Los Angeles County prosecutors have refiled criminal charges against a dozen people accused of taking part in an alleged $150 million workers’ compensation insurance fraud scheme, according to the Los Angeles County District Attorney’s Office. Prosecutors divided the larger case into three smaller ones in an effort to streamline the complex litigation and refile several counts that previously had been dismissed. The charges in the three complaints supersede the two previous indictments, which were unsealed in September 2015. The indictments remain against an orthopedic surgeon and his office manager, both of whom are fugitives. Prosecutors said the conspiracy allegedly included paying lawyers and marketers as much as $10,000 a month for illegal patient referrals, known as “capping.” Nearly two dozen patients allegedly were deceived into having surgeries they thought would be performed by the (now fugitive) orthopedic surgeon but instead were performed by a physician’s assistant who never attended medical school and carried out invasive and sometimes unnecessary surgeries.
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