Monday, June 17, 2019

Save Now, Pay Later

California requires all employers to provide workers’ compensation benefits for their employees. The average medical benefit per claim in the state is among the highest in the country with costs more than 90% above the countrywide median, which means employers also pay some of the highest...

Jerked Around

According to the U.S. Bureau of Labor Statistics, nursing has the highest rate of nonfatal occupational injuries. Some of those injuries occur from manually lifting and moving patients or physical assault by patients. (The American Nurses Association reports that 1 in 4 nurses have...

Backlash

Fraud sometimes causes adverse reactions from those it victimizes. The State of California’s Workers’ Compensation program couldn’t take the numerous instances of fraud against the program anymore and retaliated with “Operation Backlash.”  Today’s fraudster, a Beverly Hills radiologist, was one of the many perpetrators...

Lots of Red Flags

Red flags are anything that stands out from the ordinary. (They usually signify that something is amiss.) Today’s fraud spotlight shines on a man, who worked for a Perris, California based company. After experiencing a work-related injury, he was declared permanently disabled. But a...

Read the Fine Print

 The State of California’s Department of Industrial Relations has a comprehensive Guidebook for Injured Workers posted on its website. (Just about every question an injured worker may have about workers’ compensation is addressed here. And, there’s even a Spanish version too.) A man from...

Pulling the Wool Over Your Eyes

Judges during the early history of the United States used to wear powdered wigs made of wool, mirroring their counterparts in British courts. When an unscrupulous individual was said to be “pulling the wool over someone’s eyes” in court, it meant that they were...

Incentivized

Incentivizing is all about getting as much out of a mutually beneficial relationship as possible. Parents can incentivize children to make good grades by dangling the proverbial carrot of $20 for every “A” they make. Employers can promise an extra day off or provide...

What a Dumbbell

 One would think that someone with a back injury receiving workers’ compensation benefits would be smart enough not to go to the gym and lift heavy weights. A former Sheriff’s deputy from San Diego, California, who claimed he was unable to work due to...

Milking the System

Dairy farming was previously done on a small scale by farmers who rose before the sun to trudge to the barn where they milked their cows by hand. The milking process, which happens several times a day, became much easier once the milking machine...

Spineless

“Spineless” is a term that could be used to describe today’s fraudster, who was the owner of a Long Beach, California hospital. He used seven accomplices to do his dirty work in a massive $600 million workers’ compensation fraud scheme involving fraudulent bills submitted...
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