QME

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 —...

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...

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...

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...

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 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...

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...

Sedgwick Stiffs QME With False MPN Denial (Again)

It’s been said that insanity is best defined by doing the same thing repeatedly, but expecting different results. If that’s the case, Sedgwick Claims Management Services has ...

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.