California workers comp fraud efforts likely paying off: Bureau

Posted by admin at 3:09 PM on Oct 19, 2018


Efforts to identify and prosecute provider fraud in the California workers compensation system is likely having an impact in both reducing such payments and lowering their associated costs, according to a new report.

As of April 7, more than 450 medical providers had been indicted and/or suspended by the California Department of Industrial Relations from practicing in the state’s system.

“Many of these providers previously billed and were paid significant amounts for workers compensation-related services,” the report released Tuesday by the Workers Compensation Insurance Rating Bureau of California stated. “While many of the procedures billed by these providers may have been for legitimate services, the suspension of their practices in California’s workers compensation is likely a significant driver of reduced medical costs.”