Most Recent Articles

Warning: ESIS (Still) Ignoring CA Medical-Legal Bills

How else can we put this? Sometimes ESIS, a Third-Party Administrator (TPA), just flat-out ignores bills for Medical-Legal services. Below, daisyBill documents how ESI...

DWC Proposes More Time to Schedule QME Appointment

California’s Division of Workers’ Compensation (DWC) will hold a public hearing on significant proposed changes to the regulations governing Medical-Legal evaluations.

CA Med-Legal: Q&A for Confused Physicians

Recently, a physician evaluator reached out to us with questions regarding Medical-Legal services for California workers’ comp. Rather than share the answers with this physic...

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...

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...

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...

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...

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 ...

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 ...

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 ...

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...

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...