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
With the growing number of California QMEs far outpacing the number of panels, it has never been more important to be efficient. Every minute wasted searching through emails for files, manually filling out forms, and collecting on bills sent via mail – it eats away at your margin and sanity. The solution is Simplexam: a… Continue reading Med-Legal software is a necessity for QME efficiency
We’re excited to announce two powerful new features designed to enhance your team’s workflow in Simplexam: Examiner Assignment and Role Configuration. These updates provide admins and managers with greater control over task assignment and role-specific visibility, helping users stay focused and productive. Examiner Assignment: Targeted Task Management The new Examiner Assignment feature allows admins and… Continue reading Introducing Examiner Assignment and Role Configuration: New Features in Simplexam
A Penalty and Interest calculator designed specifically for medical-legal
Below are some best practices to ensure you have the right supporting documentation to get your med-legal bills paid. To schedule an evaluation through Simplexam: Scenarios to charge for a Missed Appointment (ML200): Supporting Documentation needed for a Missed Appointment: In the scenarios where a patient does not show, is late, leaves early, or the… Continue reading Medical-Legal Fee Schedule (MLFS) Best Practices: ML200
It’s important to stay on top of regulatory changes and Simplexam has got you covered. Below is the latest announcement from the DWC: DWC Posts Adjustments to Official Medical Fee Schedule (Physician Services / Non-Physician Practitioner Services) The Division of Workers’ Compensation (DWC) has posted an order adjusting the Official Medical Fee Schedule (OMFS) to… Continue reading New updates to the DWC Official Medical Fee Schedule (OMFS) effective July 1st, 2024
Steps to Take if a Bill is Ignored If your medical-legal claim is ignored or denied by the claims administrator, this is your playbook for objections. This playbook assumes that you have all your proper documentation, including the request for the QME, letter from party/parties, proper reporting, and most importantly proof of service (or proof… Continue reading Playbook for Non-IBR Medical-Legal Disputes
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