|California DWC Posts the Proposed Guideline for Mental Illness & Stress to Online Forum|
By California Department of Industrial Relations - February 5, 2016
The Division of Workers’ Compensation (DWC) posts the proposed Mental Illness & Stress Guideline to update the current Stress Related Conditions Guideline of the Medical Treatment Utilization Schedule set forth in section 9792.23.8 to its online forum. Members of the public may review and comment on the proposals until February 16, 2016. The proposed amendment to the regulations incorporate by reference the March 25, 2015 version of the Official Disability Guideline’s “Mental Illness & Stress Guideline” which the DWC has adopted with permission from the publisher.
|California DWC Administrative Director Destie Overpeck to join the State Bar of California|
By California Department of Insurance - News Release and Lonce LaMon - February 1, 2016
California's Division of Workers’ Compensation (DWC) Administrative Director Destie Overpeck is leaving the Department of Industrial Relations (DIR) to join the State Bar of California at its Office of the General Counsel. Ms. Overpeck’s last day with DWC will be February 12, 2016. DWC Chief Counsel George Parisotto will assume the acting administrative director responsibilities.
As administrative director, Ms. Overpeck managed DWC and oversaw the implementation of several reforms to the workers’ compensation system, including California’s 2012 reform law, SB 863, which increased payments to injured workers while simultaneously reducing costs for employers.
|California Department Of Insurance Conducts Investigation Of Massive Workers' Comp Insurance Fraud Operation Resulting In 13 New Indictments. Medical professionals indicted in multi-million dollar kickback and bribery scheme.|
By California Department of Insurance - News Release - January 29, 2016
SAN DIEGO, Calif. - A complex investigation into one of the largest cases of workers' compensation health care insurance fraud in department history has led to 13 indictments announced today against seven Southern California-based medical professionals. This is the second wave of indictments against attorneys, doctors and medical providers who ripped off nearly 20 insurance companies by taking kickbacks totaling nearly half a million dollars for treatments including chiropractic, pain management, echo cardiograms and even sleep studies resulting in millions of dollars of fraudulent workers' compensation insurance claims.
These indictments are the result of a joint investigation by the Department of Insurance, FBI, U.S. Attorney's Office, and the San Diego District Attorney's Office. The operation was first announced in November when federal indictments were handed down to eight defendants including doctors and their associates.
|California DWC Posts 2016 Annual Report of Inventory Advice and Form for Claims Reported During Calendar Year 2015|
By California Department of Industrial Relations - January 28, 2016
The Division of Workers' Compensation (DWC) Audit Unit has posted on its website the form claims administrators can use for the required 2016 annual report of inventory (ARI) for claims reported in calendar year 2015, along with advice for claims administrators. This posting replaces individual notices previously sent to claims administrators.
California Code of Regulations, title 8, section 10104 requires claims administrators to file an annual report of inventory indicating the number of claims reported at each adjusting location for the preceding calendar year. The report must be filed with the DWC administrative director (AD) by April 1 of each year. Even if there were no claims reported in the prior year, the report must be completed and submitted to the DWC Audit Unit. Each adjusting location is required to submit an ARI, whether or not they receive a form for reporting claims from the Audit Unit, unless their ARI requirement has been waived by the AD.
January 28, 2016 - Paige S. Levy Selected Chief Judge for Division of Workers’ Compensation
January 26, 2016 - California Dept of Workers' Compensation (DWC) Reminds Parties to Use Revised QME Form 105
January 26, 2016 - Defendant Anita Maxwell Trying To Raise $26,658.18 To Repay Subrosa Costs, Mileage Reimbursement Costs, And PD Overpayments. Returns To Court March 15th.
January 25, 2016 - Leroy Barnes, A Kia Dancing Hamster, Makes A Plea Deal For Workers' Comp And State Disability Fraud In Downtown Los Angeles Criminal Court. But his own attorney has committed a heavier crime...
January 20, 2016 - Calif DWC Posts Additional Adjustments to Official Medical Fee Schedule (Physician Services / Non-Physician Practitioner Services)
January 15, 2016 - G & G Interpreting Services Owners And Four Other Defendants To Be Arraigned Today In Downtown Los Angeles