Workers Compensation Kit
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"Fraud & Abuse - Controlling fraud & abuse of the system"
Fraud, Abuse and Malingering: Some people take advantage of the system by staging accidents, faking injuries or pretending they are injured more seriously than they are.
- Be able to spot the red flags of fraud
- Hospital bill review
- Guide the investigators on your team
- Read and review surveillance reports, videotapes and photographs
- Have an anti-fraud program which includes a toll-free tip line
Forms & Documents
- Letter to TPA Enclosing Report
- Letter to Employee's Doctor
- Letter Requesting Investigation