Blog
Understanding the QME Process
QME stands for Qualified Medical Evaluator. The State of California defines QMEs as “Qualified physicians who are certified by the Division of Workers Compensation, a Medical Unit focused on examining injured workers to evaluate disability and write medical-legal reports.” What is the QME process for injured workers? A certified physician determines if a patient was […]
Read More
Denied Claims
The phrase “denied claim” will add anxiety and stress to an already-difficult situation, but it is not a reason to panic. California has one of the most robust workers’ compensation programs in the country. It is also one of the largest, and anytime you have something that large, bureaucracy is necessary to keep it afloat. […]
Read MoreChallenges Obtaining Treatment in Workers’ Compensation Cases
Suffering an injury at work is bad enough. Going through the process of filing workers’ compensation claim(s) and getting medical treatment can make life even more difficult. It’s incredibly frustrating to suffer an injury and then have trouble getting appropriate treatment. Worse, it can make injuries worse and cause more systemic medical issues. Every workers’ […]
Read More
What’s the difference between a specific DOI vs. CT DOI?
DOI is shorthand for a specific Date of Injury in Workers’ Compensation law. CT DOI is shorthand for Cumulative Trauma DOI (also called Continuous Trauma). In many cases, the date of when an injury occurred is clear and obvious. If a worker slips and falls on the job, they’ll know the date that injury happened […]
Read More
Utilization Review
Utilization Review (UR) is one of the most important parts of the workers’ compensation process in California, and like many legal topics, the terminology can be confusing to laypeople. What exactly is Utilization Review (UR)? The State of California defines UR as: “the process used by employers or claims administrators to review treatment to determine […]
Read More
