Workers' Compensation

Recent Posts

Workers' Comp Fraud Blotter (9/15/2011) – Caterer Caught On Video Cooking and Coordinating Events While On Disability
Posted on 16 Sep 2011 by LexisNexis Workers' Comp Newsroom Fraud Team

Each week we'll be surveying what the media, state agencies, insurance companies, and others report in terms of workers' comp fraud. Just like a police blotter, our workers' comp fraud blotter lists recent arrests, charges, convictions and... Read More

The Year in Review: Top 10 Workers’ Comp Fraud News Stories
Posted on 7 Dec 2011 by LexisNexis Workers' Comp Newsroom Fraud Team

Workers’ compensation fraudsters come in all shapes and sizes. Here are 10 news stories from 2011 that caught our eye: 1. Grandpa Used Granddaughter to Sell His Workers' Compensation Drugs (OH) - Donald Fisher has pleaded guilty to one count... Read More

CWCI Reviews California Workers’ Comp Q1 2015 Independent Medical Review Outcomes
Posted on 7 Jul 2015 by California Workers' Compensation Institute

A new analysis of 2015 independent medical review (IMR) outcomes shows there was no significant reduction in IMR volume in the first quarter of this year, even though the independent medical reviewers continue to concur with the utilization review (UR... Read More

CWCI Study Tracks Growth of California Workers’ Comp Medical Payments
Posted on 10 Dec 2012 by California Workers' Compensation Institute

A new CWCI study on changes in California workers’ compensation medical payments finds that since accident year (AY) 2005 – the first year after the last round of workers’ compensation reforms – the average amounts insurers pay... Read More

CWCI Study Monitors California Workers’ Comp Medical and Indemnity Trends
Posted on 21 Nov 2014 by California Workers' Compensation Institute

Payments for pharmaceuticals and durable medical equipment (DME) in California workers’ compensation continue to increase sharply, adding pressure against the recent reforms to the system according to a new CWCI study that examines medical and indemnity... Read More

New CWCI Study Looks at Independent Medical Review Outcomes in California Workers’ Comp
Posted on 25 Apr 2015 by California Workers' Compensation Institute

A new analysis of independent medical review decisions issued in 2014 suggests that the medical dispute resolution process mandated by the workers’ compensation reform bill enacted in 2012 is working to assure that the treatment provided to California... Read More

CWCI Study Tracks Growth of California Workers’ Comp Medical Payments
Posted on 10 Dec 2012 by California Workers' Compensation Institute

A new CWCI study on changes in California workers’ compensation medical payments finds that since accident year (AY) 2005 – the first year after the last round of workers’ compensation reforms – the average amounts insurers pay... Read More

The Year in Review: Top 10 Workers’ Comp Fraud News Stories
Posted on 7 Dec 2011 by LexisNexis Workers' Comp Newsroom Fraud Team

Workers’ compensation fraudsters come in all shapes and sizes. Here are 10 news stories from 2011 that caught our eye: 1. Grandpa Used Granddaughter to Sell His Workers' Compensation Drugs (OH) - Donald Fisher has pleaded guilty to one... Read More

Workers' Comp Fraud Blotter (9/15/2011) – Caterer Caught On Video Cooking and Coordinating Events While On Disability
Posted on 16 Sep 2011 by LexisNexis Workers' Comp Newsroom Fraud Team

Each week we'll be surveying what the media, state agencies, insurance companies, and others report in terms of workers' comp fraud. Just like a police blotter, our workers' comp fraud blotter lists recent arrests, charges, convictions and... Read More

CWCI Research Tracks the Continued Growth of California Workers’ Comp Medical Expenses
Posted on 30 Mar 2011 by California Workers' Compensation Institute

California workers’ compensation medical expenditures fell sharply immediately after the enactment of the 2002-2004 reforms, but that decline was short-lived, and after rising steadily since 2005, average payments for treatment, pharmaceuticals... Read More

Allstate Insurance's RICO Lawsuit Seeks to Recover $2.1M From Durable Medical Equipment Companies
Posted on 26 May 2011 by LexisNexis Workers' Comp Law Newsroom Staff

Allstate Insurance Company is seeking to recover $2.1 million against 37 New York area defendants in its second insurance fraud lawsuit of 2011. The complaint, filed under the Racketeer Influenced and Corrupt Organizations Act ("RICO") and principles... Read More

CA: DWC Adjusts Section Of Medical Fee Schedule To Conform With Medicare Payment System
Posted on 26 Oct 2010 by workerscompensation.com

Sacramento, CA (CompNewsNetwork) - The Division of Workers' Compensation (DWC) has posted an order adjusting the durable medical equipment, prosthetics, orthotics and supplies (DMEPOS) section of the official medical fee schedule (OMFS) to conform... Read More