My WC Nurse Case Manager said her experience has been that there is about 3% fraudulent claims on the part of the patient but these cases never make it as far as her, they are usually weeded out pretty early.
Part of the fraud game is the patient that falsifies a claim, and finds a lawyer and doctor that will validate this claim. I think this is actually a bigger part of the Fraud game. Or doctors that are just so called "mills" for WC claims and do unnecessary procedures with not usual and customary charges..
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