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You Passed the QME Competency Exam—Now What?

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?
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Simplexam’s “Penalty and Interest” Calculator for Medical-Legal Claims

A Penalty and Interest calculator designed specifically for medical-legal

Medical-Legal Fee Schedule (MLFS) Best Practices: ML200

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:…

New updates to the DWC Official Medical Fee Schedule (OMFS) effective July 1st, 2024

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…

Playbook for Non-IBR Medical-Legal Disputes

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…

Is Your QME Volume Going Down?

In 2019, the California state audit report found that the DWC had failed to address its QME shortage. From 2013-2018, as requests for QME services increased, the number of QMEs decreased, leading to unnecessary delays for injured workers hoping to…

Important changes to Telehealth reimbursement rates

It’s important to stay on top of regulatory changes and Simplexam has got you covered. One of the changes made this year regarding Place of Service affects reimbursement rates for psychological testing conducted via telehealth if the patient is seen…