Make a blog

tasiakrolls

4 weeks ago

Insurance Fraud Advocacy: Taming the workers-comp monster in California

Crooked providers, lien setup bleed comp system

 

If you need more proof the workers-comp system in California is a mess, look no further than the report this week that indicted and convicted medical providers filed more than $600 million in liens against workers-comp claims.

 

The lien system in the state continues to be fertile ground for fraud. Designed as a safety net to ensure injured workers get treated, it’s now a slush fund for crooked medical providers and lawyers.

 

Fraud and abuse are rife in Southern California, where medical rings are targeting just-retired workers, says one insurance exec who wrote us this week. Runners hang out at Social Security offices and other venues frequented by retirees. They entice the retirees to file claims by offering free medical care and a windfall to supplement retirement income. The retirees are brought to lawyers’ offices, signed up and then shuttled off to medical offices for “treatment.”

 

The number of worker “injuries” occurring on the last day of the job is rising, this exec says.

 

Legislation to help weed some of these abusive providers out of the system is cruising through the California legislature. The bill would ban providers who’ve been kicked out of Medicare and Medicaid for over-billing. The bill sponsor says there’s evidence that crooked docs banned from government health plans have turned to workers comp to ply their trade.

 

The sponsor also says his legislation will target lawyers who sign up comp clients, but never actually interview them, then file claims for them in distant cities and ultimately settle the cases for their fees — often without the workers’ knowledge.

 

The legislation is a good idea, but much more needs to be done. Workers compensation in California is a huge, complex multi-faceted program. There are no easy answers on how insurers, employers, policymakers and others can hit that sweet spot of minimizing fraud while making sure injured workers get the treatment they deserve. But finding a better way than the lien system might be a good start.

1 year ago

Meir Ezra Blog and Guaranteed Results

"Follow The Processes And You Cannot Fail"

 

Those are the words that first caught my attention in November 2012. Since that time I have invested over 1,000 hours in training with Meir Ezra and supporting resources. It is not the training that results in the guarantee. It is the application of the training that allows Meir to clearly state with every product offered that he guarantees you will be happy with the event or course or coaching. If not your money is returned.

 

What Is The Secret Behind Offering An Iron Clad Guarantee?

 

There is not secret! Here is the formula and I know because I now work with him and I am responsible for the Division that delivers coaching and courses. The formula.

 

1. Deliver amazing content that is so valuable for building a business and is founded on principles of personal ethics and happiness.

 

2. Structure a coaching system where the client sees progress daily and when they do not they understand what action is needed. This system like other business processes begins with clear targets. These targets are part of a bigger picture of developing a client organization that has seven divisions in harmony. The larger picture is in line of site however, this ideal scene is developed by producing income from transactions. The faster the client is able to produce income the sooner the idea scene can be painted. The daily and weekly focus is on answering the question “what do I need to do today to get the lead that I want, sell the product or service I want – in other words what do I need to do today to achieve my daily weekly monthly etc goals?” Of course that is how the client is guided by the coach.

 

3. Meir leads the team that delivers the services to the clients. This does not just mean he is at the top of the Organization Board. This means he tracks everything that is being done and in the case of coaching there is a third party quality control system that includes a written report and a recording that goes directly to Meir and the coach.

 

4. Meir Ezra teaches and lives the principle “we are the cause”! This means if the client is not succeeding it is because of the teacher not the client unless there is a personal behavior barrier for the client. Even then Meir’s view is let’s help the person then we can restore helping them build their business.

 

This is only a “birds eye” view of the process. For me personally, I have consistently achieved success with coaching clients. Now that I am applying what Meir teaches, I am seeing the success curve increasing much more rapidly. Here is one example and we have quite a few developing at this point: One of our clients has a definitive skill but was not using that skill to make money. He was working on an idea for a different business when we met him. Meir looked at this situation and in a couple minutes outlined the plan for him making money. I called him today since he had not responded to several emails and he is normally very good about that. He apologized and said he has just been busy working with companies and making money. I will get an update on then numbers in a few days. I already know he is on track to exceed his targeted monthly income.

 

I will end with this: As a coach I am accountable for the success of those I coach. As a Div Head I am accountable for the success of all in the coaching program. With the support of Meir Ezra and by following the processes the clients will achieve and in most cases exceed their success expectations. I am very happy to be able to write this with such certainty.

 

May your success exceed your most amazing dreams and desires!

 

Steve Pohlit

 

PS Would you like to know how we can help you or do you have questions? Call me 727-587-7871