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DIR at Odds With Auditor Over Fraud Recommendations

By Greg Jones (Senior Editor)

Wednesday, December 13, 2017 | 5

A report released Tuesday that aims to improve California's workers' compensation fraud-fighting efforts breathes new life into an old idea: Requiring carriers and employers to send explanation-of-benefit forms to applicants so that injured workers may tip investigators if they spot spurious provider charges.  California State Auditor Elaine Howle said her report “identified certain weaknesses in the state’s processes for detecting workers’ compensation fraud.” The report was requested by Assemblyman Tom Daly, D-Anaheim, and ordered by the Jo...

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