Commissioner Lara Approves Anti-Fraud Funds

Insurance Commissioner Ricardo Lara approved the recommended grant amounts for 36 county district attorneys to use to fight workers’ comp fraud in 40 different counties. The $45,889,371 in funds for the 2021/22 fiscal year is the same that California employers provided in the last round of grants, although the allocations differ in some cases to … Read More »

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District Attorneys Jockey For Anti-Fraud Funds

District attorneys from around the state made last-ditch presentations to bolster their requests for a share of the nearly $46 million that is up for grabs this year to fight workers’ comp fraud in the state. The money is part of the $78 million that California employers are required to pay to support the DAs … Read More »

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DA’s Split $46 Million In Anti-Fraud Funds

Insurance Commissioner Ricardo Lara and the California Fraud Assessment Commission approved the distribution of $45,889,371 among 36 district attorneys to fund workers’ comp anti-fraud programs in 46 counties. The amount distributed is an 8% increase from the prior year and is funded entirely by California employers. The awards range from a high of over $8.9 … Read More »

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CDI Covers Up Carriers Caught Flaunting SIU Rules

Insurance Commissioner Ricardo Lara’s California Department of Insurance is refusing to disclose the identities of a half-dozen insurance carriers that were cited for willful violations of state training regulations for their anti-fraud units. One of the obvious questions is whether the Department is protecting itself from investigation, or insurance carriers who didn’t do the right … Read More »

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Indicted Providers: 10 Times More Claims Than Honest Docs

California’s extensive anti-fraud efforts have had an impact on the state’s workers’ comp costs, but the true impact is just now coming into focus. New industry claim data linking indicted providers to the medical bills they generated show that they were generating ten times the claims and rendering nearly twice the amount of services per … Read More »

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DAs Want Double-Digit Increase In Anti-Fraud Funds

The state’s district attorneys say they need a 20% increase in funding to combat workers’ comp fraud fully in all its various forms.  Then they indicated that they would be able to get by with just a 14% increase. Their ask amounts to an additional $9 to $13 million from California employers on top of … Read More »

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County DA’s Split $42M In Anti-Fraud Funds

District Attorney’s around the state will get a little bit more to fight workers’ comp fraud in the coming year under a new funding plan approved by Insurance Commissioner Ricardo Lara and the California Fraud Assessment Commission. Funding this year from employer assessments will reach $42.4 million compared to $40.7 million in the last funding … Read More »

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Workers’ Comp Fate In Governor’s Hands

The California Legislature wrapped up its work for the year, and now it is up to Gov. Jerry Brown to determine the fate of the few workers’ comp bills that advanced to his desk. The bills cover a number of topics including apportionment, permanent disability, anti-fraud and the state’s $120 million return-to-work fund. These measures … Read More »

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