Most Recent Articles
Nov 8, 2022
Midwest Insurance Fails to Pay QME
If there’s any doubt regarding why California workers’ comp is facing a shortage of Qualified Medical Evaluators (QMEs), look no further than Midwest Insurance. Midwest has b...
Nov 8, 2022
ALERT: Municipal Pooling Authority Bounces QME Check (Twice)
The Municipal Pooling Authority (MPA) recently bounced a check to a California Qualified Medical Evaluator (QME) — not once, but twice. According to MPA representative...
Dec 8, 2022
Med-Legal Data: IBR Is the QME/AME's Friend
California workers’ comp presents serious challenges to physicians — and Medical-Legal physicians are no exception. Despite a recently simplified Medical-Legal Fee Sch...
Dec 8, 2022
CA QME Calls Out Cannon Cochran "Abuse and Insults"
A California Qualified Medical Evaluator (QME) has had quite enough nonsensical reimbursement games from Cannon Cochran Management Services, Inc. (CCMSI).The Third-Par...
Dec 14, 2022
WCF Falsely Demands QME Refund
A friendly reminder to all California Qualified Medical Evaluators (QMEs) and Agreed Medical Evaluators (AMEs): when a claims administrator demands a refund of reimbursement ...
Jan 30, 2023
Med-Legal IBR Data: A Bad Look for Sedgwick & CA
California appears to turn a willfully blind eye to what seems like an abuse of the Independent Bill Review (IBR) system for Medical-Legal disputes.Data ...
Mar 8, 2023
LA County to QME/AMEs: Go Back to Snail Mail
The year is 2023, and the County of Los Angeles wants Medical-Legal physicians to do business like it’s 1978. The public employer insists that QMEs and AMEs must mail ...
Mar 17, 2023
The Hartford Fails Med-Legal 101 (F-)
Workers’ comp insurer The Hartford has a few very basic things to learn about Medical-Legal evaluations in California. Namely, that initial evaluations generally prece...
Apr 21, 2023
Sedgwick Loses IBR (But Still Wins "IBR Chicken")
You can’t say we didn’t try.Earlier this month, we offered Third-Party Administrator (TPA) Sedgwick Claims Management Services, Inc. 100% free use of our daisyWizard f...
Aug 17, 2023
Sedgwick Ignores Medical-Legal Bills
Some claims administrators treat California workers’ comp laws and regulations as optional — and there may be no more egregious example than Sedgwick Claims Management Servic...
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Jan 30, 2024
CA: Med-Legal Makes More Financial Sense Than Treatment
California physicians must come to terms with an uncomfortable fact: financially, a physician’s time is much better spent conducting Medical-Legal evaluations than actually t...
Feb 28, 2024
CA Med-Legal MDs: Don't Accept Denials or Adjustments - IBR Works!
California Medical-Legal physician evaluators, Independent Bill Review (IBR) is your friend.According to data from the Division of Workers’ Compensation (DWC), 96% of ...