Rene Thomas Folse, JD, Ph.D. is the host for this edition which reports on the following news stories: 2 Inch Leg Shortening is “Amputation” for 240 Week TD Cap. Convicted Claimant Pleads Guilty to 2nd $1.6M EDD Fraud. NFL Players Plead Guilty to Nationwide Healthcare Fraud Scheme. Pain Doctor Pays $200K to Resolve Opiate Overprescribing. WCIRB Multiple Enterprises Rule Changes Effective 9/1/21. HHS Announces Plan to Directly Negotiate Drug Prices. WHO Says COVID-19 is “Here to Stay”. Mu COVID Variant Spreads to 49 States.
Rene Thomas Folse, JD, Ph.D. is the host for this edition which reports on the following news stories: Court of Appeal to Decide Landmark COVID Exclusive Remedy Issue. Ninth Circuit Rejects Medical Marijuana Legalization Case. Sutter Health to Pay $575M to Resolve Anticompetitive Claim. 19 Guilty Pleas in SoCal Substance Abuse Facility $18.5M Fraud Case. DWC Announces Return of In-Person Hearings. NCCI Finds No Pandemic Related Access Delays for Comp Care. WCIRB Publishes Annual Medical Trends Report. International Overdose Awareness Day Focused on Societal Approach. Lawmakers Seek Proof of Vaccination Law to Enter Public Spaces. COVID Comp Claims Remain Well Managed.
Rene Thomas Folse, JD, Ph.D. is the host for this edition which reports on the following news stories: Supreme Court Clarifies and Limits Privette Doctrine. Judge Declares Gig Employer Prop 22 Law Unconstitutional. When is a Roommate a Partial “Dependent” for Death Benefits? WCAB Panel Rejects VR Total Disability Citing Hegglin Rule.
SuperCare Health Resolves Fraud Claim for $3.31M. Jury Convicts SoCal PI Lawyer for Stealing $3.9M Settlement. Pharmacy Owner to Serve 3 Years for $1.8M Fraud. WCAB Considers New Rules of Practice and Procedure. Stakeholders Continue to See Benefits in Telemedicine. Study Claims Majority of Workers Favor Remote Work.
Rene Thomas Folse, JD, Ph.D. is the host for this edition which reports on the following news stories: Court Applies Borello Standard in Appeal of Criminal Conviction. States Face August 21 Deadline to Accept $26B Opioid Settlement. So. Cal Telemedicine Doctor Arrested for Opioid Prescriptions. S.F. Restaurant Resolves Wage and Tip Theft Case for $1.6M. Neurosurgeon Acquitted in Pacific Hospital Kickback Case. State Audit Shows $72B Covid Funding Mismanagement. New Low Back Guideline Supports Benefits of RTW. CMS Finds Dangerous Patient Care at Good Samaritan Hospital. COVID Comp Claims Spiked to 2,581 Cases in July. Musk Announced “Teslabot” Humanoid Worker by Next Year.
Rene Thomas Folse, JD, Ph.D. is the host for this edition which reports on the following news stories: WCAB to Decide 4850.4(f) Disability Overpayment Jurisdiction. Court Elaborates Rules for Insurer Bad Faith in $26M Judgment. WC Air Ambulance Fee Schedule Preempted by Federal Law. Court Rules Against Amazon in COVID Safety Case. Plaintiffs’ Prevail in $87M Roundup Cancer Case Appeal. San Mateo County Medical Center Resolves Fraud Claim for $11.4M. California Orders Teachers to be Vaccinated or Tested. Employer Mandated Vaccinations Face Union Headwinds. Telehealth Services Added to OMFS and CMS Fee Schedules. MRNA Experts Claim COVID Herd Immunity Unlikely.
Rene Thomas Folse, JD, Ph.D. is the host for this edition which reports on the following news stories: Feds Pursue Kaiser Permanente For Fraudulent Claims. Bay Area Startup Raised $85M to Combat EDD Fraud. Annual Healthcare Fraud Report Shows $3.1B in Recoveries. Landscaper Earns $450K While Claiming TD Benefits. Cal. Medical Board Takes Heat for Lax Physician Discipline. DIR Awarded $10M Apprenticeship Program Grant. WCIRB Updates Advisory Plan Tables. California Employer and 32 Others Receive NSC Safety Award. COVID Cases Surge in Vaccinated SF Hospital Staff. Survey Shows 61% Physician Pandemic Related Burnout.
Rene Thomas Folse, JD, Ph.D. is the host for this edition which reports on the following news stories: No Jury Trial In Superior Court Comp Coverage Dispute. Pfizer Legal Battle Over Anti Kickback Law Heats Up. Correctional Officer’s Off-Duty Weight lifting Not AOE-COE. 11 Skilled Nursing Facilities Resolve Fraud Claims for $2M. Organized International Crime Behind Fraudulent UI Claims. WCIRB Report Shows First Combined Ratio Over 100% Since 2012. DWC Sets Hearing for Copy Service Fee Schedule Updates. Grocery Chain Cited for $115K in COVID Sick Pay Violation. California Restrictions Tighten as New COVID Wave Spikes. Mandatory Drug Monitoring Databases Reduced Opioid Use.
Rene Thomas Folse, JD, Ph.D. is the host for this edition which reports on the following news stories: Cal. Supreme Court Defines Correct Pay for Working Through Lunch. Purdue Pharma Threatens California With “Colossally Idiotic” Sanctions. Pharmacies Remain Opioid Litigation Targets in California Cases. Prime Healthcare Resolves California Kickback Claims for $37.5M. Injured Landscaper Pleads Guilty in Exaggerated Injury Case.DWC Restores Limited Services in Local Offices. CDI Lowers WC Advisory Premium Rates for 11th Time.Claim Frequency Increasing for Cal. Private Self-Insureds. WCRI Study Shows No Pandemic Related Treatment Delay. New Award Recognizes Injury Prevention through Design.
