Employers, Carriers Push Back Against Med-Legal Fee Proposal

California’s employers and insurance carriers are raising concerns that the Division of Workers’ Compensation’s proposed med-legal fee schedule (MLFS) update will increase costs more than is projected and, worse, create new friction points in the system. Employers assert the proposal does little to prevent billing abuse and that the Division’s proposal fails to ensure high-quality … Read More »

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DWC Issues Formal Proposal For Med-Legal Fees

The Division of Workers’ Compensation is moving forward with a formal proposal to give the state’s qualified medical evaluators (QMEs) a 25% pay raise – their first pay increase in well over a decade. Informal drafts previously circulated for public comment are highly controversial, generating hundreds of pages of comments. The formal proposal maintains much … 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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QMEs, Division In Telemedicine Dispute

The group of qualified medical evaluators (QMEs) pressing the Division of Workers’ Compensation to authorize remote med-legal evaluations were less than impressed with the Department’s non-committal response to the request. The Division says it is encouraging “creative delivery methods” during the current state of emergency but is “not authorizing any particular course of action.” “It’s … Read More »

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New WCAB Rules In Effect For 2020

The Workers’ Compensation Appeals Board (WCAB) completed an update to its rules of practice and procedure in the waning days of 2019. The changes become effective on January 1, 2020.  It appears to have caught the community and lawyers off guard. The final regulations include language that faced strong pushback by industry representatives concerned that … Read More »

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Is DWC Slow Walking The Med-Legal Fee Update?

Qualified medical evaluators (QMEs) haven’t seen an increase in fees in 13 years, and the examiners say their numbers are shrinking to record lows as a result. Complaints that the Division of Workers’ Compensation is dragging its heels are growing as it appears the DWC is either headed back to the drawing board for an … Read More »

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