Preview

Worker's Compensation Case Term Paper

Good Essays
Open Document
Open Document
356 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Worker's Compensation Case Term Paper
It is the responsibility of all individuals who deal with worker’s compensation cases to notify the insurance carrier of any suspicious situation. By doing so, action can be taken to have the case investigated further, by personnel from the fraud divisions, or referred to the district attorney’s office. The rule of thumb, is if the procedure is not documented, it should not be billed. I would check the medical record, and clarify with the doctor, that I understood what he was asking of me. The physician is responsible for determining the legitimacy of work injuries, and reporting findings accurately. If a report is prepared with the intent to use it in support of a fraudulent claim, or if a fraudulent claim is knowingly submitted for payment,

You May Also Find These Documents Helpful

  • Good Essays

    Another problem would be the lack of a complete orientation training manuals. This is something the company should never be without. A complete manual would have to be sent to the printers, whether in house or out sourced, the manual would have to be completed before the training on the June 15.…

    • 957 Words
    • 4 Pages
    Good Essays
  • Good Essays

    Summary: OSHA Lawsuit

    • 483 Words
    • 2 Pages

    The U.S. Department of Labor filed a lawsuit in the U.S. District Court for the District of Montana against a Helena-based company named Kbec Inc. in January 2013. Kbec Inc. is a Dairy Queen franchisee that, “illegally terminated an employee for making complaints regarding workplace violence at the company 's facility.” (Todd & Rodriguez, 2013).…

    • 483 Words
    • 2 Pages
    Good Essays
  • Powerful Essays

    Unit 9 Final Tort Paper

    • 1505 Words
    • 7 Pages

    The parents allege that Rob Jr. was tricked into attending some meetings. One night about a year ago, Rob Jr. was getting ready to return home after one of their youth meetings. The organizer of the youth retreat, Tom Marsden, allegedly made numerous excuses for keeping Rob there. It reached a pinnacle when Tom told Rob Jr., "If you leave, you will be thrown into the eternal fires of Hell, and you will not be allowed back." Rob Jr. acquiesced and remained. The next day Tom had Rob Jr. write a letter to his parents telling them that he was planning to stay with the Church, as they were his "new" family. Rob Jr. was also told to demand money from his parents to cover his expenses.…

    • 1505 Words
    • 7 Pages
    Powerful Essays
  • Satisfactory Essays

    Case 3 Compensation

    • 213 Words
    • 1 Page

    the reduction in the exercise price, Murray also changed the vesting terms, such that the…

    • 213 Words
    • 1 Page
    Satisfactory Essays
  • Good Essays

    I for the most part concur with the choice and the adjusting of hobbies the NLRB endeavored to fulfill. On one hand, the manager might actually have reports or data that are exclusive and/or in need of security of abuse. Then again the union needs different reports and data to enough speak to the investments of its participation. The opposite of this is, obviously, that administration may get to be excessively defensive of archives and data and the union may misuse its entitlement to demand such data with the end goal of bedeviling administration into an unjustifiable work hone. In this way, importance of the data looked for ought to be the manual for the necessity for generation alongside the preference the arrival of data may cause administration. The choice is likewise amazing for the commence that it requested the gatherings to basically create their own concurrence on adjusting these investments.…

    • 341 Words
    • 1 Page
    Good Essays
  • Good Essays

    Tort Law Case Study Essay

    • 996 Words
    • 4 Pages

    In the case at Gigantic State University, students that were a part of the SFT committed several careless acts. Within this particular case there was a definite crime that was committed because both Prudence’s physical and mental integrity was harmed. Not only could this case be classified according to the textbook as an intentional tort against persons but could be put into intentional tort against property. Torts against persons are intentional acts that harm an individual’s physical or mental integrity (Kubasek, pg. 111). A person who is legally injured may be able to use tort law to recover damages from someone who is legally responsible, or “liable,” for those injuries. According to the case, Prudence’s physical integrity was harmed…

    • 996 Words
    • 4 Pages
    Good Essays
  • Satisfactory Essays

    Final Case Analysis Paper

    • 440 Words
    • 2 Pages

    housing might have on smaller businesses that rely on Disneyland for their main income will be…

    • 440 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    The Longshore and Harbor Workers' Compensation Act and its extensions, provide medical benefits, compensation for lost wages, and rehabilitation services to employees who are injured during the course of employment or contract an occupational disease related to employment. Survivor benefits also are provided if the work-related injury causes the employee's death.…

    • 1192 Words
    • 5 Pages
    Good Essays
  • Good Essays

    Tort Law Case Study

    • 445 Words
    • 2 Pages

    I felt this case was of negligence and malpractice, how can someone complain about their discomfort, provide relevant medical history and not get the proper diagnosis. They could have provided a more I depth diagnosis or allowed for a longer observation period. Hospitals often struggle to find a balance between profit and patient care. If the profit margin was not the first priority, then maybe we can avoid similar cases like this. It seems that the struggle for tort reform in finding a good balance between protecting healthcare institutions and at the same time allow for patients the opportunity to pursue compensation when malpractice does occur is…

    • 445 Words
    • 2 Pages
    Good Essays
  • Good Essays

    Emtala Case Study

    • 924 Words
    • 4 Pages

    To investigate this incident, I would begin by collecting the facts of the situation as it happened from both the Physician’s assistant and the patient involved. I would also review company policy and procedure which must be in place as mandated by the Act. I would also question the employee on policy and procedure to assess their understanding procedures in place and to determine if modifications are needed in employee training in this area. Then, an audit should be performed to determine if this is a onetime event or an ongoing concern.…

    • 924 Words
    • 4 Pages
    Good Essays
  • Satisfactory Essays

    This research paper is to discuss the positive and negative effects of Canadian correction system vs the middle eastern correction system on inmates and convicts. First, life does matter regardless the person, who is charged with rape, theft, assault, etc. However, will discuss the effects of restorative justice offenders and victims. As well, the discussion of two of biggest middle eastern countries that are molded by the Sharia law countries such as, Iraq and Iran. Additionally, how sharia law came to existence.…

    • 82 Words
    • 1 Page
    Satisfactory Essays
  • Good Essays

    If you have been injured on the job and cannot work, you have likely filed a claim for workers' compensation. If you have been denied this claim, don't panic. There are, however, a few things you should know.…

    • 454 Words
    • 2 Pages
    Good Essays
  • Better Essays

    Employment Law Midterm

    • 1230 Words
    • 5 Pages

    1. DePeters, Co. is sued for sex discrimination on the grounds that too few women are hired because fewer women than men achieve passing scores on a required manual dexterity and physical strength test. DePeters, Co. offers in its defense that even though fewer women score high enough on the test, a greater percentage of the passing women are hired. The company maintains that, as a result, the percentage of women in the workforce mirrors the percentage of available women in the labor pool. A group of women who took the test and failed file suit. Explain the basis for the cause of action, and analyze the merits of the cause of action, employer defenses, and likely outcome. Support your response with applicable law.…

    • 1230 Words
    • 5 Pages
    Better Essays
  • Satisfactory Essays

    but you do not want your company exposed on the news because your sweat shop in Bangladesh…

    • 826 Words
    • 4 Pages
    Satisfactory Essays
  • Good Essays

    False Claims Act Essay

    • 430 Words
    • 2 Pages

    If the physician knowingly document treatment and procedures that he or she know that they did not perform to receive a large reimbursement, this is a violation. A physician’s office is held to the same standards are an organization. However, a hospital can violate the False Claims Act by not reporting or returning overpayments that may have been received. When I worked in a hospital, at the end of the year a report was created to be submitted to Center of Medicaid and Medicare for annual cost. An organization can violate the False Claims Act by not reporting any…

    • 430 Words
    • 2 Pages
    Good Essays