Part One of Four: Almaraz-Guzman – When the AMA Guides Don’t Tell the Whole Story Why Almaraz–Guzman Matters California law requires that whole person impairment (WPI) be determined using the AMA Guides, Fifth Edition, as adopted through Labor Code § 4660. In most cases, the Guides’ chapter-specific tables, figures, and diagnosis-based or ROM-based methods provide… Continue reading How to Understand Med-Legal Rating Pathways in California: Part One
Writing an Apportionment Section That Withstands Scrutiny In California workers’ compensation, few parts of a medical-legal report invite more scrutiny than apportionment. The apportionment section is where credibility is tested, disputes begin, and outcomes are decided. Judges, attorneys, and DEU raters depend on this section to determine what portion of permanent disability stems from industrial… Continue reading Report Quality: How to Write a Clear Apportionment Section
Building a Defensible Med-Legal Report: Ratings, Apportionment, and RFAs that Hold Up A strong medical-legal report is not just about completing paperwork, it is about producing a document that can stand up to scrutiny in court, guide treatment decisions, and protect your professional credibility. This guide walks through practical strategies to strengthen your reports, from… Continue reading Report Quality: How to Build a Defensible Med-Legal Report
The Power Of The Pen: Why Report Quality Is The Backbone Of Workers’ Compensation In California’s workers’ compensation system, one thing is certain: your report is your voice.Whether you are a Qualified Medical Evaluator (QME), Agreed Medical Evaluator (AME), Independent Medical Evaluator (IME), or treating physician, your medical-legal report is not just a document –… Continue reading Report Quality Is The Backbone Of Workers’ Compensation
As part of our mission to help QMEs and AMEs stay on top of compliance and best practices, we’ve summarized two key updates for California QME that directly impact the way you work and report. 1. AB 1293 Passes Senate Committee On June 23, 2025, the California Senate Committee on Labor, Public Employment and Retirement… Continue reading QME News Update: New Quality Standards, Checklist & More
Simplexam helps Qualified Medical Evaluators streamline medical-legal claim management with cutting-edge AI tools and a curated network of trusted vendor partners. From record summaries to transcription and collections, Simplexam offers compliant, efficient solutions designed specifically for the unique demands of QME practices — all while aligning with California Labor Code §4628.
Congratulations on passing the California Qualified Medical Evaluator (QME) exam! Becoming a QME is a significant achievement, but now comes the crucial next step: setting up your practice and ensuring you’re ready to receive QME case assignments. Here’s a step-by-step guide to getting started. 1. Decide How to Handle Your QME Practice Administration Running your… Continue reading You Passed the QME Competency Exam – Now What?
Qualified Medical Evaluators (QMEs) often overlook the hidden costs of mailing and shredding paper correspondence. From appointment notifications to final reports, relying on traditional mailing is expensive and inefficient. Switching to email offers a faster, more secure, and cost-effective alternative. Learn how electronic communication can streamline your workflow, cut expenses, and improve efficiency in medical-legal practices.
When you’re an Independent Medical Examiner, you’re managing complex medical records, summarizing patient histories, or transcribing notes. The right vendor services support can make all the difference.
In the world of workers’ compensation, the relationship between Claim Administrators, Third-Party Administrators (TPAs), and clearinghouses is critical for smooth billing processes. Clearinghouses act as intermediaries, processing electronic bills (e-bills) and routing them to the appropriate claims administrator. However, when TPAs like Tristar Risk Management switch clearinghouses, it can create significant disruptions for providers—unless they’re… Continue reading Why Simplexam Users Needn’t Fret About Clearinghouse Changes Like Tristar’s
Customer Service
helpdesk@simplexam.com
Sales
sales@simplexam.com
Hours of Operation
Mon – Fri: 8 AM – 5 PM Pacific Time
Sat, Sun, Federal Holidays: Closed
Let us save you money and time. Schedule a demo with one of our product specialists.
