This course will introduce students to the background and fundamentals of a newer fraud involving pain management physical restoration programs. Thanks to workers’ compensation reforms and subsequent adoption of the Medical Treatment Utilization Schedule, costly physical restoration programs have steadily grown and proliferated in the workers’ compensation industry, leading to thousands of dollars of loss for insurance carriers. This course will inform students about how to spot unscrupulous operations, how they are using bundling fraud to reap astonishing profits, and how to effectively put a stop to this type of fraud.
