Friday, June 2, 2023
Fraud from inside and outside the courtroom - at adjustercom.net
Sim Hoffman, M.D., a radiologist in Brea, California, was seeing workers’ compensation patients. He had a multi-specialty practice. After difficulty in collecting his fees, he hired Louis Santillan, a collector with some experience, soon after the year 2000. But by 2006, it was reported to Dr. Hoffman by his office manager that Santillan was stealing from him. He was changing the notes in the computer so he could collect a collection fee on bills that were not in his collectibles.
But Dr. Hoffman did not want to fire Louis Santillan. This may seem odd at first glance but it’s what the evidence showed after some months.
So, Dr. Hoffman tried to move Santillan out of the office by making him into an independent contractor. But instead of accepting an independent contractor position as a collector, Louis Santillan refused the position. This was after serving as a W-2 employee, as the head of collections for Hoffman’s medical practice for more than five years.
Santillan threatened Hoffman with a wrongful termination lawsuit if he didn’t keep him on as a W-2 employee; but in a display of solid character, which wasn’t shown in all of Hoffman’s actions, Dr. Hoffman closed himself off with an attitude of fine, bring it on. The threat had come in... Read More
It wasn’t a case that primarily came out of a Special Investigations Unit (SIU) at an insurance carrier or a third-party administrator (TPA). It wasn’t like that, for example, where a workers’ compensation adjuster came to a... Read More