OT - FWIW, at the Federal level, Workers Comp appeals are
all filed & resolved in house. No courts or judges. It's
you vs. the Kangaroo Court.
I represented myself. At the time I was a Federal auditor
working for the Dept of Education's Office of Inspector
General (OIG). I treated my claim & the appeals like I did
any typical compliance/fraud/abuse audit. I reviewed the
applicable laws & regs, compaired it to how my claim was
actually handled. I provided sufficient evidence to
support every violation, denial of due process, plus the
fraud.
All claims & appeals were filed timely, replete with all
relevant documentation & supporting evidence.
My orthopedic surgeons reports, plus the emergency room
report were all highlighted to expose the Workers Comp
doctor's fraud.
Like you said, "Judges know". Yes I do know too. I was
only able to find one instance of their doctor being sued
that related to Workers Comp, and it related what I
experienced & saw. I knew that this guy was in their
pocket. If you had seen his special office where he saw
Workers Comp patients, you would have understood how phony
this whole set up was. It was a mill to churn out large
numbers of Comp claimants. Unfortunately, those facts did
nothing to deter the in-house appeal moderator.
The response from Workers Comp ignored every single
critical instance of denial of due process, every
violation of multiple laws & regs. It relied solely on the
fraudulent doctors report to the complete exclusion of all
contradictory evidence as though none of it ever existed.
The final appeal was reviewed by other employees of
Workers Comp in-house. They too ignored most of the
evidence I provided. They simply dismissed what little
evidence they claimed to review while placing almost
complete reliance on the fraudulent report as the main
credibale evidence to the whole claim (which they were
silent on the charge of fraud & the evidence in support of
it).
As an aside, I filed a report to their OIG since there was
clear evidence of fraud, abuse & multiple violations of
laws, including the Privacy Act & FOIA. After hounding
them over & over, I spoke to one of their senior managers.
He admitted that I had provided evidence of serious due
process violations & possibly violations of the law,
including fraud. He still declined to open an official
investigation due to "resource" issues. |
