The Workers’ Compensation Insurance Rating Bureau of California (WCIRB) released Treatment Patterns of Medical Providers Indicted for Fraud in California Workers’ Compensation, a follow-up analysis to its 2018 study that evaluated the potential impact of medical provider fraud enforcement.
While Senate Bill No. 863 and subsequent legislation led to significant reduction in medical costs, anti-fraud measures by various stakeholders also contributed. The WCIRB’s new research brief compares the treatment patterns and types of services rendered by indicted/suspended providers (indicted providers) to non-indicted/suspended providers (other providers) as well as the regional variations and differences in treatment levels on cumulative trauma (CT) claims. The WCIRB’s findings include:
Read the entire WCIRB research brief at the following link: