Are Women more at risk for personal injury than men?
PI Guru Gary Lewkovich, DC offers a thought provoking list of the increased risks for women in MVA’s. Some of the risks are:
  Greater whipping forces
  Less protective muscle strength
  Less muscle mass
  Weaker ligaments
  Increased shearing Motion
  Less protective cartilage
  Estrogen Levels

Justifying why some women need more care is proven with the list and explanations provided by the Chair of the CCA Personal Injury Committee.

To get your copy of the chart with explanations contact johntawlian@shawnsteel.com

Watch out for Loya Casualty

Loya Casualty is a “low end” insurance carrier who signs up high risks customers for minimal coverage. Started by Fred Loya from Texas, he is now a very wealthy man. Loya Insurance takes the insured’s money and regularly chisels down claims.

Here is an example of a letter from Loya Insurance that we received from one of our subscribers regarding Loya’s amateurish reasons for denying an honest claim:

  No mechanism of injury
  No emergency care
  No initial MD care

For a copy of this preposterous letter contact johntawlian@shawnsteel.com

November 30 Survey Results Are in:

Q. On average, how much PI attorneys cut your fees?



SHAWN IS SPEAKING AT
• CCA Districts
San Gabriel – 2/17/16
San Bernardino – 3/8/16
Riverside – 3/15/16
Long Beach – 3/16/16
San Fernando Valley – 3/23/16

All Doctors are welcome to join us
For questions e-mail: johntawlian@shawnsteel.com





Two Orthos One DC and two hospital executives charged in kickback schemes re $600 million for fraudulent surgery claims
 
 

In the largest insurance fraud case in California, federal authorities charged five with transferring thousands of patients for spinal surgeries over an eight-year period.

  Two of the defendants pleaded guilty, including Philip Sobol, MD orthopedist, 61 Studio City. The three other defendants have agreed to plead guilty and to cooperate with the government.

  Chiropractor Alan Ivar, 55, of Las Vegas, formerly of San Juan Capistrano owned serval businesses based in Costa Mesa, admitted that for over a decade he had an agreement with the owner of Pacific Hospital to refer patients in exchange for a monthly retainer. He has not been sentenced yet.

  Mitchell Cohen, MD, orthopedic surgeon, 55, Irvine admitted he failed to report income received from the kickback payments.

  Typically, the kickback was paid of $15,000 for each lumbar fusion and $10,000 for cervical fusions. Some patients lived hundreds of miles from the hospital. The hospital paid over $100,000 each month for kickbacks. Some contracts involved phony ‘lease’ agreements, or paid doctors to help ‘collect’ fees, or other ‘consulting’ contracts.

  Most of the surgeries took place at Pacific Hospital in Long Beach, plus Hawaiian Gardens hospital. Most charges were paid by California worker’s compensation system and the federal government.

  The charges involved:
  Mail fraud
  Money laundering, paying and receiving kickbacks with federal health care
  Violation of the Travel Act
  Racketeering enterprise
  Honest Services Fraud
 

What is not mentioned is the permanent damage to patients who did not need the back surgeries.