Health practitioners (and other service providers) in the workers compensation industry could possibly commit fraud in several ways.
There are different types of health practitioners working in the workers compensation system. See our health practitioners for workers compensation for some examples of who they are.
Examples of health practitioner fraud can include knowingly:
- billing for consultations that didn't occur
- billing for services not provided
- providing false or misleading information on a medical certificate or other documents
It may indicate fraud if:
- they provide receipts for individual consultations when group rehabilitation has occurred
- they request an injured worker to sign more than one worker's compensation certificate for one consultation
On their own, fraud indicators do not conclusively establish the existence of fraud. Further investigation is required to determine if fraud does exist.
If you suspect fraud, there are several ways to report it.