Federal workers' comp professionals are encouraged to challenge suspicious workers' comp claims. After all, the money saved from just one successfully challenged claim off-sets the time invested in thoroughly examining and presenting the facts.
In easy-to-read format, Fighting Fraud offers practical guidance and legal pointers to help you decide whether there is sufficient evidence to dispute a claim. Plus, you get cost-saving strategies necessary for disputing or denying the validity of a claim.
Through quick tips backed by key case law, you discover:
- 9 reasons for controverting continuation of pay
- How claims can be disputed with or without witnesses
- The 5 burdens of proof for any claim
- How ECAB is ruling on claim controversion cases -- so you can duplicate what works and know what actions to avoid
- Situations that signal possible fraud and abuse
- And more!
Plus, you get fingertip access to relevant statutes and regulations, Form CA-1, and the VA's directive on Managing Workers' Compensation Cases and Costs.
