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Zalma’s Insurance Fraud Letter – November 1, 2024
ZIFL – Volume 28 Number 21
Posted on November 1, 2024 by Barry Zalma
Post 4924
See the full video at and at
Subscribe to ZIFL at https://visitor.r20.constantcontact.com/manage/optin?v=001Gb86hroKqEYVdo-PWnMUkcitKvwMc3HNWiyrn6jw8ERzpnmgU_oNjTrm1U1YGZ7_ay4AZ7_mCLQBKsXokYWFyD_Xo_zMFYUMovVTCgTAs7liC1eR4LsDBrk2zBNDMBPp7Bq0VeAA-SNvk6xgrgl8dNR0BjCMTm_gE7bAycDEHwRXFAoyVjSABkXPPaG2Jb3SEvkeZXRXPDs%3D
The Source for the Insurance Fraud Professional
Zalma’s Insurance Fraud Letter (ZIFL) continues its 28th year of publication dedicated to those involved in reducing the effect of insurance fraud. ZIFL is published 24 times a year by ClaimSchool and is written by Barry Zalma. It is provided FREE to anyone who visits the site at http://zalma.com/zalmas-insurance-fraud-letter-2/ This issue contains the following articles about insurance fraud:
Pill Mill Doctor’s Conviction Affirmed
HEALTH CARE FRAUD CONVICTION AFFIRMED
ACTING AS A DR. FEEL GOOD IS A FEDERAL CRIME
According to the Sixth Circuit Dr. David Jankowski’s medical clinics relied on several unusual billing and prescription practices, many of which were illegal and Jankowski fraudulently billed Medicare for services he did not provide and prescribed controlled substances to patients whose conditions did not call for such treatment, with some patients unlawfully trafficking their prescribed drugs.
In United States Of America v. David Jankowski, M.D., No. 23-1404, United States Court of Appeals, Sixth Circuit (October 23, 2024) the Sixth Circuit disposed of the fraudsters claims on appeal.
Read the full article and all 18 pages of ZIFL at https://zalma.com/blog/wp-content/uploads/2024/10/ZIFL-11-01-2024.pdf
More McClenny Moseley & Associates Issues
This is ZIFL’s thirty sixth installment of the saga of McClenny, Moseley & Associates and its problems with the federal courts in the State of Louisiana and what appears to be an effort to profit from what some Magistrate and District judges indicate may be criminal conduct to profit from insurance claims relating to hurricane damage to the public of the state of Louisiana.
10/24/2024
MMA BANKRUPTCY HEARING TO DECIDE WHETHER TRUSTEE WILL BE APPOINTED
Read the full article and all 18 pages of ZIFL at https://zalma.com/blog/wp-content/uploads/2024/10/ZIFL-11-01-2024.pdf
Injured While Drunk on the Job Gets Workers’ Compensation Benefits
An appellate court in New York has upheld a decision of the Workers’ Compensation Board in favor of an injured employee of an electrical contractor company because intoxication was not the sole cause of the accident.
Read the full article and all 18 pages of ZIFL at https://zalma.com/blog/wp-content/uploads/2024/10/ZIFL-11-01-2024.pdf
Man Bites Dog Story:
Fraudsters Arbitration Attempts Stopped
Arbitration Stayed for Suspected Chiropractors’ Fraudulent No Fault Medical Claims
Read the full article and all 18 pages of ZIFL at https://zalma.com/blog/wp-content/uploads/2024/10/ZIFL-11-01-2024.pdf
In Government Employees Insurance Company, (“GEICO”) v. Didier Demesmin, M.D., et al, No. 23-CV-6191 (ARR) (MMH), United States District Court, E.D. New York (October 23, 2024) GEICO sought to enjoin defendants Manuel A. Mendoza, D.C. and Mendoza Chiropractic Office PC (collectively the “Mendoza Defendants”) from pursuing certain “no-fault” insurance collection arbitrations or initiating new collections proceedings during the pendency of this lawsuit.
Read the full article and all 18 pages of ZIFL at https://zalma.com/blog/wp-content/uploads/2024/10/ZIFL-11-01-2024.pdf
Health Insurance Fraud Convictions
Louisiana Nursing Home Owner to Pay $8.2M for Misusing Assets During Ida
Bob Dean Jr a Louisiana nursing home owner and several companies he operated have agreed to an $8.2 million consent judgment to resolve allegations that they misappropriated and misused the assets and income of four nursing homes in Louisiana before and after Hurricane Ida’s landfall in August 2021.
Read the full article and all 18 pages of ZIFL at https://zalma.com/blog/wp-content/uploads/2024/10/ZIFL-11-01-2024.pdf
Officer Caught Aiding Criminals for Cash
Police Officer who took Bribes from Insurance Fraudster Convicted
Demarkco Johnson (“Johnson”), appealed his convictions for taking bribes about insurance fraud.
Read the full article and all 18 pages of ZIFL at https://zalma.com/blog/wp-content/uploads/2024/10/ZIFL-11-01-2024.pdf
Convictions of Other Than Health Insurance Fraud
Former Lake Forest Agent Convicted On 90 Counts Of Insurance Fraud After Stealing Nearly $200,000 In Premium Payments
Karen Marie Dondanville, 56, of Mission Viejo, California, a former Lake Forest insurance agent was convicted on 90 counts of insurance fraud after stealing nearly $200,000 in premium payments.
Read the full article and all 18 pages of ZIFL at https://zalma.com/blog/wp-content/uploads/2024/10/ZIFL-11-01-2024.pdf
The Need to Understand the Mutability of Memory
Investigators and lawyers believe what they are told by eye witnesses who describe what he or she says with conviction. However, every professional investigator or litigator must know that memory is not necessarily accurate because very few people have a perfect eidetic (photographic) memory. Memory is a fluid and often unreliable human function.
Read the full article and all 18 pages of ZIFL at https://zalma.com/blog/wp-content/uploads/2024/10/ZIFL-11-01-2024.pdf
Barry Zalma, Inc., 4441 Sepulveda Boulevard, CULVER CITY CA 90230-4847, 310-390-4455. Subscribe to Excellence in Claims Handling at https://barryzalma.substack.com/welcome. Go to the podcast Zalma On Insurance at https://podcasters.spotify.com/pod/show/barry-zalma/support; Write to Mr. Zalma at [email protected]; http://www.zalma.com; http://zalma.com/blog. Go to Zalma’s Insurance Fraud Letter at https://zalma.com/zalmas-insurance-fraud-letter-2/; Go to X @bzalma; Go to Barry Zalma videos at Rumble.com at https://rumble.com/c/c-262921; Go to the Insurance Claims Library – https://zalma.com/blog/insurance-claims-library/ and GTTR at https://gettr.com/@zalma
Read the full article and all 18 pages of ZIFL at https://zalma.com/blog/wp-content/uploads/2024/10/ZIFL-11-01-2024.pdf
Zalma’s Insurance Fraud Letter – November 1, 2024 ZIFL – Volume 28 Number 21 Posted on November 1, 2024 by Barry Zalma Post 4924 See the full video at and at Subscribe to ZIFL at https://visitor.r20.constantcontact.com/manage/optin?v=001Gb86hroKqEYVdo-PWnMUkcitKvwMc3HNWiyrn6jw8ERzpnmgU_oNjTrm1U1YGZ7_ay4AZ7_mCLQBKsXokYWFyD_Xo_zMFYUMovVTCgTAs7liC1eR4LsDBrk2zBNDMBPp7Bq0VeAA-SNvk6xgrgl8dNR0BjCMTm_gE7bAycDEHwRXFAoyVjSABkXPPaG2Jb3SEvkeZXRXPDs%3D The Source for the Insurance Fraud Professional Zalma’s Insurance Fraud Letter (ZIFL) continues its 28th year of publication dedicated to those involved in reducing the effect of insurance fraud. ZIFL is published 24 times a year by ClaimSchool and is written by Barry Zalma. It is provided FREE to anyone who visits the site at http://zalma.com/zalmas-insurance-fraud-letter-2/ This issue contains the following articles about insurance fraud: Pill Mill Doctor’s Conviction Affirmed HEALTH CARE FRAUD CONVICTION AFFIRMED ACTING AS A DR. FEEL GOOD IS A FEDERAL CRIME According to the Sixth Circuit Dr. David Jankowski’s medical clinics relied on several unusual billing and prescription practices, many of which were illegal and Jankowski fraudulently billed Medicare for services he did not provide and prescribed controlled substances to patients whose conditions did not call for such treatment, with some patients unlawfully trafficking their prescribed drugs. In United States Of America v. David Jankowski, M.D., No. 23-1404, United States Court of Appeals, Sixth Circuit (October 23, 2024) the Sixth Circuit disposed of the fraudsters claims on appeal. Read the full article and all 18 pages of ZIFL at https://zalma.com/blog/wp-content/uploads/2024/10/ZIFL-11-01-2024.pdf More McClenny Moseley & Associates Issues This is ZIFL’s thirty sixth installment of the saga of McClenny, Moseley & Associates and its problems with the federal courts in the State of Louisiana and what appears to be an effort to profit from what some Magistrate and District judges indicate may be criminal conduct to profit from insurance claims relating to hurricane damage to the public of the state of Louisiana. 10/24/2024 MMA BANKRUPTCY HEARING TO DECIDE WHETHER TRUSTEE WILL BE APPOINTED Read the full article and all 18 pages of ZIFL at https://zalma.com/blog/wp-content/uploads/2024/10/ZIFL-11-01-2024.pdf Injured While Drunk on the Job Gets Workers’ Compensation Benefits An appellate court in New York has upheld a decision of the Workers’ Compensation Board in favor of an injured employee of an electrical contractor company because intoxication was not the sole cause of the accident. Read the full article and all 18 pages of ZIFL at https://zalma.com/blog/wp-content/uploads/2024/10/ZIFL-11-01-2024.pdf Man Bites Dog Story: Fraudsters Arbitration Attempts Stopped Arbitration Stayed for Suspected Chiropractors’ Fraudulent No Fault Medical Claims Read the full article and all 18 pages of ZIFL at https://zalma.com/blog/wp-content/uploads/2024/10/ZIFL-11-01-2024.pdf In Government Employees Insurance Company, (“GEICO”) v. Didier Demesmin, M.D., et al, No. 23-CV-6191 (ARR) (MMH), United States District Court, E.D. New York (October 23, 2024) GEICO sought to enjoin defendants Manuel A. Mendoza, D.C. and Mendoza Chiropractic Office PC (collectively the “Mendoza Defendants”) from pursuing certain “no-fault” insurance collection arbitrations or initiating new collections proceedings during the pendency of this lawsuit. Read the full article and all 18 pages of ZIFL at https://zalma.com/blog/wp-content/uploads/2024/10/ZIFL-11-01-2024.pdf Health Insurance Fraud Convictions Louisiana Nursing Home Owner to Pay $8.2M for Misusing Assets During Ida Bob Dean Jr a Louisiana nursing home owner and several companies he operated have agreed to an $8.2 million consent judgment to resolve allegations that they misappropriated and misused the assets and income of four nursing homes in Louisiana before and after Hurricane Ida’s landfall in August 2021. Read the full article and all 18 pages of ZIFL at https://zalma.com/blog/wp-content/uploads/2024/10/ZIFL-11-01-2024.pdf Officer Caught Aiding Criminals for Cash Police Officer who took Bribes from Insurance Fraudster Convicted Demarkco Johnson (“Johnson”), appealed his convictions for taking bribes about insurance fraud. Read the full article and all 18 pages of ZIFL at https://zalma.com/blog/wp-content/uploads/2024/10/ZIFL-11-01-2024.pdf Convictions of Other Than Health Insurance Fraud Former Lake Forest Agent Convicted On 90 Counts Of Insurance Fraud After Stealing Nearly $200,000 In Premium Payments Karen Marie Dondanville, 56, of Mission Viejo, California, a former Lake Forest insurance agent was convicted on 90 counts of insurance fraud after stealing nearly $200,000 in premium payments. Read the full article and all 18 pages of ZIFL at https://zalma.com/blog/wp-content/uploads/2024/10/ZIFL-11-01-2024.pdf The Need to Understand the Mutability of Memory Investigators and lawyers believe what they are told by eye witnesses who describe what he or she says with conviction. However, every professional investigator or litigator must know that memory is not necessarily accurate because very few people have a perfect eidetic (photographic) memory. Memory is a fluid and often unreliable human function. Read the full article and all 18 pages of ZIFL at https://zalma.com/blog/wp-content/uploads/2024/10/ZIFL-11-01-2024.pdf Barry Zalma, Inc., 4441 Sepulveda Boulevard, CULVER CITY CA 90230-4847, 310-390-4455. Subscribe to Excellence in Claims Handling at https://barryzalma.substack.com/welcome. Go to the podcast Zalma On Insurance at https://podcasters.spotify.com/pod/show/barry-zalma/support; Write to Mr. Zalma at [email protected]; http://www.zalma.com; http://zalma.com/blog. Go to Zalma’s Insurance Fraud Letter at https://zalma.com/zalmas-insurance-fraud-letter-2/; Go to X @bzalma; Go to Barry Zalma videos at Rumble.com at https://rumble.com/c/c-262921; Go to the Insurance Claims Library – https://zalma.com/blog/insurance-claims-library/ and GTTR at https://gettr.com/@zalma Read the full article and all 18 pages of ZIFL at https://zalma.com/blog/wp-content/uploads/2024/10/ZIFL-11-01-2024.pdf0 Reacties 0 aandelen 2K Views -
@ERRNCJ
3 months ago
I’ve been a Registered Nurse for 45 years and have always loved my profession. As a mother of five sons, the flexible hours allowed me to work around their schedules. I cherished my time in the ICU and ER, working alongside firefighters, police officers, and doctors. We were like family, celebrating holidays and traveling together. I genuinely loved my patients.However, now at 65, I am utterly disgusted with the state of healthcare. After being admitted to the ICU for 12 days, I was treated terribly and barely survived due to the poor care. I never want to experience that again and have signed a DNR to avoid such an end.I no longer recommend anyone pursue a career in nursing. During my stay, an RN would only come in for a few minutes a couple of times per shift, constantly interrupted by her hospital phone. From my bed, I could see other patients’ heart rhythms, with alarms going off continuously and being ignored. Some patients were in life-threatening ventricular fibrillation, with no response from the staff. I had to ring my bell to alert them to these emergencies. The care was absolutely appalling.
Never again.
@LaCantressa
3 months ago
My distrust of doctors was exacerbated by their response to the pandemic. I now think it's more dangerous to see a doctor than not to.
https://www.youtube.com/watch?v=IVszhB_9W78@ERRNCJ 3 months ago I’ve been a Registered Nurse for 45 years and have always loved my profession. As a mother of five sons, the flexible hours allowed me to work around their schedules. I cherished my time in the ICU and ER, working alongside firefighters, police officers, and doctors. We were like family, celebrating holidays and traveling together. I genuinely loved my patients.However, now at 65, I am utterly disgusted with the state of healthcare. After being admitted to the ICU for 12 days, I was treated terribly and barely survived due to the poor care. I never want to experience that again and have signed a DNR to avoid such an end.I no longer recommend anyone pursue a career in nursing. During my stay, an RN would only come in for a few minutes a couple of times per shift, constantly interrupted by her hospital phone. From my bed, I could see other patients’ heart rhythms, with alarms going off continuously and being ignored. Some patients were in life-threatening ventricular fibrillation, with no response from the staff. I had to ring my bell to alert them to these emergencies. The care was absolutely appalling. Never again. @LaCantressa 3 months ago My distrust of doctors was exacerbated by their response to the pandemic. I now think it's more dangerous to see a doctor than not to. https://www.youtube.com/watch?v=IVszhB_9W780 Reacties 0 aandelen 1K Views -
https://medforth.biz/convicted-rapist-from-guadeloupe-jailed-in-france-for-attempted-rape-of-102-year-old-nursing-home-resident/0 Reacties 0 aandelen 253 Views
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When your handlers are secretly trying to get you out of office.
Like any other nursing home resident food spills are inevitable.
Luckily we can’t see the mess in his pants.
https://redstatenation.com/close-up-video-biden-completes-his-toddler-transformation-handlers-put-him-on-live-tv-with-a-huge-stain-of-unknown-origin-on-his-suit/When your handlers are secretly trying to get you out of office. Like any other nursing home resident food spills are inevitable. Luckily we can’t see the mess in his pants. https://redstatenation.com/close-up-video-biden-completes-his-toddler-transformation-handlers-put-him-on-live-tv-with-a-huge-stain-of-unknown-origin-on-his-suit/REDSTATENATION.COMClose-Up Video: Biden Completes His Toddler Transformation - Handlers Put Him on Live TV with a Huge Stain of Unknown Origin on His Suit - Red State NationUnless Joe Biden de-ages 20 years and shakes the mental issues that have latched onto him like barnacles, we’re bound to read more stories about his rapid decrepitude. We’ve known for years that Joe Biden is cooked. The liberal media finally can’t defend him anymore, lest they look like reporters from North Korea. Olivia Nuzzi […] -
I'M 77. FOR YEARS, I HAVE NOT VISITED A DOCTOR. I DON'T TRUST THEM ANYMORE, I DON'T BELIEVE THEM. HERE IS WHY. A DOCTOR IS GOING TO JAIL FOR FALSELY DIAGNOSING HUNDREDS OF PATIENTS WITH CANCER, WHEN HE KNEW IT WASN'T TRUE BUT HE DID IT TO MAKE MONEY. SOME PEOPLE TELL ME: "WELL, THAT'S NOT REASON TO AVOID EVERY DOCTOR, THAT WAS ONLY ONE DOCTOR, IT DOESN'T MEAN THAT ALL DOCTORS ARE LIARS AND GREEDY"... THINK AGAIN: UNDER THE FALSE COVID "PANDEMIC", 99.9% OF DOCTOR BECAME LIARS, THEY ALL TOLD US THAT COVID WAS REAL, THAT WEARING A MASK WOULD PROTECT US FROM CONTAGION OR FROM SPREADING THE VIRUS, THEY ALL PROMOTED THE FALSE "VACCINES", KNOWING THEY HAD HARMFUL EFFECTS AND REFUSED TO PROVIDE SERVICES TO PEOPLE WHO HAD NO PROOF OF VACCINATION. WERE ALL DOCTORS BAD PEOPLE? PROBABLY NOT BUT THEY BECAME BAD PEOPLE BY OBEYING ORDERS FROM GOVERNMENTS THAT THREATENED THEM WITH LOSING THEIR LICENSES TO PRACTICE MEDICINE IF THEY DIDN'T OBEY. I LIVE IN THE U.S. TERRITORY OF PUERTO RICO, HERE, THE LOCAL MEDIA IS FORBIDDEN FROM PUBLISHING OR BROADCASTING THE TRUTH ABOUT THE VACCINES, MANY MEDICAL FACILITIES STILL REQUIRE MASK TO ENTER, VACCINATION CENTERS ARE STILL OPEN, THE COVID VACCINE IS IN THE MANDATORY LIST OF MORE THAN 19 VACCINES FOR SCHOOL CHILDREN, WITHOUT THOSE VACCINES NO CHILD CAN ATTEND SCHOOL, IN NURSING HOMES MASKS ARE STILL MANDATORY FOR PATIENTS AND EMPLOYEES, VACCINES ARE COMPULSORY AND THERE'S TALK ABOUT BANNING VISITORS AGAIN IN THOSE CENTERS, BELIEVE IT OR NOT: THERE ARE STILL MESSAGES ON THE RADIO, TELLING THE PEOPLE TO GO TO THE VACCINATION CENTERS TO GET BOTH, THE INFLUENZA AND THE COVID VACCINES. I HAVE AN APPOINTMENT WITH AN EYES DOCTOR FOR AUGUST. WE DON'T KNOW THE FUTURE. IF BY AUGUST THERE'S THE 'BIRD FLU' FEAR AND THEY START WITH RESTRICTIONS AGAIN, FORGET ABOUT IT, I WON'T COMPLY, I WILL KEEP TAKING NATURAL SUPPLEMENTS FOR GOOD VISION AND EYES DROPS. I'D RATHER DIE AT HOME THAN OBEYING AND COMPLYING. NOW YOU KNOW WHY I DON'T GO TO DOCTORS ANYMORE.I'M 77. FOR YEARS, I HAVE NOT VISITED A DOCTOR. I DON'T TRUST THEM ANYMORE, I DON'T BELIEVE THEM. HERE IS WHY. A DOCTOR IS GOING TO JAIL FOR FALSELY DIAGNOSING HUNDREDS OF PATIENTS WITH CANCER, WHEN HE KNEW IT WASN'T TRUE BUT HE DID IT TO MAKE MONEY. SOME PEOPLE TELL ME: "WELL, THAT'S NOT REASON TO AVOID EVERY DOCTOR, THAT WAS ONLY ONE DOCTOR, IT DOESN'T MEAN THAT ALL DOCTORS ARE LIARS AND GREEDY"... THINK AGAIN: UNDER THE FALSE COVID "PANDEMIC", 99.9% OF DOCTOR BECAME LIARS, THEY ALL TOLD US THAT COVID WAS REAL, THAT WEARING A MASK WOULD PROTECT US FROM CONTAGION OR FROM SPREADING THE VIRUS, THEY ALL PROMOTED THE FALSE "VACCINES", KNOWING THEY HAD HARMFUL EFFECTS AND REFUSED TO PROVIDE SERVICES TO PEOPLE WHO HAD NO PROOF OF VACCINATION. WERE ALL DOCTORS BAD PEOPLE? PROBABLY NOT BUT THEY BECAME BAD PEOPLE BY OBEYING ORDERS FROM GOVERNMENTS THAT THREATENED THEM WITH LOSING THEIR LICENSES TO PRACTICE MEDICINE IF THEY DIDN'T OBEY. I LIVE IN THE U.S. TERRITORY OF PUERTO RICO, HERE, THE LOCAL MEDIA IS FORBIDDEN FROM PUBLISHING OR BROADCASTING THE TRUTH ABOUT THE VACCINES, MANY MEDICAL FACILITIES STILL REQUIRE MASK TO ENTER, VACCINATION CENTERS ARE STILL OPEN, THE COVID VACCINE IS IN THE MANDATORY LIST OF MORE THAN 19 VACCINES FOR SCHOOL CHILDREN, WITHOUT THOSE VACCINES NO CHILD CAN ATTEND SCHOOL, IN NURSING HOMES MASKS ARE STILL MANDATORY FOR PATIENTS AND EMPLOYEES, VACCINES ARE COMPULSORY AND THERE'S TALK ABOUT BANNING VISITORS AGAIN IN THOSE CENTERS, BELIEVE IT OR NOT: THERE ARE STILL MESSAGES ON THE RADIO, TELLING THE PEOPLE TO GO TO THE VACCINATION CENTERS TO GET BOTH, THE INFLUENZA AND THE COVID VACCINES. I HAVE AN APPOINTMENT WITH AN EYES DOCTOR FOR AUGUST. WE DON'T KNOW THE FUTURE. IF BY AUGUST THERE'S THE 'BIRD FLU' FEAR AND THEY START WITH RESTRICTIONS AGAIN, FORGET ABOUT IT, I WON'T COMPLY, I WILL KEEP TAKING NATURAL SUPPLEMENTS FOR GOOD VISION AND EYES DROPS. I'D RATHER DIE AT HOME THAN OBEYING AND COMPLYING. NOW YOU KNOW WHY I DON'T GO TO DOCTORS ANYMORE.
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Probably soiled his clothes and needed a change.
What an embarrassment to the Country- with his nursing home shuffle and blank expression.
https://www.rightjournalism.com/video-joe-biden-was-spotted-shopping-at-a-jos-a-bank-store-in-greenville-delaware-this-memorial-day-weekend-watch-the-excitement-that-swirls-around-him/Probably soiled his clothes and needed a change. What an embarrassment to the Country- with his nursing home shuffle and blank expression. https://www.rightjournalism.com/video-joe-biden-was-spotted-shopping-at-a-jos-a-bank-store-in-greenville-delaware-this-memorial-day-weekend-watch-the-excitement-that-swirls-around-him/WWW.RIGHTJOURNALISM.COMVideo: Joe Biden Was Spotted Shopping At A Jos A. Bank Store In Greenville, Delaware This Memorial Day Weekend - Watch The "Excitement" That Swirls Around Him – Right JournalismPresident Joe Biden was seen in his home state of Delaware, enjoying a clothes shopping trip during the Memorial Day
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