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Tag: 2020 Podcasts

December 21, 2020 – News Podcast


Rene Thomas Folse, JD, Ph.D. is the host for this edition which reports on the following news stories: U.S. Supreme Court Allows States to Regulate PBM Drug Prices. WC Claim, and CalPERS Retirement Defeats FEHA Claim. WCAB En Banc Limits Walk-Through Orders. Riverside Woman Learns $500K EDD Fraud Scheme on YouTube. 16 Pharmacies Admit Health Care Fraud Schemes. Pain Medicine QME Pays $153K to Resolve Opioid Charges. Mitchell International Releases 4th Quarter Comp Trends Report. DWC Responds to Increasing COVID Infection Rates. New NCCI Report Tracks COVID-19 Impact on Comp Claims. OSIP Publishes Public Self-Insured Annual Summary.

December 14, 2020 – News Podcast


Rene Thomas Folse, JD, Ph.D. is the host for this edition which reports on the following news stories: Constitutionality of California Employer Arbitration Ban Argued. Applicant Attorney Arrested For Adelante Interpreting Inc. Scam. Former Ventura County Firefighter Guilty of $148K Comp Fraud. Simi Valley Contractor Convicted for $176K Premium DIR, DWC Publish IMR 2019 Annual Review Progress Report. OSHA Announces $2,851,533 in Coronavirus Violations. New CMS Final Rule “Modernizes” Anti-Kickback” Law Implementation. Feds Approve Telemedicine Opiate Prescribing – For Now. “V-Day” – First Person Now Vaccinated for COVID. Hackers and Anaphylactoid Reactions Tarnish Vaccine Launch.

December 7, 2020 – News Podcast


Rene Thomas Folse, JD, Ph.D. is the host for this edition which reports on the following news stories: “Equitable Tolling” Doctrine Applies to Appeal of Cal/OSHA Citation. Another COVID-19 Employee Tort Case Pending Against Cal. Employer. Sheriff’s Failure of Fitness-for-Duty Test Not a Psychological “Injury”. Oxnard Roofer Faces 5 Felonies for $4M Premium Fraud. Ventura Farm Labor Contractor Faces Comp Fraud Charges. 14 Charged in So. Cal. $22M SJDB Fraud Scheme. So. Cal. Edison Electrician Charged with 63K Comp Fraud. Cal/OSHA Emergency COVID-19 Regulations Now in Effect. CDI Decreases 2021 Advisory Pure Premium Rate by 19.4%. Lack of Surgical Implant Price Transparency Doubles Costs.

November 23, 2020 – News Podcast


Rene Thomas Folse, JD, Ph.D. is the host for this edition which reports on the following news stories: California Leads the Nation in COVID-19 Civil Lawsuits Filed. Compromise and Release Resignation Letter Bars FEHA Claim. Huntington Park Clinic Owners Face $2.5M Fraud Charges. CMS Webinars Clarify WCMSA Appeal Process. CMS Reports Aggressive Efforts Reduce Fraud by $15 Billion. DWC Corrects Outpatient/Ambulatory Fee Schedule. CDC Research Grant to Study Industrial Robots for Better Safety. Remote Workers Less Likely to Take Sick Time When Sick. Amazon Launches Game Changing Online Pharmacy. Pfizer Starts COVID Vaccine Pilot Delivery Program.

November 16, 2020 – News Podcast


Rene Thomas Folse, JD, Ph.D. is the host for this edition which reports on the following news stories: October Workers’ Comp COVID-19 Claim Count Dwindles. Opioid Drugmaker Pays $2 Billion to Resolve Criminal Charges. Claimant Faces Felonies for Lying About Pain History. Woman Sentenced to 2.5 Years for $374K EDD Fraud. NCCI MPN Cost and Outcome Study – Not All Good News. CWCI Study Shows 36.2% Drop in Hospitalizations. Employers Increase Deep Cleaning and Sanitizing Stations. COVID-19 Vaccine Candidate 90% Effective in Phase 3 Study. Stunning Public Mistrust in COVID Vaccine May Limit Protection. Travelers Launches Global Companion Plus+ for Foreign Risk.

November 9, 2020 – News Podcast


Rene Thomas Folse, JD, Ph.D. is the host for this edition which reports on the following news stories: App-based Rideshare Companies Win Exemption from AB5. Comp Policy Rates Cannot be Altered by Oral Prior Assurances. Fraudulent Drug Treatment Program Owners Plead Guilty. Owner of Janitorial Service Faces $2.5M Fraud Charges. DME Company Resolves Fraud Claims for $566K. Memorial Health Services Resolves $31.5M Overbilling Dispute. DWC Posts 2019 Audit Report. WCIRB Publishes 2020 Geo Study. Benefit Rates Set to Increase in 2021. 1 in 5 California Comp Spine Surgeries Require Readmission.

November 2, 2020 – News Podcast


Rene Thomas Folse, JD, Ph.D. is the host for this edition which reports on the following news stories: Court Sustains Gardena PD Service Officer Fraud Conviction. SCIF Claims Adjuster and Chiropractor Face Fraud Charges. San Diego Internist Convicted for Illegal Opioid Prescribing. Technical Training School Owner Sentenced for $30M Fraud. DWC Sets Zoom Hearing on Changes to Med-Legal Fees. National Battle Heats Up Over Future of Gig Economy. WCAB Reinstates 5 Rules in 2 New En Banc Decisions. DWC Adds 11 New Telehealth Codes Into OMFS. Is Agili-C the Future of Joint Repair? COVID-19 Vaccine Likely by End of Year.

October 26, 2020 – News Podcast


Rene Thomas Folse, JD, Ph.D. is the host for this edition which reports on the following news stories: Purdue Pharma Agrees to $5.5B Criminal Fines and Penalties. Applied Risk – CDI Conservatorship Battle Goes to Federal Court. Daly City Injured Worker – Triple Dipper – Sent to Jail. Trucking Company Owners Face Premium Fraud Charges. Rapper Arrested for $1.2M EDD Fraud – Exposed on YouTube. LA Clinic Prescribes and Buys Back Opiates for Black Market. CMS Releases New WCMSA Reference Guide (Version 3.2). CWCI Examines 2019 Geographic Adjustment Factors in the OMFS. WCRI Compares 18 States Medical Cost Trends. Marsh Reports COVID-19 Claim Costs Less Than Expected.

October 19, 2020 – News Podcast


Rene Thomas Folse, JD, Ph.D. is the host for this edition which reports on the following news stories: WCAB Rules Tree Trimmer Amputation “Sudden and Extraordinary”. California Joins in Antitrust Litigation Against AbbVie. Another Opioid Drugmaker Files for Bankruptcy Protection. Santa Monica Woman Guilty of Price Gouging 20,000 N95 Masks. Mitchell Launches Data Explorer to Combat Fraud. NCCI Reports Most COVID Claims are “Small Dollar”. QME Emergency Regs 36.7 and 46.2 Extended to 2021. DWC Adjusts OMFS Pathology Lab Fees, Hospital and ASC Fees. Digital Health Startups are Disrupting Healthcare System.

October 12, 2020 – News Podcast


Rene Thomas Folse, JD, Ph.D. is the host for this edition which reports on the following news stories: LC 5500.5 Contribution Can Be Timely Initiated by DOR. Successor Corporation Not Insured by Existing Comp Policy. Historic Fed Takedown of 345 Healthcare Providers for $6B Fraud. San Diego Lab Pays $3M to Resolve Kickback Case. Sedgwick Launches COVID-19 Reporting Portal. WCIRB Reports 11% Reduction in Premium. Labor Unions Disappointed at Newsom Employment Law Vetoes. Uber and Lyft Face $392M Annual Payroll Taxes if Prop 22 Fails. FDA Approves New Cervical Disc Replacement Design. Next Insurance Expands to 24 Additional States.