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Identifying and Preventing Provider Fraud in Workers Comp Cases

Risk Management Monitor

A chiropractor, for example, conducted illegal medical evaluations and billed these evaluations, claiming that he was approved as a medical legal evaluator. Through the analysis of historical claims data and insurance adjuster notes, some technologies can help professionals discover fraudulent claims faster.

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Blog Post: Frequently Asked Questions on Complex Employment Issues for California Workers’ Compensation

LexisNexis

If the PEO’s insurance company is paying benefits, there is no need to join the servicing agent or special employer. If a PEO or employee leasing company claims to be self-insured, investigate that claim. effective 1-1-2013, prohibits PEOs and employee leasing companies from self-insurance. Labor Code section 3701.9,