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NJ Workers’ Compensation Provider Fraud

NJ Workers’ Compensation Provider Fraud

Workers’ Compensation Attorney Protects Clients’ Interests If Their Medical Providers Engage in Fraud

When you seek treatment under workers’ compensation benefits for a work injury or occupational illness, you trust that your treating providers have your best interests as their primary duty. Unfortunately, some healthcare providers choose to maximize their profits by defrauding the workers’ compensation system. These providers put the health and recovery of workers at risk by doing so. Let an attorney from Camili & Capo, PA advocate on your behalf if there has been NJ workers’ compensation provider fraud in the course of your case. For years, our trusted firm has helped workers in Passaic County and across New Jersey obtain the benefits they need after serious work injuries and occupational illnesses. We will do everything in our power to ensure that healthcare provider fraud poses no obstacle to your recovery. 

If you believe that your workers’ compensation healthcare provider has engaged in fraud during your treatment, turn to a NJ workers’ compensation attorney for help in protecting your interests and your rights to receive medical treatment and rehabilitation for your work injury or occupational illness. Reach out to Camili & Capo, PA for a free initial consultation to see how our firm can assist you. 

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Examples of Provider Fraud in Workers’ Compensation

Some of the ways that healthcare providers may try to defraud the workers’ compensation system include:

Some workers’ compensation insurers use a managed care arrangement with providers, in which the provider is compensated a certain amount, usually paid in installments, to render care to an injured or ill worker. But these arrangements may also lead to provider fraud, such as:

Healthcare providers may also conspire with workers’ compensation insurers for the purpose of defrauding employers, including by having providers engage in fraudulent billing, up-coding, unbundling, and overutilization to support the insurer by charging employers higher insurance premiums. Finally, healthcare providers may also conspire with attorneys, who recruit workers to file false workers’ compensation claims so that the provider can charge for treatment that is never rendered. 

How Workers’ Compensation Insurers Detect Fraud

Signs that a healthcare provider may be engaging in workers’ compensation fraud include:

What Will a Workers’ Compensation Attorney from Camili & Capo, PA Do to Help Protect Your Rights to Medical Recovery if Your Providers Engaged in Fraud in Your Care

You should not have your recovery from a work injury or occupational illness derailed by your treating providers engaging in insurance fraud in connection with your care. If you have been the victim of NJ workers’ comp provider fraud, Camil & Capo, PA will fight to protect your rights to medical benefits under the workers’ comp system by:

Facing A Legal Matter In New Jersey And Have Questions? We Can Help. Just Tell Us What Happened. Call (973) 834-8457 Or Fill Out Our Convenient Free Case Evaluation Form.

Contact Us for a Free Case Review to Learn More If Provider Fraud Occurred in Your Case

Do not let healthcare provider fraud jeopardize your recovery from a work-related injury or illness. Contact Camili & Capo, PA today for a free, no-obligation claim evaluation to go over your legal rights and options with a New Jersey workers’ compensation attorney from our firm. 

Frequently Asked Questions about Provider Fraud

Will my rights to workers’ compensation benefits be affected if my treating provider for a work injury was engaged in fraud against the insurance company?

So long as you were not a knowing or willing participant in your workers’ compensation physician’s or provider’s fraudulent conduct, your rights to continue receiving medical benefits from the workers’ compensation system should be unaffected. However, you may experience obstacles or delays in the continuation of your treatment if you are required to change providers due to your previous provider’s fraudulent behavior. A NJ workers’ compensation attorney from Camili & Capo, PA can advocate on your behalf to make sure that you do not miss out on critical treatment and rehabilitation as you work to recover from an occupational injury or illness.

What should I do if I suspect my provider of engaging in fraud?

If you believe that your treating provider for a work injury or occupational illness is committing fraud in the course of your care, you should contact a workers’ compensation lawyer with Camili & Capo, PA as soon as possible. We can guide you through the process of reporting suspected fraud to your employer’s workers’ compensation insurer or to state insurance and medical authorities as necessary.

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