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Thursday, July 11, 2019
Feds: $1.2 Billion in Bills Frozen as a Result of Operation Backlash
- State: California
- Topic: WEST
- - 1554 views
- - Average time spent on item: 28 minutes
- - Popular with: Legal
- - 3 shares
The federal government says its prosecution of a fraud ring based in San Diego that cheated the…
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Today’s News
- Natl. - Lawsuit Faults Liberty Mutual, NCCI for Failing to Report Third-Party Recoveries Top 10/18/19
- Calif. - WCRI: Moderate Growth in Medical Payments Reverses Trend of Decreases Following Reforms Top 10/18/19
- Calif. - School District Gets Interest on Funds Wrongfully Withheld by JPA WEST 10/18/19
- Fla. - Comp Law Doesn't Bar Worker's Claim Against Care Providers SOUTH 10/18/19
- N.Y. - Worker Loses Appeal Due to Failure to Complete Application NORTH 10/18/19
- N.Y. - Red Cross Volunteer Can't Get Benefits for Face Injury NORTH 10/18/19
- Fla. - Roofing Companies Cited for Alleged Lack of Fall Protection SOUTH 10/18/19
- Calif. - Employer Found Guilty of Lacking Comp Coverage in Wildfire Death Case WEST 10/18/19
- Natl. - Applied Underwriters Sold for $920M NATIONAL 10/18/19
- Nev. - High Court Hears Former Inmate's Case on Indemnity Benefits WEST 10/18/19
- Wash. - L&I Cites Three Firms Connected to Fatal Crane Collapse WEST 10/18/19
- N.Y. - Gig Economy Advocates Call for Compromise on Classification, Benefits NORTH 10/18/19
- Calif. - CCWC Seeks Session Proposals for Annual Conference WEST 10/18/19
- N.J. - State Labor Department Investigating Uber, Lyft for Possible Misclassification NORTH 10/18/19
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2 Comments
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Diane Sagerian Jul 11, 2019 a 7:07 am PDT
Some AAs and WC treating doctors are complicit and colluding in this WC fraud. But when it gets to the WC settlement phase, and if a QME is ordered, the QME Dr. selected from the panel, that randomly presents 3 QME Drs. to choose from, and is not in collusion and in fact, getting swept up into this fraudulent scheme, in an effort by the criminal AA to win a big settlement. Though AA’s in this scheme get “kickbacks” from treating Drs. they refer to, they make their big money when the WC case settles and they get their cut. The selected QME panel Drs. are unwittingly caught up in this fraud, and in fact, are most likely to detect fraud in their evaluation findings, when they report there is no impairment. I hear it regularly from QME Drs., who often are ordered into depositions by AAs who apply pressure on QME Drs. to change their QME reports. CA is on the wrong side of Federal law regarding it’s “sanctuary” of ILLEGALS, and the presence of ILLEGALS is costing US CITIZENS BILLIONS in increased taxes and insurance premiums (including WC premiums), EVERY year.
Steven Chandler Jul 15, 2019 a 8:07 am PDT
So, not one comment on the fraud these 'patients' posed? They're just 'victims' too? Come on! Anyone who complacently submits to things such as this is just as guilty! Seriously, if I were the employee who may or may not have suffered from an injury and suddenly there is this promise of money and more - who wouldn't go along? Drug mules are bountiful in this region - why not do it this other way where it's much, much harder to get caught? Not buying it. They're just as complicit.