Police Maliciously Set Him Up, Doctor Says
Recent Cases
The Melbourne Police Department trained people to pose as patients seeking medical treatment for nonexistent illnesses, provided them with false medical records, trained them to give false medical histories, then sent them to walk-in clinics and arrested a doctor on false felony charges of distributing controlled substances, Dr. Nima Heshmati claims in Federal Court.
Heshmati claims the bogus operation caused him to be thrown into jail and his medical license to be suspended.
He claims the defendants knowingly provided false testimony about their office visits. "Each and every prescription issued by Dr. Heshmati was medically necessary and followed the medical standards for the prescribing of these controlled substances," the complaint states.
Heshmati demands punitive damages for conspiracy, false imprisonment, and civil rights violations. He also sues several Melbourne police officers as individuals, and the Florida Department of Health and other state agencies.
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Workers’ Compensation Subrogation of Administrative Fees and Costs
When a worker covered by workers’ compensation makes a claim against a third party, the workers’ compensation insurance retains the right to subrogate against any recovery from that third party for all benefits paid to or on behalf of a claimant injured at work. When subrogating for more than basic medical and indemnity benefits, the Texas workers’ compensation subrogation statute provides that “the net amount recovered by a claimant in a third‑party action shall be used to reimburse the carrier for benefits, including medical benefits that have been paid for the compensable injury.” TX Labor Code § 417.002.
In fact, all 50 states provide for similar subrogation. However, none of them precisely outlines which payments or costs paid by a compensation carrier constitute “compensation” and can be recovered. The result is industry-wide confusion and an ongoing debate and argument with claimants’ attorneys over what can and can’t be included in a carrier’s lien for recovery purposes.
In addition to medical expenses, death benefits, funeral costs and/or indemnity benefits for lost wages and loss of earning capacity resulting from a compensable injury, workers’ compensation insurance carriers also expend considerable dollars for case management costs, medical bill audit fees, rehabilitation benefits, nurse case worker fees, and other similar fees. They also incur other expenses in conjunction with the handling and adjusting of workers’ compensation claims. Workers’ compensation carriers typically assert, of course, that, they are entitled to reimbursement for such expenditures when it recovers its workers’ compensation lien. Injured workers and their attorneys disagree.