Just when we here as Workers’ Comp Kit Blog think we’ve seen the most clever kind of fraud schemes, something new comes along to astonish us – and cause us to ask the question, “Why do they DO it?”
A doctor in New York doctor faces charges for alleged insurance fraud and fraudulent insurance practices for hiring a patient he was treating for a workers’ compensation disability.
Following a joint investigation by New York State Insurance Fund Division of Confidential Investigations and the New York State Insurance Department Frauds Bureau discovered the doctor allegedly hired the woman as a licensed professional nurse while she received workers’ comp benefits from NYSIF.
The doctor reported to NYSIF the woman was temporarily totally disabled as a result of her injury. However, he employed the woman as a LPN in his office during the time period she was collecting workers’ comp benefits. (workersxzcompxzkit)
The nurse joins her doctor/employer in being charged with insurance fraud and fraudulent practices in violation of the workers’ compensation law.
Author Robert Elliott, executive vice president, Amaxx Risks Solutions, Inc. has worked successfully for 20 years with many industries to reduce Workers' Compensation costs, including airlines, health care, manufacturing, printing/publishing, pharmaceuticals, retail, hospitality and manufacturing. He can be contacted at: [email protected] or 860-553-6604.
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Do not use this information without independent verification. All state laws vary. You should consult with your insurance broker or agent about workers' comp issues.
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