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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…

QME Billers & Collectors: Don’t be deterred when “Your claim is denied!”

Often, collectors will call the bill reviewer or adjustor and be told “Your claim is denied.” Inexperienced collectors will hear this and give up, mistakenly believing nothing else can be done and that the denial is final. But – there…

Boost QME Medical-Legal Bill Approval with these Helpful Tips from our Simplexam Billing Expert

Pursuant to Title 8CCR §9793(l&n), when submitting a bill, providers should always include:  In the rare instance where there is no advocacy letter, providers can supply the “Request for the QME.” Sometimes that might just be an email or fax. …

Navigating DWC Regulation Changes with Simplexam: What You Need to Know

As a medical-legal professional, staying abreast of regulatory changes is paramount to ensuring compliance and delivering quality care. The Division of Workers’ Compensation (DWC) recently announced significant amendments that will impact the reappointment process and requirements for Qualified Medical Evaluators…

Introducing Simplexam Email Service

In today’s medical-legal world where the growth of QME examiners outpaces the number of QME panels, efficiency and simplicity are paramount. Handling billing claims, ensuring compliance, and facilitating communication between management and insurance companies can be a complex and time-consuming…