Practice Areas
Blog 
Workers' Compensation
- Injured Workers Suffer After Insurance Bankruptcy
- East Atlanta Liquor Store Clerk Killed
- How can an attorney help your Workers' Compensation case?
- Security Guard Killed In Atlanta
- Can workers’ comp claimants in Georgia change doctors?
News
- Atlanta’s Workers’ Compensation gets national attention...
Posted on 9/24/2009 - Four Atlanta workers hurt when gas line explodes...
Posted on 8/31/2009 - Number of on-the-job deaths among Hispanic workers steadily increasing...
Posted on 7/27/2009 - Atlanta firm implicated in second construction accident...
Posted on 7/26/2009 - When will fines be paid for deadly walkway collapse that killed worker?...
Posted on 7/26/2009
Library
Workers' Compensation
Workers' Compensation
NY Times Studies Workers' Comp Fraud
The New York Times spent 18 months researching the Workers' Compensation Board in New York. They uncovered a system frought with unnecessary delay and improper - even fraudulent - denials of legitimate claims. Although some officials complain of rampant fraud by workers, no data on potentially fraudulent claims has even been collected. The process in New York routinely results in workers waiting four or five months for the first hearing, often not receiving medical treatment or lost wages in the interim. Even doctors treating injured workers complain about the length of time their patients' cases take. Dr. Fayngersh of Brooklyn reported 41 bills from a single case remained unpaid by the workers' compensation carrier more than a year after treatment.
In Georgia Workers' Compensation cases, many insurers use the IME, or independent medical examination, to try to weed out fraudulent claims. However, it is sometimes a vehicle perpetrating faud on the insurer's part. The article exposes similar insurance company influence in New York over the workers' comp system as in Georgia. The Workers' Comp Board itself is the only institution that can prevent fraud in the system. Yet, the Fraud Unit of New York seems to focus on non-premium paying employers. This focus makes it a revenue tool, not a policing power. The system in Georgia and metro Atlanta seems to work similarly. Perhaps there may be more fraud in our system than officially recognized. Fortunately, the NY Times article also provides some helpful tips for claimant's attorneys engaged in the appeals process.
In Georgia Workers' Compensation cases, many insurers use the IME, or independent medical examination, to try to weed out fraudulent claims. However, it is sometimes a vehicle perpetrating faud on the insurer's part. The article exposes similar insurance company influence in New York over the workers' comp system as in Georgia. The Workers' Comp Board itself is the only institution that can prevent fraud in the system. Yet, the Fraud Unit of New York seems to focus on non-premium paying employers. This focus makes it a revenue tool, not a policing power. The system in Georgia and metro Atlanta seems to work similarly. Perhaps there may be more fraud in our system than officially recognized. Fortunately, the NY Times article also provides some helpful tips for claimant's attorneys engaged in the appeals process.
There are no comments.
Post a comment
Post a Comment to "NY Times Studies Workers' Comp Fraud"
To reply to this message, enter your reply in the box labeled "Message", hit "Post Message."Let us review your case. Please fill out the confidential form below, or call us 24/7 at the toll free number above.
Kaufman Law
12 Beck Street, N.W.
Atlanta, GA 30318
Phone: (678) 666-3600
Toll Free: (888) 973-2540
Get Directions
Note: Your information is confidential and is not used or sold for marketing purposes. Written contract required for representation.
Call 24/7
Homebound & Hospital Visits
Insurance companies, even your own, are not your friend. They will do whatever they can to avoid paying your claim. Educate yourself on the process, and then hire an attorney to protect your rights.
Order Now