QME

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...

IBR: Sedgwick Ordered to Pay QME $20k+ for False Med-Legal Denial

Sedgwick Claims Management Services just set a dubious new record. Maximus, the entity which conducts Independent Bill Review (IBR) on behalf of California’s Division of Work...

(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...

CA Med-Legal Fees, QMEs Under Attack

A recent study on the current Medical-Legal Fee Schedule (MLFS) has triggered a wave of pearl-clutching by payer advocates. So what has the payer-side pundits groping for the...

DWC Seeks QMEs for October Exam

California’s Division of Workers’ Compensation (DWC) is accepting applications from physicians for the October 2022 Qualified Medical Evaluator (QME) exam.The in-perso...

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...

Med-Legal IBR: Maximus Denies Documented Interpreter Reimbursement

In a perfect example of California’s failing Independent Bill Review (IBR) process, Maximus (California’s designated IBR organization) abandoned all semblance of lawfulness a...

CA Med-Legal Reports: REQUIRED Physician Verification

Last spring, California introduced a new Medical-Legal Fee Schedule (MLFS). Since April 2021, daisyBill clients have submitted over 80,000 medical-legal bills where the new M...

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 ...

Medical-Legal Cheat Sheet for CA Workers' Comp

It’s official: California workers’ compensation has a new Medical-Legal Fee Schedule (MLFS). The updated MLFS is effective for dates of service on or after April 1, 20...

New CA Med-Legal Fee Schedule Effective April 1

California’s Office of Administrative Law (OAL) issued final approval of the revamped Medical-Legal Fee Schedule (MLFS) for workers’ compensation, effective for dates of serv...

CA: New Med-Legal Fee Schedule Pending

A reimagined Medical-Legal Fee Schedule is on the way.Following the required public hearing and comment period, California’s Division of Workers’ Compensation (DWC) fi...