“he rice s ight” wheel spin nets work comp fraud
TRANSCRIPT
WORKER’S COMP COSTS… SUNCOAST/EMPLOYERS TAKE CONTROL
Employers have a much better chance of controlling costs and reducing case length if they develop a partnership with a medical facility knowledgeable and experienced in the area of Worker’s Comp. For example, the medical record produced directly after an injury can contain information helpful to the employer. 2
Resist the “easy fix” temptation of sending employees to
emergency rooms , unless absolutely necessary. WHY?,..because E.R. costs
are much higher, reports tend to be less detailed and less specific and therefore
less useful for workers' comp purposes.
FOR MORE INFORMATION CALL Suncoast Urgent Care & Occupational Health
www.suncoastucc.com
OPEN 7 DAYS A WEEK Evenings/Weekends
Dudley Mays
Occupational Medicine Consultant
Ph: 727-372-3888 Office Ph: 352-684-3288 317-201-0423 (Cell) [email protected]
“It's hard to beat a person who never gives up.” ― Babe Ruth
Getting the chance to spin the Big Wheel on a nationally televised game show sounds like a great idea, right?... Well, not if you are a postal worker collecting a $3,000/mo income for a bad workers comp shoulder injury. Cathy Caswell claimed that her injury prevented her from lifting mail trays onto her truck and that she was “unable to stand, run, reach, or grab.” However, that apparently did not stop her from reaching up high, grabbing tight and
spinning the Big Wheel, not just once but twice, while appearing on the show. This not-so bright idea caught the eye of investigators. Read More: http://theweek.com/speedreads/index/260276/speedreads-woman-suspected-of-workers-comp-fraud-caught-on-the-price-is-right
“The Price Is Right”…Wheel Spin nets Work Comp Fraud
Surveillance video of a woman running in high heels and performing oral sex in a public park landed her behind bars. Modupe Adunni Martin, 29 was sentenced to nine months in jail for performing the physical act while claim-ing to be too injured to work.. She was also ordered to repay $79k in defrauded funds. Apparently two of her treating physicians suspected she was exaggerating the extent of her injuries. With the physician’s cooperation, surveillance videos were taken which apparently showed Martin walking with crutches into the doctor's
office, and then ditching them shortly thereafter. After the visit, Martin walked to a public park without the crutches and ran a short distance in her high-heeled shoes, before kneeling and performing oral sex on her boyfriend. Read More: http://sacramento.cbslocal.com/2012/12/14/bay-areas-womans-sex-act-reveals-workers-comp-fraud/
Bay Area Woman’s Sex Act Reveals Work Comp Fraud
© Copyright 2014
Sunbeam Health Group Suncoast Urgent Care
All Rights Reserved
2014
Volume I
IMPORTANT D.O.T. NEWS EFFECTIVE May 2014 IT BECAME THE LAW… Employers must now have ALL DOT exams performed ONLY by a nationally certified provider, who has met DOT/FMCSA/NRCME requirements. To become a certified Medical Examiner, providers have to;
Be licensed, certified or registered in
accordance with applicable state laws and regulations to perform physical examinations
Register on the National Registry Sys-
tem website and receive a unique identi-fier number
Complete the requisite training
Pass the medical certification test Additionally, providers must now complete refresher training courses every five years and successfully pass the medical examiners’ certification test every 10 years
Suncoast Urgent Care providers
are DOT Certified and listed on the National Registry of
Certified Medical Examiners NRCME.
DOT Physical Examinations are performed
7-Days Week.
DID YOU KNOW?
(Did You Know Continued page 2)
DID YOU KNOW?... a standard 5, 8 or 10 panel drug test
will typically not detect Oxycodone/Oxycontin
A National Diagnostics company recently conducted a pilot study showing the positivity rate for Oxycodone alone appears to be in-creasing by more than 100%.
DID YOU KNOW?... Suncoast Urgent Care & Occupational Health offers new expanded opiate panels incorpo-rating the detection of these additional opiates and analytes? For just a few dollars per test. you can strengthen your company’s drug test program. For more information Contact Suncoast
Urgent Care & Occupational Health - Dudley Mays 317-
201-0423 (Cell) [email protected]
Opiate Abuse On The Rise
There is a reason Suncoast Urgent Care & Occupational Health has become the provider of choice for so many Employers, Municipalities, PEO’s & Insurance Carriers…
It’s because we have the knowledge & experience.
• Bizarre Workers Comp Stories…. (page 1) • Workers Comp Costs …………………..(page 1) • Did You Know?........... …………………..(pages 1 & 2)
• OSHA Fines Florida Co. For Failure To Provide Respiratory Medical Evaluations…..(page 2) • Florida’s Medical Marijuana Law …… ……………………………………………………………………. (page 2)
© Copyright 2014
Sunbeam Health Group Suncoast Urgent Care
All Rights Reserved
DIRECTORY OF SERVICES
The following services and programs are available to
your Company or Organization
HEALTH & SAFETY
• WORKERS COMP
INJURY TREATMENT
• EXPOSURE MONITORING
• OSHA SURVEILLANCE
• FIRST RESPONDER/CPR/ FIRST AID TRAINING
MEDICAL
EVALUATIONS
• EMPLOYMENT/DOT EXAMS
• DRUG TESTING DOT, FLDFW )
• BREATH ALCOHOL TESTING
• SURVEILLANCE EXAMS
• RESP CLERANCE EXAMS
• AUDIO/VISION TESTING
• Ability To Work Exams
• PHYSICAL/OCCUPATIONAL
THERAPY REFERRAL
Dudley Mays is a Consultant with Suncoast Urgent Care & Occupational Health
.
34609
, Ste 104
One Florida employer, was just reminded that OSHA is quite seri-ous about compliance with the Respiratory Protection Standard.
Southern Grouts & Mortars, re-cently racked up multiple OSHA violation fines. Among other viola-tions, four repeat violations, with fines of $29k were handed down for failure to provide a respiratory pro-
tection program that included medical evaluations and fit testing.
To be in compliance employers must provide medical evaluations for workers who use respirators. Annual Fit Testing & Training are also required.
NOTE: A repeat violation exists when an employer previously has been cited for the same or a similar violation of a standard, regulation, rule or order at any other facility in federal enforce-ment states within the last five years. Source; U.S. DOL Nov. 13, 2014
DID YOU KNOW... D.O.T. Drivers ...for a driver to be covered under the
DOT drug and alcohol testing require-
ment of FMCSA, that driver must
1) operate a Commercial Motor Vehi-
cle (CMV) in commerce and
2) be subject to the commercial
driver’s license requirements of 49 CFR
383 .
FMCSA identifies specific criteria which classify a vehicle as a CMV. (49 CFR 382.107)
• (1) Has a gross combination weight
rating or gross combination weight of
11,.794 kilograms or more (26,001
pounds or more), whichever is
greater , inclusive of a towed unit(s)
with a gross vehicle weight rating or
Florida’s Medical Marijuana
Law Did Not Pass ...this is old
news for those interested but, even if
it had passed, employers who prohibit
marijuana use by employees would
still have been able to enforce their
policies. “The employer could have
said I don't care about your prescrip-
tion, you're fired anyway,” according
to a blog quoting Brett Schneider,
who heads the labor law practice at
Weiss Serota Helfman in Fort Lauder-
dale.
DID YOU KNOW? Florida Based Company Racks Up Big $$ OSHA Fines
OSHA Required Respiratory Protection
...per OSHA regulations, employers must provide Medical Evaluations for workers required to use respirators. A Written Program, Annual Fit Testing & Training are also required.
Marijuana is still illegal on the federal
level, and employers would still have
been able to require drug testing to
support their No-Drug or Alcohol
workplace policies. According to
Consultant, Dudley Mays, one only
needs to look to the Oregon Supreme
Court, who already ruled [in a 2010
case involving Emerald Steel Fabrica-
tors] that employers do not have a
duty to accommodate employees'
use of medical marijuana.
DRUGS & ALCOHOL JUST DON’T WORK
...AT WORK...
gross vehicle weight of more than
4,536 kilograms (10,000 pounds),
whichever is greater; or
•(2) Has a gross vehicle weight rating
or gross vehicle weight of 11,794 or more kilograms (26,001 pounds or more), whichever is greater; or
•(3) Is designed to transport 16 or
more passengers, including the driver; or • (4) Is of any size and is used in the
transportation of hazardous materials as defined.
"How do I know if I am subject to the U.S. Department of Transportation drug and alcohol testing regulations?"
To answer this question, DOT developed the following decision tree to assist you in determin-ing if you are covered or not.
http://www.dot.gov/odapc/am-i-covered
Florida Based Company Racks Up Big $$ Fines