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You Heard It Here First
Chiropractor’s Challenge to Conviction and Sentence for Insurance Fraud Rejected
07/16/19
A California appellate court rejected a chiropractor’s challenge to his conviction and sentence for his role in a workers’ compensation fraud conspiracy.
Changes to WCAB Rules Could Delay Payment
07/16/19
The Workers’ Compensation Appeals Board (WCAB) has announced plans to reorganize its Rules of Practice and Procedure. WCAB is reworking the organizational structure of the Rules which were initially adopted in 1966, as they no longer accommodate the number and complexity of Rules adopted in the modern era.
Neurosurgeon Charged with Fraud and Theft in $500,000 Scheme
04/10/19
Sacramento, CA – Dr. Laura Anderson, a neurosurgeon, has been charged with multiple counts of medical insurance fraud, workers’ compensation fraud, and grand theft after allegedly submitting over $500,000 in fraudulent medical services reimbursement claims to the State Compensation Insurance Fund.
Fraud Case Put Over Until May 31st, 2019
March 28, 2019
Dr. Sim Hoffman, a Buena Park based radiologist, will have been charged with crimes relating to workers’ compensation fraud for eight years by May 31st, the time of the trial.
CDI Holding Informal Meeting to Discuss SIU Rules
March 18, 2019
The California Department of Insurance is holding an informal meeting Wednesday in Sacramento to discuss possible rules intended to improve fraud detection, investigation and referrals.
Appeals Board Rules 'de Facto' Control Sufficient to Stay Lien
March 11, 2019
California’s Workers’ Compensation Appeals Board on Friday issued a significant panel decision finding the automatic stay on liens can apply to a company that is effectively controlled by a provider even if that person is not designated as an officer and does not own at least 10% of the firm.
Class Action Filed Against DWC, Carriers for Sex Offender QME
February 25, 2019
Three women who say they were sexually assaulted by a qualified medical evaluator filed a class action lawsuit against the California Division of Workers’ Compensation, a carrier and two third-party administrators who the women say should have known about the doctor’s unsavory reputation.
OCDA Charges Four More in Referral Scheme
February 6, 2019
Orange County prosecutors charged four more people with participating in the widespread capping scheme involving Providence Scheduling, including two qualified medical evaluators accused of operating a sham multidisciplinary clinic that paid more than $1.8 million for patient referrals over a five-year period.
Cal/OSHA Reminder to Employers: Post Annual Work-Related Injury and Illness Summaries Starting February 1
February 6, 2019
Cal/OSHA is reminding employers in California of the requirement to post their 2018 annual summaries of work-related injuries and illnesses. The summaries must be posted each year from February 1 through April 30.
Janek Hunt, Brother-In-Law of Dr. Munir Uwaydah, Arrested In Chicago. Felony Complaint Filed Against Hunt By Riverside County District Attorney
February 4, 2019
Janek Hunt, the brother-in-law of Dr. Munir Uwaydah, was arrested for workers’ compensation fraud and booked into custody on November 25th 2018 in Chicago, Cook County, Illinois.
CostFirst Corp. In Partnership With Law Enforcement
By Michael Lents – September 18, 2017
“Education is the best way to fight against fraud” – read this important letter…
California Department Of Insurance Announce 26 Providers Charged In 40 Million Kickback Scheme
By Michael Lents – May 1, 2017
On April 20, 2017 Insurance commissioner Dave Jones and Orange County DA Tony Rackauckas announced a shut down on a $40 million workers’ compensation…
Fruits Of The Poisonous Trees
By Michael Lents – April 10, 2017
The recent enactment of AB 1244 and SB 1160 have identified individual(s) and providers that have been indicted or convicted. The problem many claim…
Will Workers’ Compensation Statutory Change Be A New Car Or Another Paint Job?
By Dan Henley – October 31, 2016
AB 1244 and SB 1160 support anti-fraud efforts of Prosecutors, the Department of Insurance and District Attorneys but the Governor did not abolish fraud with a pen.