WorkCompAcademy | Weekly News

Rene Thomas Folse, JD, Ph. D. is the host for this edition which reports on the following news stories. State Farm Faces $7 Billion RICO Class Action. National Pharmacy Chain Pays $2.24 Million in Fraud Case. Chatsworth DME Operatives Guilty of $38 Million Fraud. CMS Walks Back Zero Allocation Approval New Requirement. Central Valley Injury Outcomes Better than State Average. DWC Announces Registr...

Rene Thomas Folse, JD, Ph. D. is the host for this edition which reports on the following news stories. Skilled Nursing Company Pays Back $145 Million in False Claims. DA Will Not Forgive Liberty Mutual's Forgiveness Program. Court Affirms $180K Administrative Penalty for Uninsured Employer. Going and Coming Rule is More Restrictive in Tort Cases. Former Senator Calderon Gets 42 Months in Prison....

Rene Thomas Folse, JD, Ph. D. is the host for this edition which reports on the following news stories. Injured Sheriff Prevails in Medical Records Privacy Case. New Law Effects Comp Policy Coverage in January. CDI Orders Carrier to "Cease and Desist" Operations. Medicare Moves to Pay for Performance Model. CDI Approves Changes to WCIRB First Aid Reporting. DWC Launches MTUS Training for Physician...

Rene Thomas Folse, JD, Ph. D. is the host for this edition which reports on the following news stories. Class Action Allowed for High Cost of Medical Record Copies. Predictive Analytics May Compromise Personal Privacy. Owner of L.A. DME Company Sentenced to Five Years. Former Prosecutor Profiles the Criminal Physician. CDI Awards $34.9 Million to Fight Workers’ Compensation Fraud. Study Says Comp...

Rene Thomas Folse, JD, Ph. D. is the host for this edition which reports on the following news stories. Another Major Hospital Chain Resolves Fraud Charges for $.5 Billion. Labor Contractor Gets 9 Months Sentence in Payroll Fraud Case. Governor Vetoes Bill Exempting Comp Policy Oversight. New Law Clarifies RFA Filing Requirements. Governor Brown Vetoes Proposed Extension of Police/Firefighter Bene...

Rene Thomas Folse, JD, Ph. D. is the host for this edition which reports on the following news stories. Hospital Chain With California Facilities Settles Fraud Claims. Billing Companies New Target in Medical Fraud Cases. Santa Barbara Cop Pleads Guilty in Fraud Case. Pharmacist and Clinic Owner Convicted for Fake Prescriptions. New Law Limits Employment Litigation - Law and Forum. Physician Review...

Rene Thomas Folse, JD, Ph. D. is the host for this edition which reports on the following news stories. California Sues Drugmakers for Billion Dollar Price Manipulation. So. Cal. Pain Medicine QME Arrested in Fraud Case. Final L.A. Health Care Multi-Million Dollar Fraud Defendant Sentenced. L.A. Jury Convicts Physician for Illegal Drug Prescriptions. Applicant Attorney Faces State Bar Suspension....

Rene Thomas Folse, JD, Ph. D. is the host for this edition which reports on the following news stories. Workers' Comp "Opt-Out" Movement Faces Legal Setback. Berkshire Faces New Charges by Another Insured Employer. Trucking Company Settles Litigation Over Comp Coverage. Former Assemblyman Thomas Calderon Sentenced in Bribery Case. Hearing Set on Proposed RTW Supplement Program Rules. DWC Posts Ame...

Rene Thomas Folse, JD, Ph. D. is the host for this edition which reports on the following news stories. Allstate Wins Second L.A. Fraud Civil Judgment. Uber Wins Next Round in Classification Battle. California Claimants Lose RICO Case Against TPAs. Berkshire Hathaway Stipulates to EquityComp Cease and Desist Order. New Indictment Involves Executive Director of Surgical Center. FDA Sets Long Awaite...

Rene Thomas Folse, JD, Ph. D. is the host for this edition which reports on the following news stories. El Cajon Pain Physician Arrested for Illegal Prescribing. Two LA Doctors Arrested for Drug Crimes With Crips Street Gang. OC Claimant to Serve Six Months for Double Dipping. Injured Worker's Continued Threats to Others Leads to Fourth Conviction. Study Shows "Better-Insured" Patients are "Over T...

Rene Thomas Folse, JD, Ph. D. is the host for this edition which reports on the following news stories. California Health Carriers Sued for Defrauding Medicare. Indemnification Clause Obligates Employer to Pay Injured Employee Tort Claims. Indicted or Convicted Criminals Filed $600 Million in Liens. CDI Ignores Photograph and Arrests Wrong Elderly Fraud Suspect. Pasadena Physician Sentenced to Fou...

Rene Thomas Folse, JD, Ph. D. is the host for this edition which reports on the following news stories. WCAB Permits Settlement of SJDB With "Thomas" Finding. 9th Circuit Says DOJ Cannot Prosecute Marijuana Violators. DCA Says WCAB Has Jurisdiction Over CHP 4800.5 Benefits. Yates Memo Leads to Corporate Healthcare Executive Convictions. DWC Publishes Updated MTUS With Opioid Guidelines. Yet Anothe...

Rene Thomas Folse, JD, Ph. D. is the host for this edition which reports on the following news stories. Employer's Failure to Provide DWC-1 Prevents Carriers' Laches Defense. Excess Carrier May Sue Primary Carrier for Failure to Settle Within Policy Limit. Sex Offender-Former Physician Caught Working at Valley Clinic. WCIRB Files Fourth Consecutive Premium Rate Decrease. CastlePoint Conservation a...

Rene Thomas Folse, JD, Ph. D. is the host for this edition which reports on the following news stories. Costs of Sub-Rosa Leading to Fraud Conviction Was "Wasteful" and "Unnecessary". Uber Tells Federal Judge - "Take it or Leave it". Irvine Medical Device Company Settles Claim After Executives Convicted. Parents of Deceased Police Officer Seek Damages For Claim Denial. Final Chapter on Ex-Senator...

Rene Thomas Folse, JD, Ph. D. is the host for this edition which reports on the following news stories. New Law Says Goodbye to ACOEM Guidelines. Feds Pass Comprehensive Addiction and Recovery Act. DWC Schedules QME Examination for October 29. CMS Provider "Integrity Efforts" Reduces "Pay-and-Chase" Losses. Marin Physician Gets Three Years in Prison for Illegal Opioids. Red Bluff City Councilman F...

Rene Thomas Folse, JD, Ph. D. is the host for this edition which reports on the following news stories. Feds Say "No" to Major Healthcare Mergers. WCAB Rules of Practice and Procedure Do Not Apply to UR Process. 53 Big Name Wrestlers File Concussion Class Action. Applicant Attorney Admits He Was "Greedy and Stupid." Bristol-Myers Squibb Settles Kickback Case for $30 Million. Owners of San Jose Chi...

Rene Thomas Folse, JD, Ph. D. is the host for this edition which reports on the following news stories. Exclusive Remedy Protects Employer in Chair Injury Case. Appeals Court Delivers Another ObamaCare Law Blow. Filmmaker Sentenced for Manslaughter - Then Awarded Psyche Benefits? Buena Park Doctors' License Revoked - Three Years After Fraud Conviction! Insurance Agent Faces Embezzlement Charges. P...

Rene Thomas Folse, JD, Ph. D. is the host for this edition which reports on the following news stories. Claimants File Class Action Challenging AMA Guides Ratings. SCIF Ordered to Pay $4.4M Fees After Losing "Operation Chicken" RICO Case. Santa Barbara Cop/Strongman Contestant Faces Fraud Charges. Monterey DA Prosecutes Biggest Fraud Case Yet. Law Proposes to Ban Rogue Doctors. DWC Issues Drug For...

Rene Thomas Folse, JD, Ph. D. is the host for this edition which reports on the following news stories. Federal Judge Disqualifies SCIF Attorneys in Drobot RICO Case. Obamacare Insurers Forced to File Litigation for "Risk-Corridor" Funds. Feds Lose First "Yates Memo" Criminal Trial Against Drugmaker President. Unlicensed Insurance Broker Arrested for Selling Fake Policies. Berkshire Hathaway Comp...

Rene Thomas Folse, JD, Ph. D. is the host for this edition which reports on the following news stories. Court of Appeal Says Late IMR Decision is Still Valid. CDI Rules Berkshire Hathaway Company Comp Insurance "Scheme" Was Illegal. Major National Healthcare Fraud Sweep Includes 22 Californians. DOJ Publishes Health Care Fraud and Abuse Control Program Annual Report. 70-Year Old Placentia Woman to...

Rene Thomas Folse, JD, Ph. D. is the host for this edition which reports on the following news stories. U.S. Supreme Court Lowers Standards for Health Care Fraud. Former State Senator Ron Calderon Pleads Guilty in Drobot Bribery Case. NBA Star Kermit Washington Pleads Not Guilty in Ron Mix Kickback Case. Orange County Doctor and Assistants Face Drug Trafficking Charges. Lien Claimants Must Use Uni...

Rene Thomas Folse, JD, Ph. D. is the host for this edition which reports on the following news stories. Court of Appeal Allows Comp Offset Against Tort Recovery. Seven Indicted by Riverside Grand Jury for Fraudulent Medical Claims. Former Assemblyman Tom Calderon Pleads Guilty to Money Laundering. Michael Drobot's Son Pleads Guilty In Pacific Hospital Case. Jury Convicts County of Ventura Employee...

Rene Thomas Folse, JD, Ph. D. is the host for this edition which reports on the following news stories. Lawmakers Seek Investigations of Comp Medical Fraud. DA Refiles Criminal Complaint Against Kareem Ahmed. Pacific Pain Care Office Manager Also Arrested and Faces 27 Years. Two Northern Cal Physicians Indicted in Fraud Case. CWCI 2016 IMR Study Confirms 2015 Trends. City of Pasadena Reviews Worke...

Rene Thomas Folse, JD, Ph. D. is the host for this edition which reports on the following news stories. SCIF Files Subro Claim in San Bernardino Terror Strike Case. Jury Awards Aetna $37.5 Million in Bay Area Surgical Fraud Case. Union Agreement Does Not Limit 132a Authority. DOJ Joins Fraud Claims Against 14 Major SoCal Hospitals. Former Claims Adjuster Sentenced to 4 Years for Embezzlement. Atto...

Rene Thomas Folse, JD, Ph. D. is the host for this edition which reports on the following news stories. 4th DCA Sustains School District Employee's Fraud Conviction. Salinas Pain Physician Arrested on 37 Felony Charges. Fresno County Worker Peads Not Guilty to 11 Fraud Counts. Disabled Worker With Shoulder Injury Caught Bench Pressing 315 Pounds. Officials from Irvine Based Company Face $1.5 Milli...