Changes to Qualified Medical Evaluator Regs

On Friday, The Division of Workers’ Compensation (DWC) issued a notice of public hearing for proposed Qualified Medical Evaluator (QME) regulations. The specific benefit anticipated from the regulation is the elimination of the delay caused by the backlog in obtaining a panel QME with the exiting paper process. The proposed amendments will implement an online […]

Medical Legal Expert Forum 2015

Medical Legal Experts is proud to introduce the following speaking invitations for 2015.  Our Physicians regularly share their experience on a variety of healthcare topics.  If you are interested in learning more about our Medical Legal Expert Forum, contact us. 3/24/2015 Electrical Stimulation (1 hr) Sedgwick Claims Management Services TX 3/25/2015 Claims Management Challenges (1 […]

DIR, DWC Respond to Concerns Regarding Ongoing Home Health Care

The Department of Industrial Relations and its Division of Workers’ Compensation (DIR/DWC) have received inquiries regarding the denial of previously approved home health care services. Agreed-upon medical treatment must be honored, and California’s 2012 reform law, SB 863, did not change this. Under the 2012 reforms, unless a treating physician provides medical evidence of a […]

Contact Information for Status of IMR Requests

The Department of Industrial Relations (DIR) and its Division of Workers’ Compensation (DWC) remain committed to improving California’s workers’ compensation system to ensure that injured workers can receive timely and appropriate medical treatment. The independent medical review (IMR) process allows injured workers who have been denied a specific course of medical treatment by a claims […]

DIR Reduces Fees for Independent Medical Review, Independent Bill Review

The Department of Industrial Relations (DIR) is pleased to announce a reduction in Independent Medical Review and Independent Bill Review fees effective January 1, 2015. IMR Fees Any IMR application submitted on or after January 1, 2015 will be subject to the following fee schedule: Standard IMRs Involving Non-Pharmacy Claims* • Fee effective April 1, […]

DWC Files Amendment to Official Medical Fee Schedule with Secretary of State, Posts Adjustment to Inpatient Hospitals Section

The Division of Workers’ Compensation (DWC) has adopted and filed an amendment to the official medical fee schedule (OMFS) with the Secretary of State. The amended regulation reiterates the applicable dates of fee schedule provisions that are declaratory of existing laws; addresses the operating disproportionate share hospital (DSH) adjustments to inpatient hospitals; addresses the inpatient […]

Co-Founder and Past Chair of the CAAA AMA Guides Committee

Medical Legal Experts is physician-owned and operated by practicing AMEs, QMEs & IMEs, so the only stake holders are members. We only accept physicians with honest and ethical reputations who are nominated by peers. “Medical Legal Experts is a leader in Medical-Legal evaluations. The quality of reports, with clear and accurate impairment ratings, makes their […]

Medical Legal Expert Forum

Medical Legal Experts is proud to present the following speaking invitaion events.  If you are interested in having a Medical Legal Experts Meical Expert speak at your organization, please contact us. Date Time Requested Topic Organization City State Onsite Tele Attendee Type1 2015-01-22 10:00 AM Diagnostic & Psychological Testing & Reporting:  Overview and Role in […]


QME physicians should not expect to see the same previous applicants if they have a subsequent claim of injury or illness. This decision will create opportunities for new QME physicians as they will have opportunities to be selected. However, if the disputed medical issue is related to treatment and utilization review disputes, the applicant will […]