. The alleged scam victimized more than 13,000 patients and at least 27 insurance carriers, prosecutors said. Authorities said that about $23.2 million was paid to the Kings, while a total of $40 million was billed to insurers.

Prosecutors said the Kings made oral and written agreements with doctors throughout California, including five in Orange County, to pay them each time they prescribed an unnecessary cream or medication. The doctors are …read more

Source:: East Bay – Business

Leave a Reply

Your email address will not be published. Required fields are marked *