medical-legal
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...
May 16, 2023
Gallagher Bassett Plays IBR Chicken With QME
Gallagher Bassett seemingly tried its hand at the game of IBR Chicken, forcing a Qualified Medical Evaluator (QME) to waste time, money, and resources on a needless dispute —...
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...
Apr 6, 2023
Sedgwick, Please Accept a Free Gift From daisyBill
Sedgwick Claims Management Services, daisyBill is here for you.We notice that you struggle mightily with correctly calculating reimbursements under California’s...
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...
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 ...
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 ...
Jan 26, 2023
Forbes Fluff Distorts CA Workers' Comp Realities
The good folks at Forbes recently offered California doctors and injured workers a slap in the face, in the form of a political fantasy narrative thinly veiled as an objectiv...
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 ...
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...
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...