Division Gets Pushback, Support For Draft QME Regulations

Draft regulations to boost the training and educational requirements for qualified medical evaluators (QMEs), including anti-bias training that the Division of Workers’ Compensation agreed to require of QMEs two years ago, generated significant feedback from employers and providers alike. The Division is reviewing 20-some pages of comments in preparation for starting the formal rulemaking process. … Read More »

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Newly Published Decision Annuls 100% PD Award

The Sixth District Court of Appeal ordered publication of a decision annulling a 100% permanent and total disability award that was based solely on a psychiatric injury stemming from the sexual abuse by a treating physician. The court remanded the case to the Workers’ Compensation Appeals Board to consider permanent disability issues surrounding the underlying … Read More »

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DWC Moves Controversial Med-Legal Fee Update

The Division of Workers’ Compensation is pushing through the latest draft of its proposed – and controversial – med-legal fee schedule (MLFS).  There are concerns it will increase costs more than projected and create new points of friction in the system. The flat fee proposal submitted to the Office of Administrative Law (OAL) for an … Read More »

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Proposed Med-Legal Fee Schedule Generates Feedback

The Division of Workers’ Compensation isn’t holding a hearing on the state’s proposed qualified medical evaluator (QME) fee schedule update until next week, but many interests among the workers’ comp community are already offering opinions. The early pushback is from the provider community, but employer interests are expected to add their voices before it is … Read More »

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Proposed Med-Legal Fees Still Controversial

The Division of Workers’ Compensation’s latest proposal for updating California’s med-legal fee schedule (MLFS) is continuing to generate controversy and pushback from the workers’ comp community. The Division’s initial proposal in 2018 generated over 500 pages of mostly negative comments from the state’s qualified medical evaluator (QME) community and now, two years later, its latest … Read More »

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Emergency QME Telehealth Rules Approved

The Office of Administrative Law approved emergency regulations to allow qualified medical evaluators (QMEs) to provide remote med-legal evaluations as long as certain conditions are met. The agency received pushback from the workers’ comp community on the proposed requirements, but the regulations were approved for temporary use with only minor modifications. The proposed regulations were … Read More »

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DWC AD George Parisotto DWC Seeks Emergency QME Telehealth Regulations

The Division of Workers’ Compensation (DWC) is proposing two emergency regulations for use during the current Coronavirus crisis. One is covering med-legal evaluations performed remotely via telehealth systems, and the other electronic serving of reports and documents by qualified medical evaluators (QMEs). Pushback from the QME community is already evident. But DWC says the intent … Read More »

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DWC Avoids Court Battle With Telemedicine Order

Representatives for a group of 100 plus qualified medical evaluators and a handful of QME management companies dropped plans to go to court after the Division of Workers’ Compensation issued an emergency measure authorizing telehealth services for certain med-legal evaluations. The Division is taking action in light of the state’s stay at home order to … Read More »

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