On May 8th, 2017

CDI Investigation: Three Men Convicted in Workers’ Comp Insurance Overbilling Scheme Defrauded more than $70 million dollars from insurance carriers

SANTA ANA - On May 5, 2017, three men, who formed a durable medical equipment company, plead guilty to medical insurance fraud for their involvement in a years-long overbilling scheme in which they defrauded insurance companies of more than $70 million.  The scheme involved renting to patients, machines valued at less than $500, that had both heating and cooling features, but billing insurance carriers for two separate hot and cold machines for as much as $15,500 to $18,000 per patient.

Jeffrey Campau, 42 and Landen Mirallegro, 41, both of Yorba Linda pleaded guilty to 24 felony counts of medical insurance fraud and manufacturing documents in support of a fraudulent claim, in addition to other charges.   Abraham Khorshad, 65 of Beverly Hills pleaded guilty to three felony counts of medical insurance fraud.

“When insurance companies contacted he California Department of Insurance and Orange County District Attorney’s Office, investigators went to work,” said California Statewide Law Enforcement Association (CSLEA) President Alan Barcelona.  “These cases can be very complex and time consuming, but CDI investigators are committed to the work and seeing that the guilty are convicted.”

Campau and Mirallegro were sentenced to 10 years in prison suspended pending successful completion of: one year in county jail, five years of formal probation, ordered to pay restitution and ordered to stop collecting and dismiss all claims for Aspen Medical Resources, National Marketing dba National DME, Elite Diagnostic and Regional Imaging.  Khorshad was sentenced to nine months in county jail, three years of formal probation, ordered to pay restitution and ordered to stop collecting and dismiss all claims for the following companies: Aspen Medical Resources, National Marketing dba National DME.

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