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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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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JLAC Hearing Delivers No Quick Fixes For QME System

The Joint Legislative Audit Committee grilled Division of Workers’ Compensation officials during a 3.5-hour hearing reviewing its oversight of the state’s qualified medical evaluator (QME) program, but the public tongue-lashing delivered little more than a rehash of the Division’s earlier responses to State Auditor Elaine Howle. DWC Administrative Director George Parisotto reiterated that the Division … Read More »

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Indicted Providers: 10 Times More Claims Than Honest Docs

California’s extensive anti-fraud efforts have had an impact on the state’s workers’ comp costs, but the true impact is just now coming into focus. New industry claim data linking indicted providers to the medical bills they generated show that they were generating ten times the claims and rendering nearly twice the amount of services per … Read More »

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State Auditor Faults DWC’s Handling of The QME System

The California State Auditor is taking the Division of Workers’ Compensation to task for what it calls its failed oversight of California’s qualified medical evaluator (QME) system.  The report faults the agency for not mounting an appropriate response to the declining QME population, for essentially abdicating its responsibility to police the quality of QME reports, … Read More »

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Alleged Discrimination Lawsuit Dropped In Exchange For Training Commitment

The Division of Workers’ Compensation and a group of union employee plaintiffs alleging systemic discrimination against women in the workers’ comp system have quietly come to terms on a settlement that disposes of the litigation. Under the terms of the settlement agreement, DWC officials committed to enhancing training for workers’ comp professionals, as well to … Read More »

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