Columbus, OH (WorkersCompensation.com) - With staff throughout the state, the Ohio Bureau of Workers' Compensation (BWC) Special Investigations Department's (SID) health care provider team (HCPT) exclusively investigates alleged fraud committed by health care providers, pharmacies, durable medical equipment companies, third-party administrators and managed care organizations. We reported last October that with the hiring of additional special agents, BWC SID had expanded the bureau's health care provider fraud program in fiscal year (FY) 2012 and FY 2013.
They delivered impressive results over the past fiscal year, identifying $19.5 million in savings for Ohio's workers' compensation system. That's 64.7 percent – $7.6 million – more than the results generated in FY 2013. The team referred 32 subjects for criminal prosecution, 300 percent more than last year. Of course, these referrals generated criminal convictions.
During FY 2014, the HCPT aggressively investigated providers – including pill mills and injury mills – that commit fraud against the state workers' compensation system. The team acted as both a lead and support agency to identify and investigate provider fraud subjects. Throughout Ohio, the HCPT launched joint investigations and search warrants with local, state and federal law enforcement agencies.
Our OhioBWCFraud Facebook page, our blog and the media are filled with examples of successfully prosecuted providers who committed workers' compensation fraud. FY 2014 convictions include: