medical-legal
Feb 4, 2022
MLPRR: Costco/Helmsman Play Med-Legal IBR Chicken
Call it “IBR Chicken: MLPRR Edition.” Third-party claims administrator (TPA) Helmsman, acting on behalf of self-insured employer Costco, refused to reimburse a physici...
Feb 3, 2022
Med-Legal MLPRR: CorVel Caps Units - Review EORs Carefully
California released an updated Medical-Legal Fee Schedule (MLFS) for workers’ compensation, effective April 1, 2021. Physicians had high hopes that the update, which introduc...
Jan 28, 2022
Med-Legal Emergency Regulations Extended
The California Division of Workers’ Compensation (DWC) recently announced that the proposed Qualified Medical Evaluator (QME) Emergency Regulation found in California Code of...
Jan 21, 2022
Med-Legal Data: MLPRR Charges Continue to Climb
California Medical-Legal record review expenses soared into the wide blue yonder after the Division of Workers’ Compensation (DWC) updated the Medical Legal Fee...
Jan 20, 2022
MLPRR: Record Review Guide for CA Med-Legal MDs
Millions of pages. Millions of dollars. Potentially serious consequences for non-compliance.Medical-Legal record review can be a big challenge for physician evaluators...
Dec 8, 2021
Download: Med-Legal "Superbill"
Medical-Legal billing for California workers’ comp is like…well, anything in California workers’ comp: a big mess.It’s convoluted, and physicians get nearly zero help ...
Nov 4, 2021
AIG & Coventry (and California) Squeeze QME
California Medical-Legal physician evaluators, be advised: some payers still attempt to improperly apply Preferred Provider Organization (PPO) discounts to Medical-Legal bill...
Nov 3, 2021
Record Review Sends Med-Legal Costs Soaring
Like a bored multi-billionaire, Medical-Legal expenses for California workers’ comp are needlessly approaching the stratosphere.Our data point to the pri...
Oct 6, 2021
CA Med-Legal Reporting Deadline Extension Official
California’s Division of Workers’ Compensation (DWC) has officially extended emergency regulations which add 15 days to the usual time frame for Medical-Legal reporting.<...
Sep 30, 2021
Coming Soon: CA Med-Legal Billing Data
There’s only one way to understand, navigate, and improve workers’ compensation: by the numbers.Since the introduction of the new Medical-Legal Fee Schedule (MLFS) in ...
Sep 16, 2021
Med-Legal Reports: Always Include Page Count Verification!
California’s new Medical-Legal Fee Schedule (MLFS), effective from April 2021, brought with it new rules for reporting, billing, and payment. Among those rules: when submitti...
Aug 25, 2021
AIG: Improper (but Logical) Med-Legal Underpayment
AIG improperly reduced a California Medical-Legal bill by 88%, providing a dramatic example of how California law incentivizes payers to incorrectly reimburse physicians who ...