Will Workers’ Compensation Statutory Change be a New Car or Another Paint Job?
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.
Under AB 1244, the Administrative Director may suspend any provider if: proper licensure has been surrendered or revoked, the provider has been susp...
Fruits of the Poisonous Trees
The recent enactment of AB 1244 and SB 1160 have identified individual(s) and providers that have been indicted or convicted. The problem many claims personnel face is identifying how many of these convicted and indicted individuals have affected their claims. Most are lacking in information to further identify the poisonous frui...
California Department of Insurance Announce 26 Providers Charged in 40 Million Kickback Scheme
On April 20, 2017 Insurance commissioner Dave Jones and Orange County DA Tony Rackauckas announced a shut down on a $40 million workers’ compensation fraudulent medical billing and kickback operation. The charges are against 26 providers that involve around three key scams: a “snake oil” scam, a medication kickback scam and uri...