A lawyer in San Diego was sentenced to thirteen months in prison and approximately $500,000 in restitution and taxes for being part of an organized crime syndicate involved in large scale workers’ compensation fraud. Sean Enrique O’Keefe made roughly $700,000 a year sending workers’ comp claimants to medical providers that were complicit in an illegal…

President Donald Trump and his administration have some key policies that they’ve prioritized, particularly in immigration and healthcare. How do these affect costs in workers’ compensation? Today, we take a look. According to Dr. Richard Victor, a senior fellow with the Sedgwick Institute who founded the Workers’ Compensation Research Institute, he believes that some of…

Healthcare fraud is such a large problem that the country is facing today. Depending on the source, it’s reportedly costing the healthcare industry anywhere between $60 billion to $200 billion. And while that number is so big that it’s almost difficult to imagine, there are some very real consequences that can be ordinary people. This…

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Physicians who are drawn to leadership roles have different options when it comes to a career path. On one side, doctors join a hospital institution for resources and infrastructure and large scope of influence. On the other hand, doctors put up their own an autonomous private practice, an entrepreneurial venture that provides the freedom of…

The California Division of Workers’ Compensation (DWC) has set forth some proposed changes to the Medical-Legal Fee Schedule (MLFS) that have stirred a little bit of controversy. Comments on the DWC Forum have been mostly negative, and many stakeholders have strong opinions about the potential impact the amendments could have to the process for Qualified…

Back in May of 2018, the California Division of Workers’ Compensation (DWC) proposed some amendments to the Medical-Legal Fee Schedule (MLFS), and some of those could have a significant effect on how Qualified Medical Evaluators (QMEs) do their jobs. Let’s take a look at some of the bigger proposed changes to the California Code of…

Social media is no longer just a tool to connect. Popular social network sites like Facebook, Twitter and Instagram have now also become a treasure trove for information. Many people freely share data and information on their profiles or on their specific posts. And though privacy has become a talking point on social media, there…

There’s been much said about the physician burnout problem in healthcare. This is linked in part to the fact that doctors are doing more documentation work than ever before due to the compliance with the electronic health record (EHR). Physicians, studies say, are spending as much as 55% percent of their work day on the…

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