When you visit your doctor to obtain a diagnosis for the full extent of your
work injury and to receive the proper treatment for maximum recovery, the last thing
on your mind is being taken advantage of. However, it has occurred to
more than 13,000 patients in Orange County, costing them $40 million in
workers’ compensation insurance.
Last month, Orange County authorities uncovered the scam led by alleged
masterminds Christopher (38) and Tanya King (37). The couple owns medical
billing and medical management companies Monarch Medical Group, King Medical
Management, and One Source Laboratories.
Authorities said the couple orchestrated a complex insurance fraud in which
they recruited doctors and pharmacists to prescribe unnecessary treatments
for workers’ comp patients. The Kings, along with 21 physicians,
one physician assistance, and two pharmacists, face a series of felony
charges including insurance fraud, filing false and fraudulent claims,
as well as conspiracy to commit medical insurance fraud.
Prosecutors alleged that, from 2011 through 2015, the Kings billed patients
creams, treatments, and tests that were not required for their patients
in order to obtain profits. Authorities determined about $23.2 million
was paid to the couple.
The following are the alleged schemes led by the Kings:
Medication Kickback Scam - The couple is accused of purchasing repackaged oral pain medicines from
outfits in Orange County. The Kings would then send the medications to
the physicians, who would prescribe them, and billed workers’ comp
carriers without informing them of the costs at wholesale. The couple
and the doctors would then split the profits.
Snake Oil Scam - The Kings are accused of working with co-defendants Charles Bonner (56)
and Mervyn Miller (66), who are the owners of Steven’s Pharmacy
located in Costa Mesa, to manufacture creams that were not FDA approved
and “did nothing.” The couple paid $15 to $40 per tube of
cream and billed insurance companies $250 to $700 per tube.
Fake Urine Test Scam - The couple allegedly provided technical staff to cooperating doctors’
offices for unnecessary urine tests. The tests were then sent to a lab
for more testing despite the results. Each test was worth $60 flat rate
but workers’ comp carriers were billed hundreds of dollars.
Tanya King faces up to 117 years in prison, while the two pharmacists face
up to 28 years. Each physician faces up to 25 years. However, it was unknown
how much time Christopher King will spend in prison.
If you believe that your physician is overcharging you and taking advantage
of your workers’ compensation benefits,
contact the Law Offices of Wax & Wax and request a
free case evaluation with our Glendale workers’ comp lawyers today.