WorkCompAcademy | Weekly News

Rene Thomas Folse, JD, Ph. D. is the host for this edition which reports on the following news stories. Carrier has Right to "Retroactively" Rescind Policy, Johnson & Johnson Under Federal Probe - Again!, Aspen Medical Defendants Convicted in Orange County, Sleep Therapy Supplier Pays $11.4 Million in Fraud Case, Lancaster Clinic Pays $3 Million in Fraud Case, Drs. Sobol, Heric and Two Other Provi...

Rene Thomas Folse, JD, Ph. D. is the host for this edition which reports on the following news stories. Court of Appeal Rejects Interpreter's SB 1160 Challenge, Appellate Ruling Blocks Anthem - Cigna Merger, Walgreens Resolves Whistleblower Claim for $10 Mil, Quest Diagnostics Resolves Kickback Case for $6 Mil, San Francisco Comp Clinic Owner Charged, Aliso Viego Lab Owner Found Guilty in Fraud Ca...

Rene Thomas Folse, JD, Ph. D. is the host for this edition which reports on the following news stories. 3rd DCA Reinstates Apportionment Based on Genetics, Drugmakers take Biosimilar Case to Supreme Ct., Uber Engineer Suicide to Test Psyche Claim Law, Physical Therapists File Suit Against One Call, Prime Healthcare Fraud Trial Set for Feb 2018, Encino Dermatologist Settles Fraud Claim for $2.7 Mil...

Rene Thomas Folse, JD, Ph. D. is the host for this edition which reports on the following news stories. 2nd DCA Affirms Dismissal of Adjusters TPA Suit, Applicants Must Show "Competency" to Mange MSA, 26 Charged in $40 Million Comp Fraud Scheme, Operation "Psyched Out" Nabs More LA Pharmacists, Uninsured Cal Fire Contractor Faces Felonies, 3 New Provider Suspensions on DWC List, SCIF 2016 Premiums...

Rene Thomas Folse, JD, Ph. D. is the host for this edition which reports on the following news stories. Is There Subrogation Potential in Kimberly-Clark Class Action?, San Rafael Pharmacy Resolves DEA Dispute, Lawyers Troll Carriers for MSP Recoveries - Who's Next?, Reseda Clinic Owner to Serve 51 Month Sentence, DWC Spikes the Ball After WCIRB Announcement, Cigna Reduces Opioid Use 12%, National...

Rene Thomas Folse, JD, Ph. D. is the host for this edition which reports on the following news stories. Liability Policy has "No Potential" Comp Coverage, Major Carrier Faces $1 Billion Medicare Fraud Claim, CastlePoint Enters Final Liquidation Stage, O.C. Doctor Sentenced After Faking Own Death, FBI Operation Backlash Claims Another Plea Deal, OIG Publishes Healthcare Fraud Guidelines, WCIRB Comm...

Rene Thomas Folse, JD, Ph. D. is the host for this edition which reports on the following news stories. Second Applicant UR/IMR Constitutional Challenge Fails, L.C. 5500.5 Does Not Set Statute of Limitations, DCA Interprets Volunteer Firefighter Cancer Presumption, WCAB Rejects SB 863 Limits on Psychiatric PD, L.A. Jury Awards $650K to Terminated Injured Worker, Employer and WC Consulting Firm Fac...

Rene Thomas Folse, JD, Ph. D. is the host for this edition which reports on the following news stories. Anthem Accuses Express Scripts of Price Gouging, LA Rite Aid Pharmacies Settle Fed Drug Charges, Can Employers Subrogate Against Opioid Drugmakers?, Prosecutors Struggle with Uwaydah Fraud Case, Convicted Employer Faces Premium Fraud Claims Again!, As IMR Volume Grows - 90% of UR Upheld, DWC Ext...

Rene Thomas Folse, JD, Ph. D. is the host for this edition which reports on the following news stories. WCAB Asks Court for Second Chance, Is Monsanto Mass Litigation a Subro Opportunity?, Munir Uwaydah M.D. Fraud Case(s) Get Nasty(ier), Janitorial Owners Guilty of Massive Premium Fraud, Apparel CEOs Guilty in $3.8 Million Fraud Case, Hearing on MTUS Drug Formulary Set for May 1, 9 Northern Counti...

Rene Thomas Folse, JD, Ph. D. is the host for this edition which reports on the following news stories. Supreme Court Limits Interest on Late Disability, Rehab Clinic Director to Serve Ten Year Sentence, O.C. Worker Arrested for Lying About Injury, Sting Catches Uninsured/Unlicensed Contractors, Salinas Restaurant Owner Guilty of Premium Fraud, Should 635 Physicians on Probation Tell Their Patient...

Rene Thomas Folse, JD, Ph. D. is the host for this edition which reports on the following news stories. WCAB Orders Electronic Out-of-State Testimony, DOJ Healthcare Fraud Lawyer Arrested by FBI, EFTF Meeting - Identity Theft Growing Problem, DWC Reports on Terror Attack Treatment Delays, Congressmen Address Concerns at WCRI Conference, New SB 1160 Rules Take Effect on March 26, DWC Requests Comme...

Rene Thomas Folse, JD, Ph. D. is the host for this edition which reports on the following news stories. Convicted Chiropractor Attacks New Law, Sleep Clinic Whistleblower Gets Half Million, Former Deputy Sheriff Guilty in "CrossFit" Fraud Case, Oakland Comp Attorney Pleads Guilty, HHS Fraud Prevention Focus May Change, Are CT Claims This Years Battleground?, OSIP Releases New Self Insured Forms, S...

Rene Thomas Folse, JD, Ph. D. is the host for this edition which reports on the following news stories. North Hollywood Cab Driver was Employee, CDI Disallows Advertising Costs for Rate Calculation, DWC Suspends Collections for Seven Lien Providers, 15 Arrested in Unlicensed Contractor Sting, Officials Note Increase in Pharmacy Burglaries, Kaiser Permanente Pharmacy Fined for CSA Violations, CWCI...

Rene Thomas Folse, JD, Ph. D. is the host for this edition which reports on the following news stories. Judge Blocks Anthem - Cigna Merger, TeamHealth Settles Fraud Claim for $60 Million, Sacramento Chiropractor Arraigned in Fraud Case, WC Claims - What to Expect in 2017, AB 2883 Fallout - Premiums Double for Many Small Businesses, Study Says Drugmakers Influence Treatment Guidelines, Opioid Drugm...

Rene Thomas Folse, JD, Ph. D. is the host for this edition which reports on the following news stories. State Bar Suspends Defense Attorney Over PQME Dispute, Yates Memo Takes Down Another Executive, Campus Monitor Gets 30 Days in Fraud Case, 2016 Claim Audit Penalties Were Nearly $1.5 Million, DWC Sets QME Examination Next April, DWC Posts DMEPOS Fee Adjustments, FDA Expedites Drug Approvals - He...

Rene Thomas Folse, JD, Ph. D. is the host for this edition which reports on the following news stories. Supreme Court Affirms Broad CDI Rulemaking Authority, No Consent Needed to Send "Advocacy Letter" to AME, Judge Blocks Aetna - Humana Merger, FDA Stonewalls Congressional Criminal Investigation, DWC Adjusts Services Section of OMFS, Christine Baker Responds to NBC Bay Area Criticism, Angie Wei R...

Rene Thomas Folse, JD, Ph. D. is the host for this edition which reports on the following news stories. Drug Distributor Pays $150 Million Controlled Substance Act Penalty, DIR Orders Stay on $1 Billion Worth of Liens, Santa Barbara Targets Fraud With PSA, WCJ Deborah Whitcomb Appointed to Ethics Committee, PEOTUS Takes Aim at Big PhRM, Valeant Pharmaceuticals Once Again in Price Gouging Spotlight...

Rene Thomas Folse, JD, Ph. D. is the host for this edition which reports on the following news stories. CIGA Defeats CMS "Excessive Demands" - So Far, New Jersey Comp Jumps off Medical Marijuana Cliff, L.A. Must Borrow Millions to Pay Unprecedented Claims, Details Emerge on Prescription Drug Black Market Supply Chain, Former Ventura Neurosurgeon to Serve 20 Years, Feds Wrap Up Fraud Case Against S...

Rene Thomas Folse, JD, Ph. D. is the host for this edition which reports on the following news stories. Feds 2016 Fraud Recoveries Hit $4.7 Billion, Feds in Hot Pursuit of Compounders, California Loss Adjustment Costs Highest in Nation, DWC and WCAB Amend, Add Forms for Lien Filings, New Benefit Rates for 2017, Santa Monica Seeks 53% Increase in Comp Funding, AI to Replace Claim Department Workers...

Rene Thomas Folse, JD, Ph. D. is the host for this edition which reports on the following news stories. Purdue Pharma Accused of PBM "Quid Pro Quo" Payments, New NFL Federal Concussion Case Abruptly Withdrawn, DEA Targets Pharmacies for "Suspicious" Opiod Orders, Allstate Targets Fake LA Law Offices, Podiatrist Faces 10 Years in Kickback Case, Is Federal Comp a Lucrative "Luxury" Medical Fraud Tar...

Rene Thomas Folse, JD, Ph. D. is the host for this edition which reports on the following news stories. 20 States Sue 6 Drugmakers For Price Fixing, Supreme Court Clears Way for $1 Billion NFL Settlement, California Settles With Bristol-Myers Squibb, WCAB Panel Affirms "Untimely" IMR Decision, San Diego Capper Admits $5 Million Kickback Scheme, Quest Diagnostics Database Hacked, DWC to File Provid...

Rene Thomas Folse, JD, Ph. D. is the host for this edition which reports on the following news stories. Did Pandora's Box Just Open For Secondary Injuries to Families?, Hip Maker Hit With $1 Billion Jury Verdict, Exclusive Remedy Not Applicable to "Training" Robbery, Fresno Sleep Center Loses Whistleblower Retaliation Suit, Congress Overwhelmingly Passes New FDA Overhaul, Study Confirms SB 863 Med...

Rene Thomas Folse, JD, Ph. D. is the host for this edition which reports on the following news stories. Judge Blocks DOL December 1 New Overtime Rule, QME/AME John Warbritton M.D. Under Federal Indictment, S.F. Based Zenefits to Pay $7 Million for Insurance License Violations, AFLAC Employee Convicted for $4 Million Disability Fraud, DOJ Launches Corporate Health Care Fraud Unit, Will Throwing Rog...

Rene Thomas Folse, JD, Ph. D. is the host for this edition which reports on the following news stories. Refusal to Strike AME Report "Without Prejudice" Not Appealable, Courts Have Broad Discretion to Order Restitution in Fraud Case, Physician Fakes Death to Avoid Fraud Charges, $176 Million Drug Treatment Fraud "First Wave" of Arrests, DME Particularly Susceptible to Physician Kickbacks, Post AB...

Rene Thomas Folse, JD, Ph. D. is the host for this edition which reports on the following news stories. More Employers Sue Berkshire Hathaway Company. Constitutional Challenge to Comp System Dies in US Top Court. WCAB Has Jurisdiction Over UR Penalties and Sanctions. PA High Court to Rule on AMA Guides "Constitutionality". Device Maker Pays $36 Million in Misbranding Case. DOJ Expects Drugmaker In...