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Case Against Alleged Mastermind in Kickback Scheme Winding Down, Court Records Indicate
11/23/2020
that first spelled out the allegations against the three defendants.
The alleged kickback scheme created 228 million in prescription bills and more than 211 million of that was paid according to the superseding indictment.
More than 200 million was paid to three pharmacies Malamed either
Category: News
DWC Asked to Remove Perjury Threat From Copy Service Fee Proposal
10/15/2020
would increase to 210 from 180 the flat rate fee intended to cover all expenses related to retrieving and copying documents.
The proposed rules would revise language that requires bills for copy services to include a statement made under penalty of perjury that the invoiced services were not
Category: News
Commenters Want DWC to Act Fast to Raise Copy Service Fees
10/12/2020
Mora wrote.
The California Applicants Attorneys Association supports the proposed fee increase but Executive Director Diane Worley said it still might not be enough.
Worley cited a 2013 study that found the typical cost per copy event was more than 251 which was an average of bills reviewed
Category: News
Judge Dismisses Millions in Liens Filed by Provider Convicted of Fraud
10/05/2020
injured workers for spinal surgeries and other procedures to Pacific Hospital of Long Beach.
In 2018 an appeals court denied Barris challenge to his suspension and upheld the anti-fraud reforms that led to his being barred.
Pacific Hospital submitted more than 580 million in fraudulent bills
Category: News
Carrier Cites Wrong Statute to Deny Hundreds of Medical Invoices, Billing Firm Says
10/02/2020
A workers compensation insurance provider has denied hundreds of bills from medical providers by citing incorrect sections of California's Labor Code to claim any request for payment made more than 30 days after the date of service is invalid a national billing firm says.
In blogs posted to
Category: News
DWC Proposes 16.7% Increase in Copy Service Flat Fee
09/30/2020
contracted fees.
Finally the rules would require that bills for copy services include a statement signed under penalty of perjury indicating that the request for records was issued in good faith was not duplicative and that the records are necessary to the litigation of the claim. The division said
Category: News
Governor Signs Presumption, COVID Notification Bills
09/18/2020
California Gov. Gavin Newsom on Thursday signed a bill creating several presumptions that COVID-19 is a compensable condition and he signed a measur
Category: News
CWCI: Evaluation and Physical Medical Visits Down, but Payments Up 14%
09/16/2020
treatment dates beginning between 2000 and 2017. Research focuses on three periods pre-2004 reforms after Senate Bills 228 and 899 and after SB 863 and Assembly Bills 1244 and 1124.
The full study is titled Changes in Medical Treatment Trends After 20 Years of Incremental Workers Compensation
Category: News
CWCI Webinar to Cover COVID Presumption, Reporting Requirement
09/15/2020
any business if it determines the risk of exposure to COVID-19 constitutes an imminent hazard to employees.
The bill would not apply to health facilities.
CWCI General Counsel Ellen Sims Langille and Claims and Medical Director Jackie Secia will review the bills during the webinar that starts
Category: News
Legislature Passes One COVID Presumption Bill Before Ending Session
09/02/2020
-sector workers.
Newsom thanked legislators for their efforts in a news release Tuesday although he did not mention SB 1159 specifically.
The Legislature also passed several bills protecting those who work on the front lines of the pandemic from expanding paid leave and employer notifications
Category: News
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