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For immediate release: July 18, 2013
BWC investigators uncovered fraud, identified $55 million in savings last year
COLUMBUS - The Ohio Bureau of Workers' Compensation (BWC) Special Investigations Department (SID) delivered a report to the agency's board of directors today highlighting its Fiscal Year 2013 efforts to deter, detect, investigate and prosecute workers' compensation fraud. Jennifer Saunders, interim director of SID, reported the department identified more than $55 million in savings for the State Insurance Fund after closing more than 2,000 cases involving claimants, employers and medical providers last year.
"Those who would commit fraud need to understand it's not a victimless crime. They are hurting Ohio's employers, and making it harder for us to treat truly injured Ohioans," said BWC Administrator/CEO Buehrer. "Over the past year, we have stepped our efforts to respond to allegations, actively search for signs of fraud, address prescription drug abuse and identify fraud by providers."
Saunders reported at the Audit Committee meeting the closed cases included 140 criminal convictions and 236 referrals for prosecution. Additionally, administrative review of 915 cases either uncovered fraudulent activity, or identified additional savings for Ohio employers paying into the State Insurance Fund. She also reported on activities of the department's teams that focus on specific fraud types, including the employer, health care provider team and claimant fraud teams. Results include:
Finally, Saunders reviewed SID's presence on Facebook and on Twitter, @ohiobwcfraud. SID uses these social media platforms to notify the public of outstanding fugitives, prosecutions, and anti-fraud efforts, as well as help the public recognize common fraud schemes and report suspected fraud. To report suspected workers' compensation fraud, call 1-800-OHIOBWC, visit ohiobwc.com, or visit www.facebook.com/ohiobwcfraud.
The next meeting of the BWC Board of Directors is scheduled for Thursday, August 29, 2013.
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