Heidary v. Superior Court

Petitioner Peyman Heidary (Heidary) allegedly owned and oversaw a network of medical clinics to generate fraudulent billings to workers’ compensation and insurance carriers. A non-attorney, he also allegedly controlled the day-to-day operations of various law firms, including California Injury Lawyers (collectively, the law firm.). He allegedly controlled or directed hiring and firing, legal decision making, and income flow to and from the law firm. Codefendants (and petitioners in a related writ case discussed below) Abramowitz, a lawyer, and Solis allegedly assisted Heidary in these operations. Under the alleged fraud scheme, injured workers appeared at the law firm, which would fill out boilerplate paperwork and, on Heidary’s order, direct the workers to one of his clinics to begin treatment. Each provider would fill out a “ ‘super bill,’ ” describing services rendered, which would then go to support staff to review compliance with Heidary’s orders. They would forward the superbill to a medical billing company. Those companies would generate a form to start the claim process. The billing companies contracted with each provider to bill for services, on Heidary’s order, including sometimes by forgery. Payment came from two sources: workers’ compensation insurers and third-party accounts-receivable buyers. The defendants were indicted by grand jury on conspiracy, making false or fraudulent claims for payment of health care benefits, knowingly making false and fraudulent material representations for payment of workers' compensation, money laundering, forgery, and unlicensed practice of medicine. In Petitioner challenged challenges the trial court’s denial of his motion to set aside the indictment pursuant to Penal Code section 995(a)(1)(B). Finding no reason to disturb the indictment, the Court of Appeal denied the petition. View "Heidary v. Superior Court" on Justia Law