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Category: Daily News

Juliann Sum Confirmed to Head Cal/OSHA

The California Senate voted unanimously Monday to confirm Juliann Sum as Chief of the Department of Industrial Relation’s Division of Occupational Safety and Health (also known as Cal/OSHA). The Senate also voted unanimously Monday to confirm Art R. Carter as chairperson of the Occupational Safety and Health Appeals Board (OSHAB). As Cal/OSHA Chief, Sum oversees programs that protect over 18 million workers from health hazards in almost every workplace in California.

Sum began serving as Acting Chief of Cal/OSHA in September 2013, and just over a year later, Governor Edmund G. Brown Jr. appointed her as Chief. Sum joined DIR in 2012 as special advisor to Director Christine Baker.

“Juliann’s track record at the DIR and with Cal/OSHA demonstrates her strong commitment to workplace safety,” Baker said. Sum’s extensive experience also includes work as a project director with the University of California, Berkeley, associate attorney with the Environmental Law Foundation, litigation associate with Carroll, Burdick and McDonough, and industrial hygienist and business representative with the International Brotherhood of Electrical Workers Local 1245.

Sum earned a Juris Doctor degree from University of California, Hastings College of the Law, a Master of Science degree in environmental health sciences from the Harvard School of Public Health, and a Bachelor of Science degree in biophysics from Brown University.

Art Carter was first appointed to OSHAB by Governor Arnold Schwarzenegger in 2009. OSHAB resolves appeals from private and public-sector employers regarding citations issued by Cal/OSHA for alleged violations of workplace safety laws.

Governor Brown appointed Carter board chair in 2011. Previously, Carter owned and served as the legislative advocate for Art Carter and Associates from 1984 to 2004. From 1976 to 1983, he served as chief of Cal/OSHA.

WCIRB Recaps Annual Conference

Perspectives on the WCIRB’s 100 year history and its future, success stories from an innovative self-insured employer, and a glimpse at some of the issues that will likely shape the workers’ compensation debate in the years to come are among the highlights of the WCIRB’s Annual Workers’ Compensation Conference held in San Francisco on Thursday, June 11, 2015.

This year’s conference placed special emphasis on the integral role that the WCIRB has played in the workers’ compensation system since its founding in 1915. As part of his welcome message to conference attendees, WCIRB President and CEO Bill Mudge reflected on the organization’s century of service to the California workers’ compensation community and highlighted recent initiatives that have transformed the WCIRB into a more modern enterprise and one that exemplifies its centennial motto of “100 Years Young.”

Watch the Video: The WCIRB: 100 Years Young (12 minutes) Bill Mudge, President and CEO, WCIRB.

This year’s featured guest was California Insurance Commissioner Dave Jones who provided a regulator’s perspective on the California workers’ compensation system and commented on the positive working relationship between the California Department of Insurance and the WCIRB.

Bill Zachry, VP of Risk Management for Safeway Inc. shared some success stories from his work at Safeway – a large self-insured employer with over 2,400 locations and 250,000 employees throughout the United States. In his presentation, Mr. Zachry detailed a number of strategies used by Safeway to lower its cost of workers’ compensation by 40% compared to the overall industry average.

Watch the Video: Insights from an Innovative Self Insurer (42 minutes) – Bill Zachry, VP of Risk Management, Safeway Inc.

Dave Bellusci, the WCIRB’s EVP and chief actuary delivered his presentation in two parts. The first provided an overview of the 100 year old California workers’ compensation system in terms of premiums and market share, claim frequency and severity, overall industry results and SB 863 cost monitoring. In the second half, he compared California to the rest of the country and delved into some of the factors that contribute to California being a high cost workers’ compensation state such as higher permanent disability claim frequency, higher medical costs late in the life of a claim and high benefit delivery costs.

Part I: California Workers’ Compensation System at 100 Years: A WCIRB Perspective. Part II: How Do We Rate? Dave Bellusci, EVP and Chief Actuary, WCIRB

To close the conference, Bill Mudge moderated a panel discussion titled The Beat on the Street: What is Happening Next in California Workers’ Compensation that included representatives from the insurer, medical provider, employer, and legal communities. The wide range of discussion explored issues including medical provider fraud and potential ways in which insurers and medical provider networks can play a role in reducing it; the factors that influence whether an injured worker seeks representation; the incentives that exist in the workers’ compensation system that drive unwanted behaviors; friction forces that drive costs and potentially delay benefit delivery; and the improved outcomes that are possible through proactive, empathetic communication between claims staff and injured workers.

The WCIRB Annual Workers’ Compensation Conference is held each year in June in Northern California. Attendees include senior executives from WCIRB member companies and other California workers’ compensation system stakeholders. Attendance is by invitation only.

24 Count Indictment Filed Against El Centro Medical Clinic

A 24-count federal indictment has been filed against four defendants for a conspiracy to unlawfully enrich themselves with millions of dollars by submitting fraudulent claims for tests allegedly performed at the El Centro Medical Clinic in El Centro, California

The indictment alleges that defendants Paul Robinson, Levon Tovmassian, Hasmik Senekerimyan, and Nazar Muradyan, conspired with Gevorg Kupelian and others to commit health care fraud and pay kickbacks for Medicare patient referrals. Kupelian – who already pleaded guilty and was sentenced in a related case — opened the El Centro Clinic and acted as its organizer and leader. He has admitted he recruited a doctor to serve as a “front” for the Clinic in order to use his Medicare billing number to submit fraudulent Medicare claims. Kupelian also admitted he recruited and paid “cappers” to find senior citizens in El Centro and convince them to go to the Clinic for a gauntlet of tests without justification or proper supervision by a physician.

The indictment alleges that Robinson, a licensed physician, acted as the nominal owner of the El Centro Clinic and that the conspirators submitted claims for the treatment of more than 1,100 Medicare beneficiaries under Robinson’s Medicare billing number between September 2012 and February 2014. The El Centro Clinic generated over $2.7 million in claims to Medicare, which resulted in payments of approximately $1.3 million to Robinson. Robinson is accused of paying 75% of the Medicare reimbursements to Kupelian. Kupelian, in turn, paid Tovmassian, Senekerimyan, Muradyan, and others for various activities and claims designed to make the Clinic appear to be a legitimate medical service provider. Robinson is also charged with obstructing a federal audit by submitting falsified and misleading medical records.

Tovmassian, the indictment alleges, was hired to pose as a Physician’s Assistant who saw and treated patients at the Clinic despite not having the requisite license from the State of California. Tovmassian also allegedly ordered unnecessary medical tests that were billed to Medicare under Robinson’s billing number. Additionally, Tovmassian is charged with making a false statement to one of the investigating agents.

Senekerimyan is accused of completing fraudulent allergy test order forms and falsely claiming to administer allergy tests at the El Centro Clinic. Her husband, Muradyan, is charged with falsely claiming to drive Senekerimyan from their home in North Hollywood, California to the El Centro Clinic several times a week for her to administer allergy tests when, in fact, no tests were ever performed. Senekerimyan and Muradyan are also charged with obstructing a health care crime investigation.

On April 6, 2015, U.S. District Court Judge Cynthia Bashant sentenced Kupelian to 30 months’ of custody and ordered he pay restitution in the amount of $964,011. Kupelian is currently scheduled to self-surrender on July 8, 2015. The defendants will be summoned to appear before U.S. District Court Judge Cathy Ann Bencivengo for an arraignment on the indictment.

Rock Climbing Correctional Officer Convicted of Comp Fraud

The Sacramento County District Attorney announced that former California Department of Corrections and Rehabilitation Officer Alan Lemke pled no contest to felony workers’ compensation insurance fraud. Lemke was charged with failing to disclose his participation in events and activities that, had those events and activities been known, would have affected the benefits to which he was entitled.

Lemke filed a workers’ compensation claim after allegedly injuring his foot while working in the prison. However, investigators in the Office of Internal Affairs, Workers’ Compensation Insurance Fraud Unit at the California Department of Corrections and Rehabilitation discovered Lemke failed to disclose that he engaged in a 50 mile hike over rugged terrain just three weeks after he reported being injured at work. In addition, investigators determined Lemke failed to disclose other activities, including rock climbing, snow shoeing, acting in two plays with multiple performances, and numerous extreme hikes in rugged mountainous terrain during the one year and two months he was off work collecting benefits. Lemke made video recordings and took photos of many of his hikes and other activities, which were discovered in his home when investigators served a search warrant.

Pursuant to the plea, Lemke will be placed on probation and ordered to serve 150 days in county jail, with the sheriff’s work furlough program recommended. Furthermore, he will be ordered to pay to the California Department Corrections and Rehabilitation and State Compensation Insurance Fund a stipulated restitution amount of $33,262.56, with an additional $10,453.68 in discretionary costs to be determined by the court at sentencing. If Lemke pays restitution in full, the charge will be reduced to a misdemeanor.

Sentencing is scheduled for July 17, 2015 in Department 45 before the Honorable Judy Herscher.

Second Comment Period Set for Benefit Notice Regulations

The Division of Workers’ Compensation has posted a second 15-day notice of modification to the proposed revisions to the workers’ compensation benefit regulations. Members of the public are invited to present written comments regarding the proposed modifications to dwcrules@dir.ca.gov until 5 p.m. on Friday, July 3, 2015.

Proposed modifications include:

1) Requiring a claims administrator to have a clearly documented reason to believe that disclosure of the claims examiner’s name presents or may present a security concern towards the personal safety of the claims examiner before the claims administrator may identify an alternate but specific claims department name and telephone number in lieu of the claims examiner’s name and telephone number.
2) Requiring a claims administrator to provide a URL to allow an employee to download a form to request assignment of a panel of Qualified Medical Evaluators from the DWC website as an alternative to having to contact the claims administrator to obtain the form.
3) Providing strikeout and underline versions of the Spanish language version of the Notice to Employees Poster (DWC 7) and Notice of Potential Eligibility showing changes made during the initial 15 day comment period. (No changes are being proposed in this comment period to the Notice to Employees Poster [DWC 7] or the Workers’ Compensation Claim Form [DWC 1] and Notice of Potential Eligibility.)
4) Correction of an erroneous cross-reference.

The notice and text of the regulations can be found on the DWC proposed regulations page

Court of Appeal Rejects Constitutional Challenge of Lien Filing Fee

Robin Chorn M.D. is a licensed physician and surgeon who provides medical services to workers’ compensation applicants. On November 20, 2013, he filed a class action civil complaint contending that the subdivisions of Labor Code section 4903 imposing medical lien activation and filing fees (§§ 4903.05, 4903.06) and restrictions on payment of awards to assignees (§ 4903.8) violated Article I, sections 3, 7, and 9 and Article XIV, section 4 of the California Constitution. He further alleged that the adoption of emergency regulations to implement the lien activation fee provision violated the California Administrative Procedure Act. (Gov. Code § 11340 et seq.)

The superior court held that it lacked jurisdiction to consider Chorn’s challenge to the statute and denied the motion without considering the merits. Chorn timely appealed. The Court of Appeal sustained the trial court in the unpublished case of Chorn v Brown.

Labor Code 5955 provides, “No court of this state, except the Supreme Court and the courts of appeal to the extent herein specified, has jurisdiction . . . to restrain, enjoin, or interfere with the appeals board in the performance of its duties but a writ of mandate shall lie from the Supreme Court or a court of appeal in all proper cases.” The trial court stated that the California Constitution confers on the Legislature “plenary power, unlimited by any provision of this Constitution,” to establish a system of workers’ compensation: including the power to create a system for trial and resolution of workers’ compensation disputes. The trial court accordingly concluded that the jurisdictional provisions of article VI of the California Constitution, which grant original jurisdiction to superior courts over most cases, were inapplicable to workers’ compensation disputes.

The Court of Appeal agreed saying “In this action, an injunction enjoining respondents from enforcing the challenged provisions of the statute would interfere with the appeals board’s performance of its duties.” The courts of appeal and Supreme Court have exclusive jurisdiction over Chorn’s challenge to the validity of the statute.

The order of the trial court was affirmed

Feds Conduct Largest Ever Medical Fraud Takedown

More than 240 individuals – including doctors, nurses, and other licensed professionals – were arrested this week for their alleged participation in Medicare fraud schemes involving approximately $712 million in false billings. The arrests, which began Tuesday, were part of a coordinated operation in 17 cities by Medicare Fraud Strike Force teams, which include personnel from the FBI, the Department of Health and Human Services (HHS), the Department of Justice (DOJ), and local law enforcement.

At a press conference at DOJ Headquarters in Washington, D.C., officials said the arrests constituted the largest-ever health care fraud takedown in terms of both loss amount and arrests. “These are extraordinary figures,” said Attorney General Loretta Lynch. “They billed for equipment that wasn’t provided, for care that wasn’t needed, and for services that weren’t rendered.”

The charges are based on a variety of alleged fraud schemes involving medical treatments and services. According to court documents, the schemes included submitting claims to Medicare for treatments that were medically unnecessary and often not provided. In many of the cases, Medicare beneficiaries and other co-conspirators were allegedly paid cash kickbacks for supplying beneficiary information so providers could submit fraudulent bills to Medicare. Forty-four of the defendants were charged in schemes related to Medicare Part D, the prescription drug benefit program, which is the fastest growing component of Medicare and a growing target for criminals.

“There is a lot of money there, so there are a lot of criminals,” said FBI Director James B. Comey. He described how investigations leveraged technology to collect and analyze data, and rapid response teams to surge where the data showed the schemes were operating. “In these cases, we followed the money and found criminals who were attracted to doctors offices, clinics, hospitals, and nursing homes in search of what they viewed as an ATM.”

Two Los Angeles doctors are among nine Californians charged with defrauding Medicare out of $66 million by submitting bills for unnecessary services and equipment. Federal prosecutors contend that Dr. Joseph Altamirano bilked Medicare out of nearly $23 million through phony billing and referrals for medical equipment that wasn’t needed, including 1,000 power wheelchairs. Dr. Robert A. Glazer allegedly signed prescriptions for unnecessary services and medical equipment. Prosecutors say the prescriptions were sold to medical providers who used them to collect $22 million from Medicare.

In Miami, 73 were charged in schemes involving about $263 million in false billings for pharmacy, home health care, and mental health services.

More than 900 law enforcement officials participated in the three-day sweep. Those arrested include 46 licensed medical professionals, including 19 doctors. Since 2007, the Medicare Fraud Strike Force has prosecuted more than 200 doctors and more than 400 medical professionals.

Labor Commissioner Rules Uber Drivers are Employees

The Uber business model is pretty simple: People use the ride-hailing app to find a driver to take them where they want to go for a price. But is that driver an Uber employee or an independent contractor? The Los Angeles Times reports that the California Labor Commissioner’s office has ruled that San Francisco Uber driver Barbara Ann Berwick was an employee – and entitled to receive more than $4,000 in mileage and toll expenses because her services were “integral” to the company’s business model. Without drivers, Uber’s business “would not exist,” the order concluded.

The decision – handed down earlier this month and appealed on Tuesday by Uber – could disrupt the Silicon Valley start-ups that have redefined the relationship between companies and workers. The case could spawn other legal challenges from workers and regulations from cities and states. If the case winds up before the California Supreme Court, it could lead to a broader, precedent-setting ruling.

Uber connects drivers and passengers through a smartphone app, much in the same way that Airbnb digitally connects property owners and short-term renters. Both companies, and others like them, have faced a series of political battles in states and cities struggling to regulate such fast-growing enterprises, which are upending business models – and often drawing protests.

Uber has grown more than sixfold over the last five years – it now operates in more than 150 U.S. cities and 57 countries around the world. The company has raised more than $5.9 billion from investors, putting Uber at a $41-billion valuation, above General Motors and Ford, and the highest-valued start-up in the U.S. Those high valuations, however, could be threatened by a rising tide of legal and regulatory challenges across the globe. In March, a federal judge gave the go-ahead to a class-action lawsuit in federal court in San Francisco involving drivers who argue that they are employees entitled to benefits such as unemployment insurance, workers’ compensation and healthcare.

Uber has contended that it offers its drivers the freedom to choose how often and when to work, meaning the traditional employer-employee relationship does not apply. “It’s important to remember that the No. 1 reason drivers choose to use Uber is because they have complete flexibility and control,” the company said in a statement Wednesday responding to the Labor Commissioner’s ruling. The company also said the decision contradicted a 2012 ruling in which the office concluded that a driver had performed services as a contractor and “not as a bona-fide employee.”

The most recent order found that Uber was involved in “every aspect of the operation,” including vetting drivers, requiring them to provide personal banking, Social Security and address information, conducting DMV and background checks, and only allowing drivers to use registered cars that are less than 10 years old. Uber requires drivers to pay expenses. Unlike many taxi or limousine services, Uber doesn’t directly employ drivers, nor does it own or maintain the vehicles used by the drivers.

Classifying drivers as employees would be costly for Uber. In California, for example, the company would have to reimburse employees for gas, tolls and insurance and would also be on the hook for unemployment insurance, workers’ compensation, Social Security and other benefits.

The classification of “independent contractor” versus “employee” has been a long-standing source of conflict in U.S. labor law, ranging from port truck drivers to janitors to delivery drivers. But in recent years, the debate has shifted into the high-tech start-up realm, where companies have worked to develop applications connecting workers who supply services and customers who demand them.

El Monte Questions Treasurer’s Comp Claim

El Monte’s city council is investigating roughly $50,000 spent on City Treasurer Jerry Velasco since a car accident in November.

According to the report in the San Gabriel Valley Tribune, councilwoman Norma Macias said the council and the city attorney were never notified about Velasco’s workers’ compensation claim prior to approval. She said former City Manager Raul Godinez , who resigned in May, approved the contract. She said she learned about the approval after the San Gabriel Valley Tribune requested documents related to the workers’ compensation claim. The city did not release the information for two months.

El Monte Mayor Andre Quintero, a friend and political ally of Velasco, said he supports an investigation, as long as it isn’t politically motivated. Velasco announced last week that he plans to run for city council in the November election against Councilman Bart Patel and Councilwoman Victoria Martinez. “I think what they’re trying to do is to create a political issue, when really we should be focusing on the legal aspects of this situation and making sure that the staff did their due diligence and that the claims were approved properly,” he said, noting no results have been produced yet.

“I’m surprised, but they have a right to ask,” Velasco said Tuesday of the investigation. “I don’t know who approved it, all I know is that I got a letter saying that I was accepted, I don’t even know what the process is – I don’t.” Velasco said he forwards his bills to his attorney and that he does not know how much the city has paid on his behalf.

According to police, Velasco and another driver collided about 8:30 p.m. Nov. 6 at the intersection of Cogswell and Lower Azusa Road. The crash badly injured Velasco, who had to be extricated from his sedan. The city treasurer was returning from the graduation of the El Monte Police Department Citizen’s Academy. On a workers’ compensation claim form dated Nov. 24, Velasco listed the time of the accident as 6:30 p.m. and indicated he was on his way to the event. A second form corrected the time.

Councilman Bart Patel questioned whether Velasco qualified for workers’ compensation as the crash occurred after what he called a private event put on by the police department. The councilman attended the graduation at the El Patio Bar and Grill that preceded Velasco’s crash. “It was an invite-only event for family and friends who were supporting their loved ones who were graduating from the class,” Patel said. “I don’t think there is any expectation for a city treasurer to be at an event like this.”

While Patel is listed on the event’s program, Velasco is not. The city treasurer does appear in several pictures from the presentation. Velasco said he was invited to represent the city, as no other city officials planned to attend. “I was there doing a favor for the city and I thought it was covered,” he said. “I almost got killed. I thank God every day, I thank people every day for their prayers, that I’m alive.”

Home Health Care Worker Awarded $138,386 in Back Pay

It is not uncommon for seriously injured workers to be awarded home health care services by the WCAB. In some cases the claim is for services 24 hours a day. It is similarly not uncommon for the employer to meet this obligation by payment for services to a spouse or family member of the injured worker. It is unfortunately very uncommon for employment law issues such as wage hour and meal breaks and overtime pay to be included in this arrangement with the family member, or for that matter, a clear understanding of who exactly the caregiver’s employer might be. Lurking in the background is a supplemental claim for back pay and penalties as illustrated by this announcement by the California Labor Commissioner.

California Labor Commissioner Julie A. Su awarded $138,386 in back pay to a caregiver who worked 16-hour days in San Francisco for less than minimum wage, usually without a day off. The amount includes minimum wage and severance pay violations, liquidated damages and waiting time penalties.

Francisca Vasquez, a Salvadoran war refugee, was hired in 1992 by siblings Magdalena Lindvall and Reynaldo Peña Jr. to work as a companion for their elderly parents for $400 a month. Eventually Vasquez became a housekeeper and then round-the-clock caregiver to their mother for $500 a month. Upon the mother’s death, Vasquez was discharged.

“Workers are not always aware of their rights,” said Christine Baker, Director of the Department of Industrial Relations (DIR). “California labor law protects domestic workers as well as others who work in industries susceptible to wage theft.” The Labor Commissioner’s Office, also known as the Division of Labor Standards Enforcement (DLSE), is a division within DIR.

Because Vasquez filed her claim two years into the three year statute of limitation for minimum wage claims, she could only collect wages on the last year she worked.

“This was an egregious case of worker abuse, where someone providing care was treated with an utter lack of care for her rights and for her humanity,” said Labor Commissioner Julie A. Su. “I am pleased that through the Berman wage claim process, my office was able to help her get some of the hard earned wages she deserved. This is a sign that when workers come forward to file wage claims, they can win some measure of justice.”

The Labor Commissioner awarded her $50,008 for wages, $48,209 in liquidated damages, $35,707 in interest, and $4,464 in penalties. Vasquez was assisted in the wage claim process by the community organization Mujeres Unidas y Activas and the Legal Aid Society – Employment Law Center.

There is no clear solution that would apply generically across worker’s compensation cases to minimize risk in home health care situations where a family member becomes the paid caregiver. It would be prudent to consult an employment law attorney, such as Bernadette O’Brien at Floyd, Skeren and Kelly should there be concerns about what this risk might be, or how it might be mitigated.