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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Abuse Of Copy Service Rules

Employers and copy service providers over the years have aired a litany of complaints against each other over alleged billing and payment abuses. The state’s adoption of a new copy service fee schedule in 2015 eliminated some of the acrimony. But comments on the state’s proposed new workers’ comp copy service fee schedule update show … Read More »

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Telemedicine Fraud Is A Growing Concern

Workers’ comp claim activity has decreased significantly during the COVID-19 pandemic as Californians sheltered in place and many businesses curtailed operations. Telemedicine quickly became an option for injured workers needing to continue their treatment, but investigators say that while the service is useful some unscrupulous providers and cheats may be preparing to use it to … Read More »

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Fraud Commission Approves $78M Assessment For 2021

The California Fraud Assessment Commission is holding the line on employer assessments for 2021 at $77,909,442, with roughly $46 million going to the state’s District Attorneys next fiscal year. Commission chairman Don Marshall of Zenith Insurance suggested a 4% increase in the employer assessment for next year may be warranted, but ultimately supported the Commission’s … Read More »

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DAs Get Fraud Funding Increase, But Less Than Sought

California’s district attorneys said they needed a 20% increase in funding to fight workers’ comp fraud to the fullest extent, but said they could make do with a 14% increase. An 8% increase, however, will have to suffice as members of the California Fraud Assessment Commission approved a nearly $5.8 million increase in the assessment … 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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Draft Copy Service Fee Schedule Raises Concerns On Both Sides

A Division of Workers’ Compensation draft proposal to increase the base pay rate for copying workers’ comp records by 16.7% is being derided as too little of an increase by many copy companies.   But defense-oriented organizations have concerns about proposals for the automatic cost of living adjustments and other issues. The Division is currently reviewing … Read More »

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