MCD title
Fewer than 1% of catastrophic cases (out of work for 2 years or more) ever return to work. 2
Estimates of fraudulent workers compensation claims range from 0.3 percent (as estimated by labor unions whose members receive benefits) to 20 percent (as estimated by employers who pay for the benefits). 3
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The Problem
“I know that a percentage of our claimants are fakers and malingerers who need IMEs and/or surveillance.

“I also know that the rest have genuine complaints
and don’t need to be validated.

“But what I don’t know is which ones are which.”

Claim Managers and Claims Adjustors Everywhere
The Solution
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1. Snook, S.H., Jensen, R.C., Cost – Chapter 5, page 115-121,  in Occupational Low Back Pain, edited by Malcoe Pope, Ph.D., John Frymoyer, MD, and Gunnar Andersson, MD, Praeger Scientific, New York, 1984

2. McGill, C.M., Industrial Back Problems: A Control Program, Journal of Occupational Medicine, 10( 4): 174-78, 1968

3. “Workers’ Compensation Fraud: Detection and Prevention Efforts Are Poorly Planned and Lack Accountability,” California State Auditor, Bureau of Audits, April 2004

4. Warner, J.:  "When Pain Itself is the Disease."  Business Week.  No. 3249:104-105, January 27, 1992.

5. Abstract 1022, A Computer Administered and Scored Test to Validate the Complaint of Pain,  American Psychosomatic Society 64th Annual Meeting,  Denver, CO, March 3, 2006,  and An Internet Questionnaire to Predict The Presence or Absence of Organic Pathology in Chronic Back, Neck,  and Limb Pain Patients, Pan Arab Journal of Neurosurgery, in press, 2008.

6. Daubert v. Merrell Dow Pharmaceuticals (92-102), 509 U.S. 579 (1993), U.S. Supreme Court

7. Article is at www.ncci.com/painreal.html