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 »

This content is only available to premium subscribers. Please login here log in

Read More »

Industry Pushes Back Over Proposed WCAB Rules

The workers’ comp community expressed “serious concerns” about several aspects of the Workers’ Compensation Appeals Board’s proposal to update its rules of practice and procedure. The proposal generated well over 100 pages of comments, and this was after a preliminary vetting through the informal forum process. One important area of dispute is a proposed definition … Read More »

This content is only available to premium subscribers. Please login here log in

Read More »

Draft Copy Service Fee Schedule Raises Concerns On Both Sides

A Division of Workers’ Compensation draft proposal to increase the base pay rate for copying workers’ comp records by 16.7% is being derided as too little of an increase by many copy companies.   But defense-oriented organizations have concerns about proposals for the automatic cost of living adjustments and other issues. The Division is currently reviewing … Read More »

This content is only available to premium subscribers. Please login here log in

Read More »

WCAB Regulatory Update Hearing Scheduled

The Workers’ Compensation Appeals Board is moving ahead with proposed updates to its rules of practices and procedures including a controversial proposal to create a new case designation that critics say is not authorized by the board’s governing statutes. The formal proposal is now out for public comment, and a public hearing is slated for … Read More »

This content is only available to premium subscribers. Please login here log in

Read More »

WCAB Faces Pushback Over New Draft Rules

A draft proposal to rework the Workers’ Compensation Appeals Board’s Rules of Practice and Procedures generated controversy and strong push back from carrier representatives and qualified medical evaluators (QMEs). The changes are being billed by regulators as being a clean-up effort with largely non-substantive changes, but many in the workers’ comp community saw it differently. … Read More »

This content is only available to premium subscribers. Please login here log in

Read More »

Report Recommends Updates To Med-Legal Schedule

California’s effort to update its medical-legal fee schedule should focus on ways to fairly reimburse qualified medical evaluators (QMEs) for the most complex cases without creating an incentive to spend more time than necessary to maximize payments. Instead, researchers from Rand Corp. say that the state should focus on extending its flat-rate payment system to … Read More »

This content is only available to premium subscribers. Please login here log in

Read More »

Community Calls For Med-Legal System Reform

The Division of Workers’ Compensation says it will begin forming stakeholder groups to work on rewriting the state’s medical-legal fee schedule (MLFS) and the rules surrounding the delivery and review of medical records. State officials got an earful at a hearing last week from qualified medical evaluators (QMEs) who are fed up with outdated pay … Read More »

This content is only available to premium subscribers. Please login here log in

Read More »

Some QMEs Get Deals

Exclusive Qualified medical evaluators (QMEs) and the Division of Workers’ Compensation have had a running battle over the past year involving denied reappointments due to disputed billings for complex medical evaluations. Hundreds of QMEs were denied reappointment, and some are challenging the Division’s actions in court. Others, however, are opting to settle and get back … Read More »

This content is only available to premium subscribers. Please login here log in

Read More »