This blog presents Metropolitan Engineering Consulting & Forensics (MEC&F) claim management and claim investigation analyses of some of the typical claims we handle
A woman from New York was airlifted from the scene of a serious all-terrain vehicle crash Wednesday afternoon.
At 1:04 p.m., emergency crews responded to the report of an ATV crash on the Flume Brook Trail in Dixville Notch. New Hampshire Fish and Game conservation officers determined that Ashalee James, 29, of Central Islip, New York, suffered what appeared to be serious, but not life-threatening injuries, after crashing a rented ATV approximately 60 feet down a steep embankment off the trail.
James had been operating behind other members of her riding party, who reversed direction on the trail and attempted to locate James for approximately 30 minutes upon discovering her missing from the rear of the group.
Other trail riders had come across the scene of the crash, called 911, and rendered assistance to James, transporting her out to Route 26 to an awaiting ambulance.
James was transported to a helicopter landing zone at Upper Connecticut Valley Hospital in Colebrook, where she was immediately transferred into a helicopter and airlifted to Dartmouth-Hitchcock Medical Center in Lebanon for further treatment.
Patient required helicopter transport to Dartmouth-Hitchcock
James was wearing a full-faced helmet and eye protection at the time of the crash, and alcohol impairment was not a factor.
Due to sustaining a loss of consciousness, James could not remember any details about the crash, and the incident was not directly witnessed by any other riders. It appears operator inexperience was a likely contributor to the incident.
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The rented ATV being driven by Ashalee James, 29, of Central Islip, seen after a crash on Wednesday, July 26, 2017. (Credit: N.H. Fish and Game Department)
A Central Islip woman riding an all-terrain vehicle in New Hampshire was seriously injured when her rented ATV plunged 60 feet down an embankment, officials said.
Ashalee James, 29, was airlifted to Dartmouth-Hitchcock Medical Center in Lebanon and was expected to survive, the state Fish and Game Department said.
A Wilmington psychiatrist, Dr. Karl McIntosh, has been indicted on charges he submitted more than $100,000 in insurance claims over a two-year period for visits that did not occur.
To facilitate this fraud, Dr. Karl McIntosh used his patients' personal identifying information without their consent, according to the state Department of Insurance's fraud unit. At least four of the 11 people whose identities were stolen by 53-year-old McIntosh were minors, court documents show.
McIntosh was indicted on Monday by a New Castle County grand jury on charges of health care fraud, insurance fraud, theft and 11 counts of identity theft. He was arrested on Tuesday but released after posting $50,000 bail.
McIntosh, who could not be reached for comment on Thursday, was ordered to surrender his passport and not leave the state as a condition of bail, according to the Insurance Department.
His medical license remained active, and a petition to suspend it had not been made as of Thursday, according to the Department of State's Division of Professional Regulation.
McIntosh's 14-count indictment culminates a yearlong investigation by the Insurance Department's fraud prevention unit and state prosecutors. The indictment comes a month after the Insurance Department ran ads to let people know more about its fraud unit.
"The fraud unit of the Department of Insurance takes these cases seriously and actively investigates all reported cases of fraud," Insurance Commissioner Trinidad Navarro said in a statement. "We work closely with our partners at the Department of Justice to see these cases through, protecting consumers.
"A case such as this brings to light that insurance fraud costs everyone."
McIntosh served as president of the Delaware Board of Medicine from 2006 to 2008. He also was the board's vice president in 2005 and its secretary treasurer in 2004.
When a consumer advocacy organization rated Delaware's board of medical practice among the worst in the nation at disciplining doctors, McIntosh defended the board's practices."The Delaware Board of Medical Practice really takes a very serious stance on public protection as our primary role," McIntosh told The News Journal in 2004. "It's not to protect doctors or anyone else but citizens.
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Wilmington Doctor Indicted For Insurance Fraud, Health Care Fraud
Date Posted: Wednesday, July 26th, 2017 Categories:
JULY 26, 2017
Dover, DE—Joint work by the Delaware Department of Insurance and Delaware Department of Justice led to the indictment this week of Dr. Karl McIntosh on 14 felony counts including theft, health care fraud, insurance fraud, and identity theft.
McIntosh, 53, of Wilmington, was indicted on Monday, July 24 by a New Castle County grand jury following a year-long joint investigation by the DOI Fraud Prevention Unit and the DOJ Investor Protection Unit. McIntosh was arrested on Tuesday, July 25. Bail was set at $50,000 secured, which was posted by McIntosh Tuesday. Dr. McIntosh was ordered to surrender his passport and not to leave the state as a condition of bail.
The indictment alleges that over a period spanning more than two years, McIntosh submitted insurance claims for office visits that did not take place, resulting in McIntosh improperly receiving over $100,000 of insurance reimbursements. To facilitate this fraud, the indictment further alleges that McIntosh used his patients’ personal identifying information without their consent.
This case was investigated by DOI Fraud Investigator Steve Kutch and DOJ Special Investigator Mark Hawk, and is being prosecuted by DOJ Deputy Attorney General William Green.
Commissioner Trinidad Navarro stated, “The fraud unit of the Department of Insurance takes these cases seriously and actively investigates all reported cases of fraud. We work closely with our partners at the Department of Justice to see these cases through, protecting consumers. A case such as this brings to light that insurance fraud costs everyone.”
The Delaware Department of Insurance protects Delawareans through regulation and education while providing oversight of the insurance industry to best serve the public. Delawareans are encouraged to report suspected incidents of insurance fraud by calling the DOI Fraud Prevention Unit at 1-800-632-5154.
The Delaware Department of Justice reminds the public that an indictment is merely an allegation and is not evidence of guilt. In all cases, defendants are presumed innocent until and unless proven guilty.
Dr. Karl Mcintosh MD
Psychiatry
|Wilmington, DE
Overview
Dr. Karl Mcintosh is a psychiatrist in Wilmington, Delaware.
He received his medical degree from Meharry Medical College and has
been in practice for more than 20 years.
Quick Stats
(302) 594-9000
Phone Number
21+
Years in Practice
M
Gender
Board CertificationsPsychiatry
Office Location & Contact
1300 Pennsylvania Ave
Wilmington, DE 19806
(302) 594-9000
Phone Number
(302) 594-9004
Fax Number
Insurance Accepted
Dr. Mcintosh does not have any insurances listed.
Hospital Affiliation
Dr. Mcintosh does not have any hospital affiliations listed.
Specialties & Qualifications
Specialty:
Psychiatry
Psychiatrists diagnose and treat mental
illness, such as depression, anxiety disorders, substance abuse, and
schizophrenia. Most psychiatrists rely on a mix of medications and
psychotherapy.
Subspecialties: General Psychiatry, Child & Adolescent Psychiatry
Education & Medical Training
Georgetown University Hospital
Residency , Psychiatry
Johns Hopkins University
Fellowship , Child and Adolescent Psychiatry
Meharry Medical College
Medical School
Certifications & Licensure
American Board of Psychiatry and NeurologyCertified in Psychiatry
DE State Medical LicenseActive through 2013
MD State Medical LicenseActive through 2013
VA State Medical LicenseActive through 2014
Awards, Honors & Recognitions
Hugh Hussey Award For Excellence In Medical Student Teaching1993
Perry and Sarah Huffaker killed after a Beech A36 Bonanza nose-dived, crashed and burned on Utah I-15 highway
Small plane misses cars but kills 4 on board in highway crash
By lindsay whitehurst, associated press
SALT LAKE CITY — Jul 26, 2017, 8:10 PM ET
A small plane crashed on a Utah highway Wednesday, killing two couples heading for a vacation but narrowly missing cars when it barreled across the lanes through a gap in traffic.
The plane went down shortly after takeoff from a municipal airport popular with private pilots north of Salt Lake City, Federal Aviation Administration spokesman Allen Kenitzer said. No injuries were reported on the ground after it snarled traffic and left behind blackened wreckage.
Layne Clarke, 48, was flying his wife and two friends as they departed for a vacation, said family friend and colleague Jeff Henderson. Clarke owned an automotive paint business and had gotten his pilot's license about five years ago after a friend got him interested in aviation, he said.
Clarke was a "very energetic, wonderful man," Henderson said.
Also killed in the crash was his wife, Diana Clarke, 46, of Taylor, Utah, and their friends Perry, 45, and Sarah Huffaker, 42, of West Haven, Utah, according to the Utah Department of Public Safety.
The FAA and the National Transportation Safety Administration are investigating the cause of the crash. It closed most lanes of Interstate 15 in Riverdale, about 35 miles north of Salt Lake City.
The Beech A36 Bonanza crashed about a half-mile from a nearby municipal airport. It hit on the edge of the interstate, went across the northbound lanes during an opening in traffic and landed in the median, Utah Highway Patrol Sgt. Todd Royce told the Standard-Examiner newspaper in Ogden.
It appeared the plane was out of control and the pilot was trying to land it on the interstate just before the crash, semitrailer driver Obdulio Ruiz told the newspaper.
Driver April Demetropolis was on her way to work when the plane crashed so close to her car that she felt the reverberation and heat from the explosion, the Deseret News reported.
"Out of nowhere from the east side, a plane came swooping in and just nose-dived into the middle of the freeway," Demetropolis told the newspaper. "It exploded. The flames engulfed the entire street."
Narrative: A Beech
A36 Bonanza crashed and burned in the north bound lanes of Interstate 15
at Mile Post 339 / Riverdale Road, shortly after takeoff from the
Ogden-Hinckley Airport (OGD/KOGD). The aircraft was cleared for takeoff from runway 16 followed by a left hand downwind departure. According witness, the plane encountered engine problem.
DUNCOTT — A Pitman man died Tuesday morning in an accident on Reading Anthracite property in Cass Township involving the large D9 bulldozer he was operating.
Andrew John Oxenrider, 28, of 22 Snyder Road, was pronounced dead at the scene at 11:05 a.m. by Schuylkill County Deputy Coroner Andrew Sczczyglak, Shenandoah.
Cass Township police Patrolman William Kattner said the incident occurred at a mining site near the New St. Nicholas Breaker off Valley Road sometime between 7 and 9:40 a.m.
Kattner said that Oxenrider was operating the dozer when he apparently got pulled out of or exited the cab and was struck by the tracks of the vehicle.
After hitting Oxenrider, the machine went down an embankment and came to a stop upright with the engine still running.
Rescuers from Pottsville and Minersville responded to the scene to assist in getting Oxenrider down the embankment.
Kattner said he is being assisted with the investigation by Reading Anthracite officials as well as representatives of the Miner Safety and Health Administration.
After being removed from the embankment, Oxenrider was transported from the scene by Schuylkill County Deputy Coroner Edward Smith to the Simon Kramer Institute, New Philadelphia, where a virtual autopsy will be conducted today to determine the extent of injuries the man suffered.
Minersville EMS and Schuylkill EMS units assisted at the scene.
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POTTSVILLE, Pa. (AP) — A Pennsylvania mine worker has been killed after he was run over by his own bulldozer.
The Schuylkill (SKOOL'-kil) County coroner says 28-year-old Andrew Oxenrider died Tuesday morning at the Reading Anthracite property in Cass township.
Township police say Oxenrider either fell or got pulled out of the cab of his bulldozer or otherwise exited it and fell under its tracks about 9:40 a.m. The machine then ran down an embankment on its own before an obstruction stopped it.
Reading Anthracite officials were cooperating in the Mine Safety and Health Administration investigation into the death.
An autopsy was expected Wednesday.
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DUNCOTT - A Pitman man was killed in an accident on Reading Anthracite property in Cass Township Tuesday morning.
Andrew John Oxenrider, 28, of 22 Snyder Ave. was pronounced dead at the scene by Schuylkill County Deputy Coroner Andrew Szczyglak, Shenandoah, at 11:05 a.m.
Cass Township Police said that Oxenrider was operating a bulldozer on property near the New St. Nicholas Breaker around 9:30 a.m. when the large machine went over an embankment. During the process, police said the machine rolled over Oxenrider.
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CASS TOWNSHIP — A man is dead after an accident at a mining property in Schuylkill County.
The coroner says the man was killed in an accident Tuesday morning on the Reading Anthracite property in Cass Township, near Minersville.
According to the Republican Herald, Andrew John Oxenrider, 28, of Pitman was operating a bulldozer near a breaker when the machine went over an embankment and rolled over him.
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CASS TOWNSHIP — A 28-year-old Pitman man was killed Tuesday morning when crushed by a track D9 bulldozer he was operating on Reading Anthracite property off Valley Road near Minersville in this Schuylkill County township.
Cass Township Patrolman William Kattner reported Andrew J. Oxenrider was pronounced dead at the scene of the accident at 11:05 a.m. by Schuylkill County Deputy Coroner Andrew Sczczglak, of Shenandoah.
Kattner said the incident occurred between 7 and 9:40 a.m. at a mining site near the New St. Nicholas Breaker.
The officer said Oxenrider was pushing dirt down an embankment with the bulldozer when he apparently got pulled out of the machine or exited the cab and was run over by the tracks of the vehicle.
After hitting Oxenrider, the bulldozer descended an embankment and came to a stop upright with the engine still running.
Rescue personnel from Pottsville and Minersville responded to assist in transporting Oxenrider down the embankment.
Kattner, who is being investigated by Reading Anthracite officials and personnel from the Miner Safety and Health Administration, said an autopsy will be conducted to determine an official cause of death.
An officer with the Houston Police Department fell 16 feet off of Interstate 69 early Friday after it appears he was hit by a drunk driver.
The collision happened about 2:05 a.m. while the officer stood on the outbound Newcastle exit ramp of I-69, said HPD Sgt. Thomas Fendia. The officer was responding to an earlier, single-car crash that had left one car on the ramp, blocking traffic.
A driver on the freeway - described only as a woman - veered onto the exit ramp, around the car that was blocking traffic and toward the officer.
Witnesses said the driver slammed into the officer, sending him over the ledge of the freeway. The officer may have also seen the driver coming and jumped to prevent being hit.
The officer fell 16 feet off the highway.
As he fell, a second officer appears to have been caught up in the scuffle. It is unclear if that officer was also hit, but he did sustain bumps and bruises.
"You've got essentially a 3,000, 4,000, 10,000-pound weapon coming straight at these officers," Fendia said. "There's absolutely nothing they can do ... it's a scary situation. It really is."
Both officers - who were not immediately identified - were taken to an area hospital with non-life-threatening injuries.
The driver is being investigated for intoxication. She reeked of alcohol in the aftermath of the crash.
The officer who fell off the highway had been with HPD for 9 years. The other injured officer had been on the force for 3 years. Most of the drunk-related incidents occur in the early a.m. hours, like this case.
In June, Houston police arrested 55 drivers on felony alcohol charges.
Specific charges ranged from driving while intoxicated with a child in the vehicle to intoxicated assault with a vehicle.
Some of the suspects had two or more prior arrests on similar charges. Driving while intoxicated is typically a misdemeanor on the first two offenses.
While most of the felony cases in June were the result of a third DWI
charge, 13 people were arrested on a charge of DWI with a child present,
while one person was arrested a on charge of intoxicated assault with a
vehicle.
