Ohio Man Pleads Guilty to Workers’ Comp Fraud

March 31, 2004

  • March 31, 2004 at 7:42 am
    R. Murphy says:
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    Maybe the Ohio BWC recovers 103 million dollars in year. But, is it detering fraud and is it actually saving us any money?

    To me, as an Ohio resident, it seems like the Ohio BWC has a way of spreading propaganda when people start asking why so many injured workers are being wrongfully denied workers compensation benefits by private insurance companies.

    We have a booming business for workers compensation lawyers. They are even advertising on TV. Isn’t it strange how they make so much money on a percentage? They would have to win most of the time. How does that happen if injured workers are receiving due processing of their claims?

    Is that amount recovered by the Ohio BWC before or after the costs are figured for staffing and for investigating people? What about all of the costs for all of the investigations that don’t find anything? What about the cost to the state’s welfare system for the injured workers who are forced to live on permanent disability while waiting months and years to appeal the denial of their claims? Who is paying for the medical costs of treating their injuries? Who pays for their food stamps? Would that be the taxpayers instead of the private insurance companies?

    Ohio has a grossly underfunded OSHA program to protect workers from injuries and a workers compensation bureau that doesn’t enforce injured workers’ rights to receive fair and timely disposition of their claims. The taxpayer pays a lot of money but doesn’t get much in return.

    The lax enforcement of injured workers rights has created an interesting industry in Ohio. If you can’t cut it as a regular doctor who treats real patients, any medical degree entitles you to examine injured workers for insurance companies and employers and make a lot of money for a few minutes work.

    You don’t even have to invest much money in office space and equipment. Some of these “occupational injury specialists” work out of old houses and old store fronts. Few have any ties with hospitals or recognized medical institutions.

    You can do substandard therapy work as long as you make that worker go back to work. It doesn’t matter if they are still injured. Our state medical board only goes after doctors who cheat those poor insurance companies. It’s good to have the insurance lobby on your side.

    You can start a thriving medical practice in Ohio as an occupational doctor or thrapist as long as you know how to give the insurance companies and the federal OWCP the medical results they want, ethics be damned.

    The Ohio taxpayers are spending a lot more than is being recovered to insure that have one of the most substandard workers compensation programs in the country.



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