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QME Report Filing Under DWC Scrutiny

Per a recent report on the California Society of Industrial Medicine and Surgery (CSIMS) website, the Division of Workers’ Compensation (DWC) is taking new measures to enforce timely filing deadlines for medical-legal reports. Though the extent of any potential penalties remains ambiguous, CSIMS writes that the DWC Medical Unit has issued warnings to qualified and agreed medical evaluators (QMEs and AMEs) of “possible enforcement actions” should they fail to “serve medical-legal reports in a timely manner.”[1]

Cancellation Policy

48-Hour Cancellation Policy

ML104 Report Preparation

Reimbursement for time spent preparing medical-legal evaluation reports is always billable when code ML104 is applied compliantly. A recent lawsuit, Howard, et al. v. California DIR clarified this.

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