Louisiana Doctor Pleads Guilty In Comp Kickback Conspiracy Involving Pain Creams

An Alexandria, Louisiana, physician pleaded guilty Tuesday to having conspired to violate three different federal statutes in connection with a kickback scheme to defraud both federal and private workers compensation insurers, according to an announcement by the U.S. Attorney’s office of the Western District of Arkansas.
April 1, 2022 Fraud Workers' Compensation Arkansas Louisiana

Pennsylvania Reneges Once Again On Social Bargain Of Workers’ Compensation Subrogation

A March 10, 2022, Pennsylvania Superior Court appellate decision underscores why the cost of workers’ compensation insurance for small businesses is the highest in the northeast United States.
April 1, 2022 Subrogation Workers' Compensation Pennsylvania

The Most Common Types Of Insurance Fraud

The country’s insurance industry consists of an estimated 7,000 companies, collecting more than $1 trillion in premiums each year, according to the latest figures from the Federal Bureau of Investigation (FBI). The law enforcement agency adds that because of its sheer size, the sector contributes significantly to the cost of insurance fraud by providing bigger opportunities and financial incentives to those committing illegal acts.
March 29, 2022 Auto Fraud Insurance Industry Workers' Compensation

Pressure Injuries Still A Nagging Problem For Injured Workers

Wounds can be a major cost driver in workers’ compensation claims. The costs to treat these pressure injuries can quickly and easily run up to $100,000 or more, especially if an injured worker must be hospitalized or develops complications such as infections.
March 28, 2022 Workers' Compensation

Peabody Construction Company Owner Sentenced For Tax And Workers’ Compensation Fraud

The former owner of a Peabody construction company was sentenced today in connection with a scheme to defraud the IRS of payroll taxes and to defraud his workers’ compensation insurance carrier by failing to disclose how many workers he employed.
March 24, 2022 Fraud Workers' Compensation Massachusetts

Workers Compensation Exclusive Remedy Ruling Bars Suit After COVID Death

A recent federal court ruling holding that a migrant farm worker’s death from COVID-19 fell within the scope of workers compensation law is part of a growing body of rulings that bar liability lawsuits related to the pandemic against employers.
March 17, 2022 Litigation Workers' Compensation Texas

Playing The Workers’ Comp Waiting Game Amid The Cost Of "No"

I moderated a panel at the American Bar Association Mid-Winter Conference in New Orleans this past week. Our topic was concerning delays in treatment of compensable claims, with a look at the causes and consequences regarding both expense and outcomes for the industry.
March 11, 2022 Litigation Workers' Compensation

Serious Work Injuries And Fatalities Spike As Labor Shortages Exacerbate The Problem

While companies have made steady progress in reducing minor injuries and lost workdays, they are seeing less success in cutting down on serious injuries and fatalities, according to a new report.
March 11, 2022 Workers' Compensation

No Benefits For Airport Worker Injured While Walking Through Terminal

A Florida appellate court on Wednesday ruled that an airport worker was not entitled to benefits for an injury that happened while walking through the terminal to a shuttle bus stop.
March 10, 2022 Litigation Workers' Compensation Florida

Florida Woman Charged with Comp Fraud After Faking Kidnapping

A Florida woman who said she was kidnapped, raped and thrown out of a vehicle last year has now been charged with insurance fraud.
March 10, 2022 Fraud Workers' Compensation Florida

Expanding Parking Lot Law Increases Workers’ Comp Exposure

An area of workers’ compensation that has grown in controversy over the years is when is an employee considered to be ‘at work.’ A question arises if an employee is injured when in a parking lot outside of their place of employment either starting their day or leaving after clocking out.
February 28, 2022 Legislation & Regulation Workers' Compensation New Jersey

A Patient-Centered Approach To Claims Management

As a physician, I can’t help but view our industry through a distinctly patient-centered lens. Our very reason for existing is to help injured employees get well, ideally to get them back to their pre-injury status in days or weeks.
February 28, 2022 Technology Workers' Compensation

First Responder PTSD Comp Bills Continue To Trend

Four states in the first week of February introduced or moved forward on workers compensation presumption bills that would make post-traumatic stress disorder and other mental ailments compensable for first responders, in a continuation of a years-long legislative trend.
February 25, 2022 Legislation & Regulation Workers' Compensation

The Illinois Workers’ Compensation Act Does Not Bar An Employee’s Claim Under BIPA

In McDonald v. Symphony Bronzeville Park, LLC, 2022 IL 126511, the Illinois Supreme Court issued an opinion finding the exclusive remedy provisions of the Illinois Workers’ Compensation Act (‘Compensation Act’) 820 ILCS 305/1 et seq. does not bar an employee’s claim for statutory damages under the Illinois Biometric Information Privacy Act (‘BIPA’), 40 ILCS 14/1 et seq.

An employee filed a class-action lawsuit against her employer for violating BIPA. Her employer required its employees to use a biometric timekeeping system in order to scan an employee’s fingerprint for purposes of authenticating an employee and tracking their time at work. The employee alleged that her employer never obtained her written consent to store her biometric information or informed her how the information will be stored.
February 24, 2022 Litigation Workers' Compensation Illinois

CMS Warns Against Using ‘Non-Submit’ and ‘Evidence-Based’ Medicare Set-Asides

The Centers for Medicare & Medicaid Services (CMS) has updated its Workers’ Compensation Medicare Set-Aside Arrangement (WCMSA) Reference Guide (Reference Guide). The latest version, Version 3.5, was published Jan. 10, 2022.
February 21, 2022 Education & Training Workers' Compensation
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