
Michael G. McConville is an associate attorney with the Law Offices of Floyd, Skeren & Kelly, LLP in our firm's Pasadena office location. Mr. McConville graduated from Southwestern University of Law and passed the State Bar in 1983. Since that time, he has divided his practice between workers' compensation defense and civil litigation. During his 15 years of workers' compensation experience, he also handled crossover issues involving subrogation. His broad experience in both fields brings a practical approach to the issue of subrogation.
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Editions |
Weekly Edition Topics |
| June 10 Edition | David L. Jimenez is the host for this edition which reports on the following news stories. San Bernardino Claimant Faces Identity Theft and Perjury Charges, Medicare Database Flaws Invite Medical Fraud and Abuse, DWC Posts Proposed Changes to QME Regulations, DWC Again Proposes Modifications to SJDB Regulations, OxyContin - Good News and Bad News, DWC Says Most Injured Workers Satisfied With Medical Care, Researchers Review Medical Necessity for Air Ambulance Services, TTD Rates to Increase Slightly in 2014, WCJ Cris Gondak to Become WCAB Deputy Commissioner, CWCI Appoints New COO and CFO. |
| June 3 Edition | David L. Jimenez is the host for this edition which reports on the following news stories. Applicant Must "Intend" to be Personally Liable For Medical Care. San Diego Psychologist Sentenced to Prison. Sunnyvale Chiropractors Charged With Insurance Fraud. Cal/OSHA Fines Oakland Hospital For Health and Safety Issues. California Ballot Measure Seeks Physician Random Drug Testing. DWC Posts Revised Proposed Interpreter Services Regulations. Stem Cell Research Improves Spine Injury Outcomes. Common Firbromyaligia Medication Does As Much Harm as Good. |
| May 27 Edition | Rene Thomas Folse, JD, Ph.D. is the host for this edition which reports on the following news stories. Court of Appeal Approves Removal of Orthopedist from MPN. Real Estate Agent Faces 14 Felony Charges. New Federal Bill Seeks to Fix "Broken" Medicare Set Aside Process. DWC Publishes Proposed Interpreter Regulations. DWC Struggles With Delays in QME Panels. No Judicial Misconduct Reported in DWC Ethics Advisory Committee 2012 Annual Report. DWC Makes SB 863 Changes to QME Writing Course. Feds Seek to Regulate Compounding Pharmacies. 50% of Physicians Now Use Electronic Health Records. CWCI Study Shows Improvement in California Comp. |
| May 20 Edition | David L. Jimenez is the host for this edition which reports on the following news stories. Court of Appeal Rejects Peace Officer Presumption of Cardiac Injury. Federal Court Decisions Create Opportunity to Reduce MSA Allocations. Federal Medicare Secondary Payer Law MSP. WCAB Panel Allows Employer to Attend Applicant Deposition. Brookdale Inn Owner Pleads No Contest in Fraud Case. DWC Posts Proposed Changes to MPN Regulations. Backlash Begins Over DSM-V. NCCI Says Work Comp Industry Recovering. |
| May 13 Edition | David L. Jimenez is the host for this edition which reports on the following news stories. Medical-Legal Lien Claimants Cannot Avoid Activation Fees. Anti-Pro Athlete Bill Amended With Controversial 80-8 Rule. CalOSHA Investigates Contra Costa Fatality. Fraud in CalPERS Medical Program Costs Millions Annually. California Lien Collection Company Sued in Washington Fraud Case. Study Says Antibiotics Could Cure 40% of Chronic Back Pain. Many medical guidelines don't consider costs. Nanomedicine Now Supported by Top Drug Companies. Liberty Mutual Reports 31% Income Decline. Employers Names Bradley Hatfield as Vice President of Underwriting. |
| May 6 Edition | David L. Jimenez is the host for this edition which reports on the following news stories. California Assembly Overwhelmingly Passes Out-Of-State Athlete Bill. Cal/OSHA Cites 405 Freeway Project. Monterey County Field Worker Pleads Guilty In Fraud Case. Federal Jury Convicts Anaheim Physician in Fraud Case. Nevada Hospital Accused of Dumping Patients in California. Researchers Find "Staggering" Over-Diagnosis of Depression. DIR Observes Workers' Memorial Day. CompWest Insurance Launches Health Care Industry Insurance Program. WCIRB CEO Describes Organizational Transformation. |
| April 29 Edition | David L. Jimenez is the host for this edition which reports on the following news stories. Court of Appeal Overturns WCAB in Psyche Injury Case. WCAB Panel Says Lien Activation Fee Not Required for 2013 Lien Trial. WCAB Decision in Orthomed Lien Dismissal Case Elevated to En Banc. Imprisoned Former Orange County Sheriff Resolves Comp Case. Drugmaker Novartis Sued (Again) For Illegal Kickbacks. San Garbriel DME Owner Pleads Guilty to Federal Fraud Charges. Teams Defeat Players in Sacramento Legislative Battle - Round One. OSIP Proposes Final SB 863 Self Insured Regulations. Study Says California OMFS Rates Lower Than Other States. DWC Audit Unit to Investigate Electronic Billing Regulation Compliance. |
| April 22 Edition | Rene Thomas Folse, JD, Ph.D. is the host for this edition which reports on the following news stories. Court of Appeal Rules Against Nurse With Latex Allergy. Another Drugmaker Settles Kickback Charges. Investigators Search For Evidence of Pacific Hospital Kickbacks. CEO and Accounting Director Accused of $1.45 Million Comp Fraud. DWC Revises WCIS Penalty Regulations. WCIRB Report Shows 12% Increase In Average Rates. Controller Critiques Los Angeles Comp Program. Retired Athletes Plan Sacramento Protest. May 7 Meeting Set with MAXIMUS to Discuss IMR and IBR Communication. CWCI Studies Toxic Injuries. |
| April 15 Edition | David L. Jimenez is the host for this edition which reports on the following news stories. Exclusive Remedy Shields LAUSD Principal From Employee Battery Claim Orthomed Lien Claim Dismissed Over Activation Fee Issue, Federal Search Warrant Served at Pacific Hospital of Long Beach,Facebook Video Leads to Conviction of Corrections Officer, Employer Wage Theft is First State Premium Fraud Case, Owner of Security Company Faces Fraud Charges, Arrests Made in Forged Insurance Certificates Case, Cal Chamber of Commerce Adds Pending Bills to Job Killer List, President Proposes Changes to Federal Comp System. |
| April 8 Edition | David L. Jimenez is the host for this edition which reports on the following news stories. WCAB En Banc Decision Clarifies Exemption of Air Ambulance Charges from OMFS. Pfizer Loses Appeal of $142 Million Judgment For Unapproved Neurontin Marketing. Riverside Transit Authority Worker Pleads Guilty. Carson Woman Gets 13 Year Sentence for $8 Million Fraud Scheme. UPS Resolves Federal Charges For Delivery of Painkillers for $40 Million. New FEHA Disability Regulations Directly Impact Work Comp Cases. CMS Publishes 88 Page Workers' Compensation MSA Guide. DIR Posts Updated Guidebook for Injured Workers. SCIF 2012 Annual Report Shows Surge in Income. Walter Hesse Returns to Floyd, Skeren and Kelly. |
| April 1 Edition | Suzanne Honor-Vangerov is the host for this edition which reports on the following news stories. US Supreme Court Hears Drug Company "Pay for Delay" Arguments. Federal Judge Consolidates NFL Comp Claims. Oxnard Cop Pleads Guilty in Fraud Case. U.C. Irvine Medical Center Settles Fraud Case for $1.2 Million. Feds Fraud Warning Targets Physician Owned Distributorships(PODs). DWC Posts Updated Fact Sheets for Injured Workers. Public Sector Claims Costs Near 10 Year High. DWC Implements Lien Filing Fee Process. Liberty Mutual Nations Largest Comp Carrier. |
| March 25 Edition | David L. Jimenez is the host for this edition which reports on the following news stories. Neighborly Help With Roof Repairs Does Not Create Employment Relationship. Court of Appeal Expands Employee Privacy Rights. WCAB Panel Dismisses Liens For Late Payment of Activation Fees. WCAB Rescinds Order to Pay for Medical Marijuana. Santa Rosa Orthopedist/QME Suspended Pending Criminal Charges. Cal/OSHA Investigates Death Caused by Trench Collapse. Operators of Leasing Company Charged in $1.7 Million Fraud Case. S.B. 863 Triggers Sharp Rise in Lien Filings. DWC, WCAB Revise Policy and Procedural Manual. |
| March 18 Edition | David L. Jimenez is the host for this edition which reports on the following news stories. Court Must Make Independent Determination of Injured Peace Officer Retirement Claim. San Diego Restaurant Claims Exemption From Workers' Compensation. Jury Convicts Physician/Director of Pacific Clinic in Long Beach. Napa Vineyard Worker Jailed in Fraud Case. Man Sentenced For California Physician Identity Theft. Medical Board Fails to Monitor Surgical Centers. The NFL and GE Team Up to Study Football Brain Injuries. CWCI Says MPN Physicians Now Provide 80% of Care. |
| March 11 Edition | David L. Jimenez is the host for this edition which reports on the following news stories. WCAB Panel Limits Materials Handed to AME During Deposition. McDonald's Worker Arrested for Faking Injury. L.A. City Firefighter Sentenced in Fraud Case. Study Says Patients Not Warned About CT Scan Dangers. Detals Emerging About A.B. 1309. WCAB Proposes Changes to Rules of Practice and Procedure. CalChamber Places SB 626 on 2013 "Job Killer" List. Arizona Seeks To Stop Professional Athlete Claims in California. Gene Simpson New CompWest VP. Alex Swedlow New CWCI President. |
| March 4 Edition | David L. Jimenez is the host for this edition which reports on the following news stories. 60 Former NFL Players Seek to Overturn Arbitration Award. New Bill in California Assembly Seeks to Limit Professional Athlete Claims. S.B. 863 Legislative Push Back Begins. DWC Schedules Public Hearing on IBR Regulations. DWC Updates Time of Hire Pamphlet. DWC Audit Unit Admonishes Claim Administrators About Lien Negotiations. |
| February 25 Edition | David L. Jimenez is the host for this edition which reports on the following news stories. Police Officer Files Suit Over Cal/OSHA Claim. Authorities Close San Leandro Medical Center in Fraud Case. San Diego Restaurant Owners Charged for Fake Comp Certificate. Owner of Janitorial Company Sentenced to One Year for Fraud. Medical Societies Identify 135 Unnecessary Medical Tests. Study Finds Minimally Invasive Surgery Effective for Thoracic Outlet Syndrome. Carriers Challenge Surgery Center Inflated Bills. Texas-California Battle for Employers Points to Workers' Comp. |
| February 18 Edition | David L. Jimenez is the host for this edition which reports on the following news stories. WCAB Panel Warns Applicant Attorneys About Inflating Attorney Fee Requests. WCAB Suspends Lien Representative From Appearing at Board. Ventura County Sheriff's Office Employee Arrested For Comp Fraud. Feds Recover Record $4.2 Billion in 2012 Health Care Fraud Efforts. New Study Questions Hip Replacement Costs. Hearings Scheduled for Electronic Document Filing and Lien Filing Fee Rules. DWC Updates Fact Sheet and Benefit Notices. DWC Scheduled Next QME Examination. |
| February 11 Edition | Rene Thomas Folse, JD, Ph.D.is the host for this edition which reports on the following news stories. County Jail Inmate is Not an Employee While Working in Kitchen. Physician and Owner of Oceanside Medical Supply Plead Guilty in Fraud Case. NICB Report Says DME Fraud As High as $5 Billion/Year. Hemet Pool Contractor Faces 16 Years In Fraud Case. DWC Sets Public Hearings for SDJB and Interpreter Regulations. CWCI Report Says Compound Drug Costs Still Out of Control Despite Recent Legislation. Employers Must Post Annual Work-Related Injury and Illness Summary. Council Report Says Workers' Compensation Market in "Distress." CHSWC 2012 Annual Report Looks at Integrating Comp and Group Health Care. DWC Announces Recipients of the Carrie Nevans Community Service Award. |
| February 4 Edition | Rene Thomas Folse, JD, Ph.D.is the host for this edition which reports on the following news stories. Court of Appeal Rules that Police Officer 4850 Pay is Part of 104 Week Cap. Court of Appeal Rules Against Industrial Carrier In Subrogation Case. Rising Claims and Safety Emphasis May Cause NFL Demise. Conviction of La Jolla Physician Example of Alarming "Epidemic" in Counterfeit Drugs. Cal/OSHA Issues Chevron Record $1 Million Fine. Michael McFadden New Regional VP for Patriot National Insurance. Steven E. Penman New Sedgwick Chief Operating Officer. George Burr New VP of Crum and Forster in Orange County. |
| January 28 Edition | Rene Thomas Folse, JD, Ph.D.is the host for this edition which reports on the following news stories. Mervyn's Bankruptcy Court Defers Adjudication of Industrial Claim to California WCAB. Hip Maker Considers $2 Billion Settlement Offer With Trial Pending in Los Angeles. Vineyard Manager Gets Jail Time for Safety Violation. Task Force Issues Stop Orders for Dangerous Equipment. 2013 CAAA Convention Topics Focus on S.B. 863. WCIRB Updates Experience Rating Plan Values for 2013. Fresno County DA Investigator Guilty of Comp Fraud. Prosecutors Provide Details on International Medical Fraud Ring. Study Shows High Medical Costs for 20 Year Old Legacy Claims. Study Predicts Increase In Medical Worker Musculoskeletal Injuries. Kaiser Permanente Announces New Occupational Medicine Regional Chief. |
| January 21 Edition | Rene Thomas Folse, JD, Ph.D.is the host for this edition which reports on the following news stories. WCAB En Banc Decision Rejects Jurisdiction Over NFL Player's Claim. Superior Court Denies Applicant Request to Cash In Structured Settlement. Unity Surgical Outpatient Center Fraud Trial to Take Six Months. Fontana Gardener Charged With Fraud. Feds Bust $5 Million Fake Paystub Disability Fraud Scheme. Study Says Patients Rarely Told About Medication Mistakes. FDA Published Metal-on-Metal Hip Implant Warning. CWCI Says Opioid Drug Monitoring Could Save $57.2 Million. DWC Schedules MPN Regulations Public Meeting. DWC Seeks Public Input On RBRVS Fee Schedule. |
| January 14 Edition | Rene Thomas Folse, JD, Ph.D.is the host for this edition which reports on the following news stories. City of Milpitas Defeats Employee With Fibromyalgia FEHA Claim. Tulare County Employee Arrested for Comp Fraud. One of Ten Most Wanted Health Care Fugitives Arrested in Canada. DWC On Track With SB 863 New Regulations. Obama Signs SMART Act Expediting Medicare Settlements. Scientists Develop Objective Measurement of Pain. U.S. Government Launches Sports Related Concussion Study. CWCI Study Sees High Carpal Tunnel Injuries for Hospital Workers. Survey Confirms Concerns Over Opiod Medications. Hyatt Settles Union Instigated Cal/OSHA Probes. |
| December 31 Edition | Rene Thomas Folse, JD, Ph.D.is the host for this edition which reports on the following news stories. Terminated Salesman With Industrial Hernia Loses FEHA Claim. Hancock Park Physician Sentenced to Year in Federal Prison. DWC Outlines SB 863 Changes for New Year. DWC Posts Changes to OMFS. SMART Act Passes Congress - Will Streamline Settlements With Medicare. WCAB Posts Proposed Changes to Rules of Practice and Procedure. RAND Studies Experience Modification Impact for Small Employers. |
| December 24 Edition | Rene Thomas Folse, JD, Ph.D.is the host for this edition which reports on the following news stories. County of Riverside Volunteer Mounted Posse Excluded From Employment Relationship. NFL Players Again Seek to Overturn Arbitration Rulings Against California Comp Cases. Another Drug Maker Settles Kickback Charges. Feds Convict in San Jose EZ Step Pharmacy Fraud Case. Insurance Carriers are Skeptical About S.B. 863 Savings Claims. Manager of SCIF SIU Prefers Old-Fashioned Detective Work. DWC Posts 2013 Annual Report of Inventory Advice and Form for Claims Reporting. CHSWC Publishes Experience Rating Working Paper. WCIRB Appoints New VP and Chief Operating Officer. |
| December 17 Edition | Rene Thomas Folse, JD, Ph.D.is the host for this edition which reports on the following news stories. U.S. Supreme Court to Hear "Pay for Delay" Generic Drug Case. Allstate Wins $7 Million Fraud Judgment Against Long Beach Chiropractor. South Lake Tahoe Skier Indicted for Comp Fraud. Security Company Owner Convicted of $10 Million Fraud Scheme. Cal/OSHA Fines Atascadero State Hospital for Patient Caused Injuries. OSIP Posts Emergency S.B. 863 Regulations for Self-Insured Employers. DWC Files Supplemental Job Displacement Benefit Emergency Regulations. CWCI Study Says Medical Costs Have "Jumped Sharply." |
| December 10 Edition | Rene Thomas Folse, JD, Ph.D.is the host for this edition which reports on the following news stories. GAO Report Identifies Biggest Violators of Health Care Fraud. Insurance Commissioner Approves 2.8% Increase in Pure Premium Advisory Rate. DWC Posts Draft SB 863 Regulations to Implement the Lien Filing Fee. DWC Posts Draft SB 863 Interpreter and QME Regulations. SB 863 Architect Claims it is a "Game Changer." California Chamber of Commerce Publishes SB 863 Compliant Notices and Pamphlets. Janet Frank New PacificComp President and CEO |
| December 3 Edition | Rene Thomas Folse, JD, Ph.D.is the host for this edition which reports on the following news stories. Coventry Resolves CMS Dispute With Feds For $3 Million. Jury Convicts in Orange County Medical Fraud Case. Federal Grand Jury Investigates San Diego Drug Testing Company For Excessive Testing and Kickbacks. DWC Posts Draft Independent Medical Review Regulations. DWC Announces 2013 Temporary Total Disability Rates. 2013 Mileage Reimbursement Rate Increases to 56.5 Cents Per Mile. Fatal Accident at Fontana Concrete Plant Triggers Cal/OSHA Investigation. Accountable Care Organizations Continue to Grow. Is Comp Next? WCRI Discovers Why Claimants Hire Attorneys. DWC Seeks Nominations for 2013 Carrie Nevans Community Service Awards. |
| November 19 Edition | Rene Thomas Folse, JD, Ph.D.is the host for this edition which reports on the following news stories. En Banc WCAB Decision Clarifies Burden of Proof and Sanctions Lien Claimant. WCAB Panel Adds More Exceptions to List of QME Ex Parte Communications. San Diego District Attorney Launches Comp Fraud Awareness Campaign. Independent Staffing Solutions Organizer Arrested for Comp Insurance Scam. Insurance Broker Arrested For Defrauding Celebrities. DWC Posts SB 863 FAQ. DWC Issues Second 15-day Notice Regarding Inpatient Hospital Fee Schedule. CHSWC Publishes Guide to Developing Workplace Injury and Illness Prevention Program. Study Says Spinal Steroid Shots Have Little Effect on Back Pain. A.M. Best Says Workers' Compensation Premium Growth Has Stabilized. |
| November 12 Edition | Rene Thomas Folse, JD, Ph.D.is the host for this edition which reports on the following news stories. Physiological Manifestations of Stress Limited by Good Faith Personnel Action Defense. Sacramento Comp Doctor Faces Retrial in Sexual Abuse Case. Federal Prosecutors See Medical Research As Emerging Trend in Health Care Fraud. DWC Posts SJDB, Physician Predesignation and Chiropractic PTP Regulations. DWC Approves SB 863 Updates to CWCI New Hire Pamphlets and Posting Notices for 2013. New Medicate Set-Aside Contractor Speeds Review Time to 30 Days. Study Says New Orthopedic Surgeons Are Less Prepared. Accident Fund Insurance Company/Comp West - Celebrates 100 Year Anniversary. DWC Opens Registration for its 20th Annual Educational Conference. |
| November 5 Edition | Rene Thomas Folse, JD, Ph.D.is the host for this edition which reports on the following news stories. Restraining Order Upheld Against Injured Pomona Police Officer. DOR Not Required to Perfect Appeal of Rehabilitation Benefits. Unity Surgical Outpatient Center Criminal Case Nears Completion. Seventh Hacienda La Puente USD Employee Charged With Fraud. Seventh Hacienda La Puente USD Employee Charged With Fraud. City of San Jose Votes to Outsource Comp Claims. Global Drugmakers Fined Under Foreign Corrupt Practices Act. Aging Workforce Injuries Not a Big Factor on Comp Costs. Salinas Food Processing Plant Fined $35K by Cal-OSHA. Report Says FDA Lacks Authority to Regulate Compounding Pharmacies. Report Reviews State Prescription Drug Monitoring Programs. |
| October 29 Edition | Rene Thomas Folse, JD, Ph.D.is the host for this edition which reports on the following news stories. WCAB Cannot Bend the Rules in the Name of Compassion or Expediency. Farmworkers Claim Cal OSHA Fails to Enforce Regulations. Cal-OSHA Investigates Port of Oakland Fatality. Comp Doctor Sexual Assault Trial Starts in Sacramento. High School Custodian Pleads No Contest in Fraud Case. Owners of Central Valley Floor Care Company Face Fraud Charges. Stand Alone Comp Bills Vetoed by Governor Brown. DWC Posts Modified Rules for Outpatient Ambulatory Surgical Centers. Destie Overpeck Named Acting DWC Administrative Director. Another E-Filing Expo Set for November 8 in Anaheim. Pelosi Blames Comp Costs for United Football League Woes. |
| October 22 Edition | Rene Thomas Folse, JD, Ph.D.is the host for this edition which reports on the following news stories. Claimant Fraud and Perjury Conviction Sustained by Court of Appeal. So Cal Pharmacists Indicted for Drug Trafficking. California CVS Pharmacies Under Investigation for Automatic Refills. GAO Report Profiles Medical Fraud Cases. Pebble Beach Couple Sentenced. DWC Issues 15 Day Notice of Modifications to Text of Proposed Inpatient Hospital Fee Schedule. DWC Creates S.B. 863 Web Page. SCIF CEO Says SB 863 Holds Great Promise. California Comp Costs Move From Fifth To Third Highest in Nation. Joe Dunn Appointed Central Valley Team Claims VP. |
| October 15 Edition | Rene Thomas Folse, JD, Ph.D.is the host for this edition which reports on the following news stories. Supreme Court Grants Review of Valdez Non-MPN Report Case. WCAB Panel Says AME/QME Process Unnecessary When UR Process Deficient. L.A. County Educator Charged With Comp Fraud. FBI Arrests Owners of Ontario DME Supply Company for Fraud. Carmel Landscaper Convicted. California Work Comp Facilities Linked to Meningitis Outbreak. Genetic Link Association Found In Lumbar Disc Disease. SCIF Declares $100 Million Dividend. New WCRI Study Ranks California Comp with 15 Other States. 11 Year Old Inspires Disabled Americans. |
| October 8 Edition | Rene Thomas Folse, JD, Ph.D.is the host for this edition which reports on the following news stories. Federal Fraud Strike Force Nabs 18 Southland Residents. Drug Companies Paid $30 Billion To Resolve Fraud Charges. SWIFT Team Nabs Eight Unlicensed Contractors in Sting Operation. Bakersfield Father, Daughter Ordered to Repay Over $600K in Restitution. Elimination of Comp Exemption for Domestic Workers Vetoed. Governor Brown Vetoes Farm Worker Heat-Safety Bills. Study Says Too Many Injured Workers Remain on Opioids. LAPD Comp Costs Questioned. The DWC Medical Evidence Evaluation Advisory Committee Meets Nov 15. |
| October 1 Edition | Rene Thomas Folse, JD, Ph.D.is the host for this edition which reports on the following news stories. Court of Appeal Says WCAB Has Exclusive Jurisdiction Over 132a Claims. Riverside County Contractor Convicted in $3 Million Fraud Case. Bakersfield Occupational Medicine Physician Pleads to Drug Charge. WCIRB Recommends No Rate Increase After SB 863 Review. DIR Preparing Emergency Regulations to Implement S.B. 863 - regulation. Governor Brown Signs Roofing Contractor Comp Law. Cancer Surgeon Discloses the "Dark Side" of Medicine. IAIABC Posts Model Rule for Preventing Pain Medication Abuse. Opiods Wreak Havoc on Comp Costs. Feds Warn Hospitals Over Inflated Billing. |
| September 24 Edition | Rene Thomas Folse, JD, Ph.D.is the host for this edition which reports on the following news stories. Murrietta Man Faces Fraud Charges. Owner Pays $321,350 for Restitution in Fraud Case. Los Angeles Doctor Convicted for $1 Million Heath Care Fraud. Billing Software Blamed for Higher Risk of "Electronically-Enabled Healthcare Fraud." Physician Assistant Gets 72 Months in Prison for Role in $18.9 Million Medicare Fraud Scheme. DWC Announces S.B. 863 Regulation Workgroups. CAAA Leadership Team Pledges to Fight for "Fair Implementation" of SB 863. Medicare Secondary Payment Program Reform Law Inches Forward. Fitch Ratings Says S.B. 863 is "Slight Net Benefit" for Carriers. |
| September 17 Edition | Rene Thomas Folse, JD, Ph.D.is the host for this edition which reports on the following news stories. Superior National Insurance Liquidation Winds Down. New Deliotte Study Paints Dismal Insurance Fraud Picture. Four Win SIU Awards at Fraud Expo. The Last Minute Politics of S.B. 863. DEA Revokes Controlled Substance Licenses of Two CVS Drugstores. New Report Says $750 Billion Waste In Healthcare Each Year. BART Director "Stunned" By Open W.C. Claims. Disability and Unemployment Double Dipping Explodes. CWCI Injury Scorecard Examines Sprain Injury Claims. Disability and Unemployment Double Dipping Explodes. |
| September 10 Edition | Rene Thomas Folse, JD, Ph.D.is the host for this edition which reports on the following news stories. Philippines Court of Appeal Orders. Physician's Extradition to Face California Fraud Charges. L.A. County Probation Officer Arrested for Comp Fraud. L.A. Firefighter and Mixed Martial Arts Fighter Pleads Guilty in Fraud Case. Lawmakers Approve Comp Reform Bill. A.B. 2138 Doubles Assessments and Funding for Fraud Prosecutions. Drugmaker Committed to Personalized Medicine. Mixed Reaction to SCIF New Broker Distribution Model. DWC Administrative Director Rosa Moran Abruptly Resigns. |
| September 3 Edition | Rene Thomas Folse, JD, Ph.D.is the host for this edition which reports on the following news stories. No 15% PD Decrease Allowed For Offer of Regular Work to Employee Who Lost No Time. Court of Appeal Limits "Special Mission" Exception to Going and Coming Rule. NFL Comp Claims May Force Changes to Football Rules. CDI Annual Report Shows 1,264 Comp Fraud Prosecutions. Many Physicians Unaware of Advantages of Nerve Transfer Surgery. British Medical Journal Debates Effectiveness of Manipulation for Spinal Neck Pain. Study:Surgeons Order Excessive Off Guideline MRIs. WCIRB Refutes Comp Reform Cost Savings Claim. |
| August 27 Edition | Rene Thomas Folse, JD, Ph.D.is the host for this edition which reports on the following news stories. Supreme Court Reverses Industrial Loss of Consortium Case. Orange County Hospitals Face Fraud Charges. Large List of California "Most Wanted" Health Fraud Fugitives. Reworked Comp Reform Proposal Surfaces in S21acramento. Gov. Brown Supports Reform Bill - Other Politicians More Reserved. Insurance Journal Surveys Stakeholders on California Comp Reform. Other States Battle Year End Comp Reform. Nearly Half of U.S. Physicians Face Burnout. WCIRB Submits Proposed Rate Increase to CDI. Marriott Explores Alternative Pain Management Program. |
| August 20 Edition | Rene Thomas Folse, JD, Ph.D.is the host for this edition which reports on the following news stories. Details Emerge on Comp Reform. Applicant Attorneys Association Opposes Proposed Comp Reform. DIR Endorses Proposed Comp Reform Bill. "Imminent" California Comp Reform Faces Fierce Opposition. Cybercrime Next Frontier of Medical Fraud. Feds Investigate Major Hospital Chain for Excessive Treatment. CWCI Confirms Significant Drop in Opioid Painkillers. WCIRB Authorizes 12.6% Increase to Pure Premium Rates. DWC Schedules Electronic Filing Expo in San Diego. DWC and Medical Associations Offer eBill Webinar. |
| August 13 Edition | Rene Thomas Folse, JD, Ph.D.is the host for this edition which reports on the following news stories. Federal Appeals Court Tosses California NFL Comp Cases. Court of Appeal Clarifies Continuing Jurisdiction Over New Body Parts After Petition to Reopen. Choice of Law Provision Upheld in Employer's Civil Case. Fraudulent Medical Research Found in Evidence Based Medicine. Eurasian Organized Crime Behind Southern California Medical Fraud. Over $200K Fines Imposed in L.A. Garment District. WCIRB Actuarial Committee Recommends Pure Premium Rate Increase. Next QME Competency Examination Set for October 27. Officials Say California Comp Overhaul This Year Seems Imminent. DWC Seeks Medical Evaluation Advisory Committee Nominees |
| August 6 Edition | Rene Thomas Folse, JD, Ph.D.is the host for this edition which reports on the following news stories. 29 States Settle Lawsuit Against McKesson For Inflated Drug Prices. WCAB Panel Decision Clarifies Who Selects QME Specialty. Claim of Victim of District Attorney Sexual Harassment Barred by Exclusive Remedy. Yuba City Doctor Faces Charges for $1.3 Million Scam. Vacaville Couple Face Comp Fraud Charges. New Anti-Fraud Partnership Created to Fight Medical Fraud Rings. Pharmaceutical Companies Focus on Bioelectronics. Scientists Discover Scaffolding Protein, A New Target For Pain Drugs. 2011 Ethics Committee Report Finds 8 Cases of WCJ Misconduct. Employers Move to Loss-Sensitive Plans To Lower Comp Costs. |