Provider Fraud   Van Nuys, Calif., 2018 — Argus First Corp. continues to expose provider fraud to facilitate lien dismissals and sanctions against not only physicians but also other categories of medical providers that offer services to the Workers’ Comp community.

WCAB Case:  Vincent Downey v. Technicolor, Inc.

Summary:  The appeals board found lien claimant David S. Silver, M.D. failed to show his services were compensable and that the “Keifer” rule regarding prima facie showing of evidence is no longer good law.

Order:  It is Ordered that David S. Silver, M.D. take nothing by way of his lien.

WCAB Case:  Esteban Santiago v. Reins International California, Inc.

Summary:  The appeals board found that Joyce Altman Interpreters did not meet its burden to prove entitlement to penalties and interest.  Defendant was awarded attorney’s fees and ordered sanctions against Joyce Alman.

Findings of Fact:

1. Joyce Altman Interpreters has not met its burden to prove entitlement to penalties and interest.

2. Defendant is not subject to sanctions.

3. Joyce Altman Interpreters has not met its burden to prove entitlement to costs against the defendant.

4. Joyce Altman Interpreters has not met its burden to establish that the matter should be referred to the audit unit.

5. The Petitions and Verifications are invalid because they fail to comply with the EAMS Reference Guide.

6. Joyce Altman Interpreters violated Title 8, CCR Sections 10561 (b) (5) (A) & (B) and 10561 (b) (6) (A) & (B), thus warranting the imposition of sanctions.

7. Defendant is entitled to an award of costs and attorney’s fees against Joyce Altman Interpreters for the violation of Title 8, CCR Sections 10561 (b) (5) (A) & (B) and 10561 (b) (6) (A) & (B).