California Supreme Court Limits Employer Penalties in Prison Attack Case

California Supreme Court Limits Employer Penalties in Prison Attack Case

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February 25, 2025 | Sacramento, CA — MedLegalNews.com — The California Supreme Court ruled that a prison correctional officer, Michael Ayala, cannot receive a 50% penalty increase on his industrial disability leave (IDL) benefits despite suffering severe injuries in a planned inmate attack. The court determined that IDL benefits do not qualify as “compensation” under […]

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NY Doctor Convicted in $24M Medicare Fraud Scheme

New York Doctor Convicted in $24M Medicare Fraud Scheme

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February 25, 2025 | Washington, DC — MedLegalNews.com — A doctor convicted in New York has been found guilty of orchestrating a $24 million Medicare fraud scheme involving unnecessary laboratory tests and medical equipment, marking one of the state’s largest healthcare fraud cases of the year. A federal jury found Alexander Baldonado, M.D., of Queens,

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WCIRB Unveils 2025 Leadership Address as Andrea Coleman Takes the Helm

WCIRB Unveils 2025 Leadership Address as Andrea Coleman Takes the Helm

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February 24, 2025| Oakland, CA — MedLegalNews.com — The WCIRB 2025 Leadership Address highlights a significant leadership transition at the Workers’ Compensation Insurance Rating Bureau of California, marking a new chapter in the organization’s commitment to maintaining a fair and stable workers’ compensation system. This year’s address introduces Andrea Coleman as the new President and

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FL Businessman Sentenced in Connection with Migrant Labor Employment Scheme, Worker Death

Florida Businessman Sentenced to 48 Months for Migrant Labor Scheme and Worker Death

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February 24, 2025 | Washington, DC — MedLegalNews.com — Florida Businessman Sentenced: A Florida businessman will serve 48 months in federal prison and forfeit over $5.5 million in assets after pleading guilty to multiple fraud-related charges and a workplace safety violation that led to an employee’s death. He must also pay more than $55 million

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Louisiana Doctor Sentenced to 87 Months for Illegally Prescribing 1.8 Million Opioid Doses

Louisiana Doctor Sentenced to 87 Months for Illegally Prescribing 1.8 Million Opioid Doses

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February 22, 2025 | Washington, DC — MedLegalNews.com — A Louisiana Doctor Sentenced to 87 months in federal prison for illegally distributing over 1.8 million opioid doses and defrauding health care programs of more than $5.4 million. Illegal Prescription Scheme Uncovered Adrian Dexter Talbot, M.D., 59, of Slidell, owned Medex Clinical Consultants (Medex), a clinic

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California Cites Amity In-Home Care $2.3 Million for Misclassifying Caregivers

California Cites Amity In-Home Care $2.3 Million for Misclassifying Caregivers

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February 21, 2025 | Sacramento, CA — MedLegalNews.com — In a landmark enforcement action highlighting caregiver misclassification in California, the Labor Commissioner’s Office (LCO) has fined Amity In-Home Care Services over $2.3 million for illegally misclassifying caregivers as independent contractors. This case marks the first citation issued under Assembly Bill 594, a law designed to

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DWC Seeks Public Input on Proposed Changes to Medical Provider Network and Billing Rules

DWC Seeks Public Input on Proposed Changes to Medical Provider Network and Billing Rules

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February 14, 2025 | Oakland, CA — MedLegalNews.com — Medical Provider Network update: The Division of Workers’ Compensation (DWC) is inviting stakeholders to provide feedback on a proposed update to the Medical Provider Network (MPN) regulations and rules for medical treatment billing. This update aims to streamline the MPN review process, enhance transparency, and clarify

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Smelly Mel’s and Sewer Rat Plumbing Face Nearly $530,000 in Fines for Safety Violations

Smelly Mel’s and Sewer Rat Plumbing Face Nearly $530,000 in Fines for Safety Violations

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February 11, 2025 | Sacramento, CA — MedLegalNews.com — Fines for Safety Violations: Cal/OSHA has fined Smelly Mel’s Plumbing and Sewer Rat Plumbing a total of $529,640 for multiple safety violations that resulted in a serious trench collapse accident in San Mateo on August 1, 2024. The investigation uncovered willful and serious safety failures, meaning

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DWC to Hold Public Hearing on March 14, 2025, for MTUS Evidence-Based Updates

DWC to Hold Public Hearing on March 14, 2025, for MTUS Evidence-Based Updates

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February 10, 2025 | Sacramento, CA — MedLegalNews.com — The Division of Workers’ Compensation (DWC) will hold a public hearing on March 14, 2025, to discuss proposed MTUS evidence based updates to the Medical Treatment Utilization Schedule (MTUS). The changes include revisions to Chronic Pain Guidelines and the adoption of a Cannabis Guideline, both based

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DWC Announces Further Adjustments to Pathology and Clinical Laboratory Fee Schedule

DWC Announces Further Adjustments to Pathology and Clinical Laboratory Fee Schedule

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February 07, 2025 | Oakland, CA — MedLegalNews.com — The Division of Workers’ Compensation (DWC) has announced additional modifications to the Official Medical Fee Schedule (OMFS) for the pathology and clinical laboratory fee schedule services. These adjustments align with Medicare’s Quarter One (Q1) 2025 updates, as mandated by Labor Code Section 5307.1. Initially, DWC issued

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