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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
- - 1317 views
- - Average time spent on item: 29 minutes
- - Popular with: Legal
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The federal government says its prosecution of a fraud ring based in San Diego that cheated the…
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Today’s News
- N.Y. - Applied Underwriters Fined $3 Million Over EquityComp Program Top 07/19/19
- Calif. - Report: Lara Campaign Accepts More Than $45,000 From People Linked to Applied Underwriters Top 07/19/19
- Mont. - Supreme Court Denies Benefits for Security Guard WEST 07/19/19
- Texas - Court Upholds Jury's $12.343 Million Award SOUTH 07/19/19
- Texas - Court Tosses Gross Negligence Claim for Workers' Deaths SOUTH 07/19/19
- Calif. - Union Organizers Request Presence of Uber, Lyft Drivers in Bill Negotiations WEST 07/19/19
- Calif. - Doctor Accused of Self-Referral Ordered to Stand Trial WEST 07/19/19
- Natl. - WaPo: 76 Billion Pain Pills Distributed Over 7-Year Period NATIONAL 07/19/19
- N.Y. - Gov. Signs Bill Eliminating Payroll Threshold for Farmworker Coverage NORTH 07/19/19
- Calif. - Emergency Regs Intended to Protect Workers From Wildfire Smoke WEST 07/19/19
- Natl. - 9/11 Victim Compensation Bill Stumbles in Senate NATIONAL 07/19/19
- Fla. - Largest Drop in Opioid Spend Notched in 2017 SOUTH 07/19/19
- Va. - Injuries, Claim Counts Fall in 2018 SOUTH 07/19/19
- Natl. - Pie Insurance Expands to Four More States NATIONAL 07/19/19
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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.