Workers' Compensation News
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QME on Probation Because of Travel Billings
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12/30/2010
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By: Jim Sams (Senior Editor)
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State: CA | Segment: WEST | 0 | Popular with Medical
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The California Division of Workers' Compensation reappointed a Bay Area qualified medical evaluator, but placed him on probation because of allegations that he billed insurers for travel expenses to QME appointments.In a stipulation for settlement reached Dec. 21, the DWC reappointed...Read More
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Queens Painting Contractor Charged with Premium Fraud
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11/22/2010
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State: NY | Segment: EAST | 0 | Popular with Employer
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A Queens, N.Y., painting contractor has been charged with underreporting payrolls to the New York State Insurance Fund (NYSIF).NYSIF said Friday that Carlos Martinez, 45, was arrested on Nov. 9 and charged with avoiding premiums of more than $180,000.He was charged by Queens ...Read More
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QME Disciplined for Overbilling, Dispensing Medications
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10/07/2010
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By: Jim Sams (Senior Editor)
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State: CA | Segment: WEST | 0 | Popular with Legal
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The California Division of Workers' Compensation reprimanded a Santa Ana qualified medical evaluator who allegedly prescribed and dispensed medication to an injured worker and inflated the bill for a medical-legal evaluation.The DWC on July 23 suspended the QME certification of Dr. R...Read More
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Questions Remain on Compound Lien Consolidation Proposal
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08/31/2010
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State: CA | Segment: Top | 0 | Popular with Legal
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By Greg Griggs, EditorCompounding pharmacists and supporters of compound medicines are joining forces to address a plan by the Workers' Compensation Appeals Board to consolidate liens in cases involving such drugs. ...Read More
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Questions of Fact Preclude Summary Judgment
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08/06/2010
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By: Greg Jones (Senior Editor)
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State: TX | Segment: CENTRAL | 0 | Popular with Legal
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A trial court should not have granted summary judgment dismissing all claims arising from a wrongful death claim because issues of material fact remained as to paternity and negligence, a Texas appeals court ruled.Case: Transcontin...Read More
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Questionable Comp Claims Decline as Others Increase
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08/03/2010
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By: Jim Sams (Senior Editor)
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State: NA | Segment: NATIONAL | 0
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Workers' comp bucked a larger trend of increasing referrals of questionable claims by insurer members of the National Insurance Crime Bureau, declining 9% in the first half 2010 while the number of questionable claim referrals in all other areas increased, the NICB reported Monday.Th...Read More
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Queens Contractor Charged with Underreporting Payroll
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07/20/2010
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State: NY | Segment: EAST | 0
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A construction contractor from Queens, N.Y., has been charged with stealing more than $156,000 in workers' compensation premiums from the New York State Insurance Fund (NYSIF) by underreporting his company's payroll.NYSIF said in a news release that Konstantinos Missirlakis, 33, ...Read More
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QME Report Update Shows Jump In Psych, Pain Assignments
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06/28/2010
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State: CA | Segment: WEST | 0 | Popular with Legal
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The percentage of Qualified Medical Evaluator (QME) reports issued on psychiatric and pain-management issues in California have seen substantial increases in the past five years, according to the latest findings in a study of QMEs in the state.The request of QME panels related to psychia...Read More
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Queens Man Accused of Selling Phony OSHA Certificates
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06/28/2010
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State: NY | Segment: EAST | 0
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Federal prosecutors have charged a Queens, N.Y., safety trainer for the U.S. Occupational Safety and Health Administration (OSHA) with selling bogus training certificates to New York construction companies and their workers.U.S. Attorney Preet Bharara said in a news release last week tha...Read More
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