AME
Jul 2, 2024
Sedgwick Stiffs AME for IBR Filing Fee
In California, when Independent Bill Review (IBR) overturns a Sedgwick erroneous reimbursement denial, Sedgwick owes the provider $180 (the cost of the f...
May 8, 2024
Costco/Helmsman: Improper $5K Payment Denial
For California physicians, too much time, effort, and revenue are at stake to accept ludicrous payment denials for Medical-Legal evaluations. Unfortunately, California...
Apr 4, 2024
CA Med-Legal: $93M+ for Record Review in 2023
With attorneys dumping tens of millions of pages of medical records on California Medical-Legal evaluators annually, daisyBill physicians conducted over $93 million worth of ...
Mar 14, 2024
Payment Data: CA Med-Legal Bills Paid in < 10 Days
How quickly are you being paid for Medical-Legal evaluations? If it takes more than two weeks, it’s time for a change.Many physician evaluators use Medical-Legal manag...
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...
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...
Nov 8, 2022
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...
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...
Sep 7, 2022
ESIS Pays Med-Legal Bills Following Audit Complaints
California physicians can always rely on ESIS to pay its bills for Medical-Legal services — as long as they're willing to report ESIS to the Division of Workers’ Compensation...
Aug 4, 2022
(Free, Transparent) CA Med-Legal Fee Schedule Data
As the California Workers’ Compensation Institute (CWCI) peddles paid access to its insurer-derived data and white-tie webinars, daisyBill would like to offer an update on th...
Apr 27, 2022
CA Med-Legal How-To: Collect Penalty & Interest Payments
California physician evaluators, be advised: when claims administrators are late in paying for Medical-Legal services, penalty and interest payments apply. However, inadequat...