“If you did a truly pure report,” he said later in an interview, “you’d be out on your ears and the insurers wouldn’t pay for it. You have to give them what they want, or you’re in Florida. That’s the game, baby.”
Fraudulent medical opinions that cause denial of valid workers compensation claims were part of the focus of a case decided last year, Brown v. Cassens Transport. That case ruled that injured workers denied workers compensation benefits by fraudulent medical opinions may sue for money damages under the federal racketeering law RICO. Robert L. Abell wrote an article for the Kentucky Justice Association's publication, The Advocate, earlier this year, "Injured Workers May Pursue Civil RICO Claim Based On Enterprise To Deny Them Workers' Compensation Benefits."
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