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APPENDIX A

APPENDIX A - Casewatch

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Page 1: APPENDIX A - Casewatch

APPENDIX A

Page 2: APPENDIX A - Casewatch

APPENDIX A

Checks Issued Lincoln Management Group, LLC to Professional Services Management and

Professional Services Exchange

Page 3: APPENDIX A - Casewatch
Page 4: APPENDIX A - Casewatch

TOTAL $1,736,860.00

Page 5: APPENDIX A - Casewatch

APPENDIX B

Page 6: APPENDIX A - Casewatch

APPENDIX B

Checks Issued by Professional Services Exchange and Professional Services Management

to Certain Patient Recruiters (Wells # 1420736900,0219386547; Bank of Orange County

2277 04/05/02 $6,750.00 Beauty Enhancement Specialist Inc2278 2/02 $6.750.00 Enhancement Specialist Inc

2324 5/02 $7,500.00 Beauty Enhancement Specialist2325 $6,400.00 Beauty Enhancement Specialist Inc

2326 04/25/02 $12,400-00 Beauty Enhancement Specialist Inc

[Total for Beauty $39,800.00

5423 1 $2,600.00 Bina Park

5427 3/01 Bina Park

2270 1 $5,000.00 Kim Pham2128 1 $2,500.00 Kim Pham

2049 0 1 $3,750.00 Kim Pham

2407 5/02 $8,600-00 Maria Resales

Total for Maria $20,325.002515 06/04/02 Olga Toscano

2347 04/23/02 $2,50000 Olga Toscano

Total for Olaa Toscano

Page 7: APPENDIX A - Casewatch

2449 05/15/02 $3.000.00 Pancha

2321 Pancha

2028 01/25/02 $6.500.00 Pancha

2296 04/01 $3,000.00 Pancha Keophimphone

2230 Pancha

2275 03/29/02 $4,000.00 Pancha Keophimphone

2264 03/25/02 8 Pancha

2371 05/13/02 $6.750-00 Pancha

Total for Pancha Keophirnphone $165,500.00

2210 04/03/02 $6.000.00 Sue Nanda

2021 0 1 $7,500 00 Sue NandaTotal for Sue Nanda $28.500.00

Page 8: APPENDIX A - Casewatch

APPENDIX

Page 9: APPENDIX A - Casewatch

APPENDIX C

Checks Issued by Lincoln Management Groupto Huynh Recruiting Companies

(Bank of Orange County # 020217121,122237955;Premier Commercial Bank # 122243350)

2422 11/19/01 $3,500.00 Medical Solutions

2755 12/26/01 $16.500.00 T&TMedical Solutions

2510

2701

. .1582 03/27/02 $14,000.00 Medical Solutions

12/04/01

1 1

1968 05/01/02 Medical Solutions

1581

1888

$14,000.00 Medical Solutions T&TMedical Solutions

03/27/0204/23/02

$15,000.00

$20.000.00

T&TMedical Solutions T&TMedical Solutions

Page 10: APPENDIX A - Casewatch

APPENDIX D

Page 11: APPENDIX A - Casewatch

APPENDIX--

Checks Issued by Superior Management Group,and Superior Outpatient Medical Center

Check signed by defendant CatherineCheck signed by defendant Lars Hanson

Page 12: APPENDIX A - Casewatch

$6.200.00 T&T Medical Solutions

1471

1363

01/16/02

06/25/02 $7.600.00

Pleasant Services, Pleasant Services. Inc.

Page 13: APPENDIX A - Casewatch

APPENDIX E

Page 14: APPENDIX A - Casewatch

APPENDIX E

Checks Issued by Healthstar Surgical Groupto Pleasant Services,

Bank 001

Page 15: APPENDIX A - Casewatch

APPENDIX F

Page 16: APPENDIX A - Casewatch

APPENDIX

Checks Issued by North Orange County Imagingto Pleasant Services, Inc. and Thuy Huynh

(Bank West# Bank # 001 57)

1141 5/02 $13,250.00 Pleasant Services, Inc.

Page 17: APPENDIX A - Casewatch

APPENDIX G

Page 18: APPENDIX A - Casewatch

APPENDIX G

Checks Issued by Antioch Management Inc.to Thuy Huynh

Bank # 1;Citibank #

Page 19: APPENDIX A - Casewatch

APPENDIX H

Page 20: APPENDIX A - Casewatch

APPENDIX

Checks Issued by St. Paul Outpatient Surgical Center to Pleasant Services, Inc. and Thuy Huynh

(Center Bank #

1394 11/13/03 $3,500.00 Thuy Huynh

24191226

. .1279 02/19/04 $8,000.00 Huynh1707 02/24/04 Thuy Huynh

1 111/05/03

$3,500.00$2.800.00

Thuy HuynhPleasantServices Inc

Page 21: APPENDIX A - Casewatch

APPENDIX I

Page 22: APPENDIX A - Casewatch

APPENDIX I

Checks Issued by Millennium toPleasant Services, Inc.

West Bank # 81308975.322070381

1512 05/15/02 $4,500.00 Pleasant Services, Inc.

Check #

1509

1511

171 0 $4,500.00 Pleasant Services, Inc.

Date5/02

Amount$4,500.00

16261717

Paid to Order of ,Pleasant Services, Inc.Pleasant Services. Inc.

05/315/02

$4,500.00 Pleasant Services, Inc. Pleasant Services, Inc.

Page 23: APPENDIX A - Casewatch

APPENDIX J

Page 24: APPENDIX A - Casewatch

APPENDIX J

Checks Issued by POMMGI to T&J Medical Solutions (Bank of America # 0760805778)

. . ,

14203 11126101 $3,800.00 T&T Medical Solutions

1 1 130101 $23,700.00 T&TMedical Solutions

14281 11130101 $2,500.00 T&TMedical Solutions

Page 25: APPENDIX A - Casewatch

APPENDIX K

Page 26: APPENDIX A - Casewatch

APPENDIX K

---

HI-29HI-30HI-30

160

1/14/037/02

UnityNon-DefendantNon-De

RosenbergNon-DefendantC

endoscopysweaty palm surgery

Page 27: APPENDIX A - Casewatch

, Patient Date of Fraudulently BilledClinic Surgeon Code Procedure Procedure

Page 28: APPENDIX A - Casewatch

APPENDIX L

Page 29: APPENDIX A - Casewatch

APPENDIX L

TN-12 07/07/01 Anaheim West Colonoscopy

TN-11

TN-12

TN-13 1 Anaheim West Colonoscopy

09/21 107/04/01

12

TN-12

TN-13

3 1 Anaheim West sweaty Palm Surgery ---

Anaheim West Anaheim West

08/13/01

1 11

TN-14 07/14/01 Upper GI Endoscopy

TN-13

14

TN-14 07/21/01 Anaheim West Colonoscopy

Eugene

Anaheim West

Anaheim West

TN-14 1 1 Anaheim West Sweaty Palm Surgery

Sweaty Palm Surgery Upper GI Endoscopy

106/08/01

I

Eugene

,TN-15 1 Anaheim West Eugene Sweaty Palm Surgery

Colonoscopy--Sweaty Palm Surgery Upper GI Endoscopy

Anaheim West Outpatient Surgery

12/27/01 Anaheim West Eugene Sweaty Palm Surgery

Eugene Sweaty Palm Surgery Septoplasty

Page 30: APPENDIX A - Casewatch

APPENDIX M

Page 31: APPENDIX A - Casewatch

MI-15 (Husband) 121612001 Millennium Upper GI Endoscopy MI-15 (Husband) 112001 Millennium ColonoscopyMI-15 (Husband) 12/21/2002 Unity Rosenberg Upper GI Endoscopy MI-15 (Husband) 12/28/2002 Unity ColonoscopyMI-14 (Wife) 1 Millennium Upper GI MI-14 (Wife) 1 Millennium ColonoscopyMI-14 (Wife) 5/6/2002 MillenniumMI-14 (Wife) 511612002 St. Francis

, MI-14 (Wife 12/22/2002) . Rosenberg Upper GI EndoscopyMI-14 (Wife) 12/22/2002MI-16 (Husband) 12/14/2002 Rosenberg Upper GI Endoscopy MI-16 (Husband) Rosenberg Colonoscopy MI-16 (Husband) 1211 Non-Defendant Male Genital MI-17 (Wife) 1 612002 UnityMI-17 (Wife) Unity Rosenberg Colonoscopy

Wife)MI-18 (Wife) 8/4/2002 Millennium Rosenberg Upper GI Endoscopy --MI-1 8 (Wife) 811112002 , Millennium Rosenberg Colonoscopy

Page 32: APPENDIX A - Casewatch

MI-26 8/17/2002 Upper GI EndoscopyMI-26 (Husband) 8/24/2002MI-38 (Wife) 1 Millennium

--

MI-28 Millennium CircumcisionA

--

MI-29 1 Unity Rosenberg Upper GI EndoscopyMI-29 Unity Rosenberg Colonoscopy --

5/8/2007 St. Francis EndoscopyMI-30 5/14/2002 St. Francis Rosenberg.---

Page 33: APPENDIX A - Casewatch

Patient Code

MI-42 112002

3/9/2001 Upper GI Endoscopy1 Millennium

MI-44 3/26/2001 Millennium Colonoscopy

MI-44 1 1 Anaheim West Chun LaparoscopyMI-44 712002 Millennium Bunion

MI-44 9/14/2002 Unity Rosenberg I Jpper GI Endoscopy

Page 34: APPENDIX A - Casewatch

APPENDIX N

Page 35: APPENDIX A - Casewatch

APPENDIX N

EMPIRE BLUE CROSS- EMPLOYEE CLUSTER

Patient Date ofCode Procedure

ClinicFraudulently

Surgeon ProcedureI

7/12/03 Valley Multi-Specialty Sweaty Palms Surgery

Rosenberg Colonoscopy

M-2 A A

St. Paul Sweaty Palm Surgery

St. Paul --

M-6 11/26/03 Paul

M-7 8/23/03 Paul Palm Surgery

M-7 1 1/1/03 St. Paul Bladder Procedure

Page 36: APPENDIX A - Casewatch
Page 37: APPENDIX A - Casewatch
Page 38: APPENDIX A - Casewatch
Page 39: APPENDIX A - Casewatch

APPENDIX P

Page 40: APPENDIX A - Casewatch

APPENDIX Q

Page 41: APPENDIX A - Casewatch

15 APPENDIX 0 -- 1- EXCELLUS BLUE CROSS - - WELCH ALLYN EMPLOYEE CLUSTER 1

Page 42: APPENDIX A - Casewatch

APPENDIX R ...--

Page 43: APPENDIX A - Casewatch

APPENDIX R ÑÑÃ

0 5/24/00 1 ~ e w ~ o r t Superior 1 ~abaknia upper GI Endoscopy 1

MA-03 1 3120102 1 Anaheim West I ~ i m 1 upper GI Endoscopy 1

MA-04

, MA-04

1211 510 1

1211 710 1

Anaheim West

Pacific Outpatient

Alamy

Non-Defendant

Colonoscopy

Removal of Hemorrhoids

Page 44: APPENDIX A - Casewatch

APPENDIX S

Page 45: APPENDIX A - Casewatch

APPENDIX S

- MASSACHUSETTS BLUE CROSS - WASHINGTON EMPLOYEE CLUSTER

- 0 9 1 1/26/02 1 ~illennium 1 on-~efendant sweaty Palm Surgery --. --

Page 46: APPENDIX A - Casewatch

APPENDIX T

Page 47: APPENDIX A - Casewatch

APPENDIX T

PREMERA - HUSBAND AND WIFE PAIRS I

- 0 1 12/17/03 1 St. Paul 1 Rosenberg [upper GI Endoscopy 1

PR-04 1211 7/03 St. Paul Non-Defendant Upper GI Endoscopy 1 I

- 0 1 1211 8/03 I St. Paul 1 ~ o s e n b e r ~ 1 Colonoscopy 1

PR-01 13/22/03 Unity N/A Upper GI Endoscopy

PR-01 3/23/03 Unity Non-Defendant Colonoscopy

Upper GI Endoscopy

-----

Sweaty Palm Surgery

PR-06 19/12/03 A st Paul Non-Defendant 1 Upper GI Endoscopy -- -I -" I - 0 6 911 7/03 1 st Paul Patel 1 Bladder Procedure

I

Page 48: APPENDIX A - Casewatch

APPENDIX U

Page 49: APPENDIX A - Casewatch

APPENDIX U

PREMERA ALASKA - ASSOCIATION OF GENERAL CONTRACTORS

--

Sweaty Palm Surgery

Page 50: APPENDIX A - Casewatch

APPENDIX V

Page 51: APPENDIX A - Casewatch

APPENDIX V - ---

REGENCE PATIENTS

OREGON HUSBAND AND WIFE

&-1 1 10/06/02 1 unity I Rosenberg 1 Upper GI Endoscopy

LEATHERMAN TOOLS EMPLOYEES

Upper GI Endoscopy

I OREGON HEALTH SCIENCES UNIVERSITY EMPLOYEES

I RE-7 12/22/02 Unity Rosenberg Upper GI Endoscopy

RE-7 12/23/02 Unity Rosenberg --- Colonoscopy ---

RE-7 01/18/03 Unity N/ A Removal of Hemorrhoids

RE-8 01/18/03 Unity N/ A Upper GI Endoscopy --- --

RE-8 01/19/03 Unity N/ A Colonoscopy 01/18/03 Unity Upper GI Endoscopy -- -- -- -- - - - -

RE-9 0 111 9/03 Unity Colonoscopy

Page 52: APPENDIX A - Casewatch

APPENDIX W

Page 53: APPENDIX A - Casewatch

APPENDIX W

CAREFIRST BLUE CROSS PATIENTS I

Out Of State Patients I

0 11/25/03 1St.Paul Rosenberg l------- Upper GI Endoscopy

F-0 1 11/26/03 St. Paul N/ A L,aparotomy -- I

F-02 11/23/03 St. Paul Rosenberg Upper GI Endoscopy - -

F-02 1 1 1/24/03 1 St. Paul Excision Large Intestine -- I ROsenberg F-02 1 1/25/03 1 st. ~ a u l I N/A 1 GI procedure

I

F-02 11/26/03 St. Paul N/ A Urogenital procedure I I

F-03 4/23/01 Newport Superior 1 Rayyes -! Colonoscopy

- 0 1 8/7/03 1 St. Paul Rosenberg

F-04 1811 1/03 I st. ~ a u l 1 McKenna 1 Sweaty Palm Surgery I I I I

F-05 1 10/18/03 1 st. Paul Rosenberg 1 ^_ t ~ ~ ~ e r GI Endoscopy

F-05 10/19/03 St. Paul Rosenberg

F-05 1 10/23/03 1 st. ~ a u l 1 on-~efendant I AP Repair; D&C I I ,

F-06 15/28/02 Anaheim West K i i -- ----- Upper GI Endoscopy -- 1

:F-07 St. Francis Non-Defendant Upper GI Endoscopy - - - - -- - - --- - - - - -- - - - - - - -

F-07 41 1 2,102 St. Francis Rosenberg Colonosco py I

187

Page 54: APPENDIX A - Casewatch

Anaheim West Upper GI Endoscopy

Page 55: APPENDIX A - Casewatch

APPENDIX X

Page 56: APPENDIX A - Casewatch

APPENDIX X -

NEBRASKA BLUE CROSS EMPLOYEE CLUSTERS

1 SWIFT EMPLOYEES 8 , I

NE- 1 1 1/9/01 {~ewport Superior ~abaknia Upper GI Endoscopy

1 511 9/00 Newport Superior N/A 1 upper GI Endoscopy

NE- 1

NE- 1

MILLARD EMPLOYEES

1 1 1 ~ e w p o r t Superior on-Defendant Septoplasty

1/12/01

1/13/01

5 411 510 1 1 ~ e w p o r t Superior 1 A l m y Upper GI Endoscopy I 8 I

Newport Superior

Newport Superior

- -

NE-4

~NE-5 15/8/01 1 ~ e w p o r t Superior 1 Alamy I Colonoscopy

Babaknia

Nan-Defendant

1

4/15/01

Colonoscopy -

Circumcision

Newport Superior A lmy 1 Colonoscopy

Page 57: APPENDIX A - Casewatch

APPENDIX Y

Page 58: APPENDIX A - Casewatch

APPENDIX Y

NORTH CAROLINA BLUE CROSS PATIENTS I

NC-2 08/29/03 1st. Paul ~ o s e n b e r ~ 1LJpper GI Endoscopy 1 NC-2 09/02/03 St. Paul Rosenberg Colonoscopy

- ---

NC-2 09/05/03 St. Paul Non-Defendant Sweaty Palm Surgery

NC-3 1 1/08/03 St. Paul Rosenberg Upper GI Endoscopy - -- --

NC-3 1 1/09/03 St. Paul Non-Defendant Colonoscopy

NC-3 11/23/03 St. Paul N/A D&C

~NC-4 1 1/22/03 St. Paul Rosenberg Upper GI Endoscopy

08/09/03 St. Paul Non-Defendant Upper GI Endoscopy - .. - -- -- - --

NC-5 08/17/03 St. Paul Non-Defendant Colonoscopy - --- -- -- -- -

NC-5 08/23/03 St. Paul Non-Defendant Sweaty Palm Surgery

NC-6 108/09/03 p1 Non-Defendant Upper GI Endoscopy --- - -- -- - --- -- - - - -- -- i ---- --- -- - - -

Nc-6 io8111103 st. Paul Rosenberg colonoscopy

NC-4 1 1/26/03 St. Paul Hampton Sweaty Palm Surgery