QME: Standardized Billing form CMS 1500 does not Apply to Med-Legal Bills

The Division of Workers’ Compensations has received complaints from qualified medical evaluators (QMEs) that bills are being rejected by claims administrators because they are not on the standardized forms. By statute, medical providers are required to bill using standardized paper billing forms effective Oct. 15, 2011. This is a new requirement for medical treatment bills only. It does not apply to medical-legal bills.

Medical Legal Experts Inc. provides medical-legal functional capacity evaluations, functional capacity exams and functional capacity tests in California.