FRAUD
AND MISREPRESENTATION PREVENTION
- Law allows
for the impartial medical examination of TDI beneficiaries.
- Claims
referred to Medical Consultant for review and recommendation as needed.
- Fraud
Unit investigations and prosecutions if warranted.
- Communication
with WC Court and insurers to prevent overlap of benefits.
- MEDICAL
DURATION GUIDELINES (MDG)
- MDG used
by Medical Review Unit to determine disability durations.
|
|
TDI AND
WORKERS' COMPENSATION (WC)
- TDI and
WC cannot be received for the same weeks.
- WC claim
must be filed if the illness/injury occurred on the job.
- If WC
claim is contested a TDI claim can be filed.
- TDI reimbursed
if WC then paid for weeks TDI has been paid.
|
