Is Football Contributing to Work Comp Fraud?

What better thing to do on a Sunday than have a BBQ at home, watch some football, and then maybe go and toss the ball around. Going in for that interception! Tackle!

Did you know that work comp fraud is rising, and faking that football injury as a Monday work related injury could cause your employee to go to jail and/or be fined?

California employers in the insurance industry, District Attorneys, and an anti-fraud campaign are all playing a very important role in protecting your premiums and trying to keep these crimes down. As an employer, it is so important to keep both eyes peeled when employee injuries come about immediately after a weekend.

Unfortunately, there are people out there looking for free ride and we encourage you, the employer, to pay special attention after a claim has been filed.

Did the employee report the injury right away? Can they remember all the details of the accident? Were there any  witnesses? Also watch for changes in their story, or if you find they are doing activities that are not consistent with their injury. Finding out that your “injured employee” finally finished that kitchen remodel is very suspicious. If your employees hurt themselves at work and want to get better, they will attend all the necessary appointments.  Missing appointments can sometimes be reason to suspect fraudulent activity.

All these activities do not mean they are being fraudulent, but as an employer you always need to be on your toes and protect yourself, and your business, against workers trying to make an extra buck on at your expense.

Get Your World Turning

Let’s get this straight you have employees that:

  1. Have a specific job goal
  2. Are willing to participate
  3. Have a deficit of their physical, emotional, functional, and occupational abilities
  4. Are at the point that a modified work program would not be prohibited

Are they at home collecting dust? Goodness, I hope not! Let’s get them in a modified program. Get them up, get them moving, and then put them into a work hardening program.  The Health and Wellness Rooms and Work Hardening Programs numbers do not lie, your employees will be up more than 50% faster than if they participated in self recovery at home. Not only that, but money makes the world go round, and it’s the hard workers that turn it for you. Research shows that having employees in a Wellness Program and/ or a Work Hardening Program drastically reduces costs to our inundated workers’ compensation system.

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Personal Training: A Surprising Health and Wellness Room Benefit

I started training about four months ago. With an intense diet and lots of exercise, I went from a size 12 to a size 6. It was a lot of hard work, and not to mention sweat and being tired. I don’t think that I could have done it though if it wasn’t for my personal trainer. He was always there actually holding me accountable for being present at the gym, to provide a journal of the food I was eating, and was there to push me to be better.

Think of the Health and Wellness Room as your injured employees’ personal trainer of sorts. We are personally involved in the recovery of each individual that comes in. We want to see results, to see the recovery process take place and conclude. We are going to  make sure that he/she is getting up and moving within the restrictions of their specific injury. That the motivation stays high to get back into the workplace and prevent being in a “daytime TV slump” because he/she can’t do what they could before. It encompasses all aspects of the recovery process. I know that there were days I didn’t want to go to the gym because I was tired, or I wasn’t seeing results every day and it was depressing at times. We here at the Health and Wellness Rooms can address that slump too.

We mix up the day here – we have stretch time, designated walk times, and educational experiences for your injury. We will teach your employees how to prevent further injury, instead of just telling them what to do and send them home. Finally the Health and Wellness Rooms will set the pace. We keep your employees in a routine, which is half the battle of setting the recovery in motion.

Your Proof:Positive personal trainer is waiting.

Obesity and Healing: Educate your Employees

Obesity is an obstacle that many Americans face, and combining that with the recovery from an injury severely impacts the healing process. Results from a new study in Columbus, Ohio suggest that extremely obese people are more likely than normal-weight people to injure themselves. With this statistic looming, it is vital that we don’t let our injured go on without having the opportunity to change their lifestyle. While prevention is important, education after the fact is essential. Proof:Positive can help employers with new ideas to keep their employees healthy and fit, which can statistically decrease the number of work injuries.

Obesity combined with a simple knee injury, or even a complex surgery, is going to prolong the healing process severely. Obesity falls into an interference with wellness that is not always accounted for by claims adjusters. Although with anti-discriminatory laws you cannot force a diet or weight loss program to those who are overweight or mandate a smoker to quit, studies show that employees and employers favor a program that would educate, and even provide facilities to promote weight management and programs for weight loss. Participants of this survey were asked to disclose to what degree they favor specific health care and work policy blue prints for treating and preventing adult obesity. Seventy-three percent favored a move by health care companies to require obesity treatment and prevention. The same proportion favored beneficiary discounts by employers or health care companies to motivate individuals to maintain or move toward a healthy weight.

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Instruments of Recuperation

“Just reading the material made me realize I could lose weight without having to exercise that much,” one of my injured employees said to me the other day. Simple eating changes accompanied by drinking plenty of water every day can improve health, weight, and skin problems – no matter what your activity level. Being idle because of an injury does not mean that you need to have an idle mind. When attending Health and Wellness Rooms injured employees don’t sit and watch television or get lost in the system – they get moving. Whether it is a walk, stretching or wellness education, nobody is left behind with a tailor made schedule to fit all work modifications. We want your employees to be BETTER, faster!

What could be better than finding out that even though you have an injury you can maintain and/or even improve your habits

The simplicity of having your employees on a modified work status program, coming into the Health and Wellness Room to learn about the injury that they suffer from, and discovering alternative ways to maintain weight and health while incapacitated, is reason enough to be excited that this option is out there for any sized company. I’ve been told by some employees in our Los Angeles Health and Wellness Room that they look forward to coming in after the weekend because they are getting better from stretching, walking, and maintaining a routine. Not only that, but the forestallment of future injuries is money saved as well. Because we are an advocate for the employer, we are your ally in employee recovery.

I Have the Answers…But You’re Standing on Them

Can you imagine knowing how to lower your chances of cancer, decreasing the risk of heart disease, or having stress and depression, pardon the pun, a worry of the past? How about having a stronger heart, being more alert? Your wounds healing at a faster rate or even make your sex life a little steamier? Is it a perfect pill? No. You’re standing on the answer, or at least you should be. Get up and walk. There are numerous pieces of research that say exercise is the key to all, and many more, of these issues. Even small increments of ten minutes a day can help promote healing, boost your immune system, and decrease the stresses and risks of heart disease, diabetes, some cancers, and many other ailments. There is evidence that exercise can help you to recover faster and return to work earlier, easier, and with more success.

How Exercise Helps:

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