Monday, October 16, 2017
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Workers Comp and Disabilities Fraud

Self-directed Fraud

When an on-the-job injury occurs that warrants workers’ compensation benefits, the injured worker is required to visit a licensed physical therapist or chiropractor, who is under the direction of a medical doctor, to participate in a rehabilitation plan that will get them back to...

Fraud Pyramid

Just as pyramids are wide at the bottom leading to a point at the top, many fraudulent schemes start with a broad base of criminal supporters and lead up to a mastermind. Such is the case for today’s “Fraud of the Day,” where 30...

Mistaken Identity

Today’s “Fraud of the Day” is based on an article entitled, “Man’s claim of mistaken identity fools no one; ordered to pay $22K to BWC” published by the Ohio Bureau of Workers’ Compensation. A Knox County man caught scamming the Ohio Bureau of Workers’ Compensation (BWC) and trying to lie his way out of it was ordered to reimburse the agency $22,578 Tuesday and to pay $1,000 of it within six months or spend six months in jail. “If we’re knocking on your door with a fraud allegation, lying won’t help your case,” said BWC Administrator/CEO Sarah Morrison. “We are determined to stop fraud when we find it and to return any ill-gotten resources to their rightful purpose — taking care of injured workers and increasing workplace safety in this state.”

Fraud Bites

One of the first rules that any kid learns in school is “don’t bite.” Maybe another important directive would be “don’t bite the teacher.” A full-time special education aide assistant in Los Angeles alleged that one of her students bit her finger, leaving her...

Fraud in Absentia

The justice system does not look fondly upon individuals who skip their court date. But in the case of today’s fraudster, he had a reasonable excuse as to why he was in Absentia. (He was already serving time in prison for an unrelated crime...

Working the System

Because chiropractors typically emphasize ongoing treatment for neuromusculoskeletal disorders, there are concerns in the workers’ compensation field that patients may not be discharged if long-term relief is not achieved. In some state workers’ compensation systems, chiropractic treatment parameters are often limited because of this....

A Bad Seed

There are multiple reasons for pruning. In general, it helps the plant, and its foliage to become stronger and healthier. Today 's fraudster, who worked for a tree and landscape company, had already been "pruned" once for a prior workers' compensation conviction. (Unfortunately, the...

Turning Up the Heat

As the summer heats up, let 's take a step back to 2014 when Winter Storm Pax made its way across the south and east coast of the U.S., leaving hundreds of thousands of South Carolinians in the dark as snow, sleet and freezing...

Gutter Ball

Bowling requires finesse. If a ball is not released at the appropriate angle and speed, it could spiral off to the side and into the gutter, leaving the bowler embarrassed and without any points. You could say that a man who tried to scam...

Better to Be Safe than Sorry

A workers' compensation policy is one of the most important policies a business must maintain. Because accidents are inevitable despite the enforcement of safety procedures, it is important for employers to maintain a workers' compensation policy so employees are protected if injured while on-the-job....
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