With all its acronyms and technical terms, the California medical billing system can be confusing for the uninitiated. For example: What is SBR in medical billing? In today’s post, we answer this question and discuss other useful facts about medical legal billing. What Is SBR in Medical Billing? In the California medical billing system, the…
In previous posts, we discussed the Independent Bill Review (IBR) / Second Bill Review (SBR) process. But what is an IBR determination, exactly? Keep reading to find out and learn more about this key part of the California medical legal billing system. A Primer on the IBR Process An Independent Bill Review, or IBR, is…
Need to know how to request an Independent Bill Review? Then keep reading to learn all the information you need, from some basic concepts to the IBR process described step by step. What Is an Independent Bill Review? In California, an Independent Bill Review (or IBR, for short) is a non-judicial process for resolving medical…
If you are a Qualified Medical Evaluator (QME) who would like to improve the workers’ compensation system in California, this is your chance to be heard. Keep reading to learn more. California’s DWC To Hold Meeting on Ways To Improve Workers’ Compensation System The California Department of Workers’ Compensation has announced that it will hold…
Looking to become a Qualified Medical Evaluator (QME) in California? Then you need to get a sense of how the California QME exam questions work. Keep reading to learn more. California QME Exam Questions: What You Need To Know Any physician who wants to become a Qualified Medical Evaluator in California must go through a…
California’s Division of Workers’ Compensation (DWC) announced the decision to extend a second time the provisions related to the COVID-19 pandemic. Keep reading to learn more. Emergency Regulations for Medical Legal Evaluations in California At the beginning of 2022, the California Division of Workers’ Compensation (DWC) responded to the omicron surge of the COVID-19 pandemic…
California’s Division of Workers’ Compensation has announced that it will hold a public hearing on the adoption of new regulations, including extending the time frame to schedule a medical-legal evaluation. Medical-Legal Evaluations in California: What You Need To Know In California, a medical-legal evaluation is a process where a certified health professional (Qualified Medical Evaluator,…
In today’s post, we talk about EORs, a fundamental component of the medical legal billing process in California. Keep reading to learn what EORs are and their importance to healthcare providers. What Is an EOR? An Explanation of Review (or EOR) is a document sent to a healthcare provider by a claims administrator after the…
If you are looking to understand medical legal billing in California, then “Qualified Medical Evaluator” (QME) and “Agreed Medical Evaluator” (AME) are two terms you need to be familiar with. What Is a QME? The acronym QME stands for “Qualified Medical Evaluator.” In California, a QME is a physician who evaluates a worker when there…
Qualified Medical Evaluators (or QMEs) play a crucial role in the workers’ comp system. With that in mind, in this post, we discuss the steps you need to take to become a Qualified Medical Evaluator in California. What Is a QME? A QME is a physician certified by the Medical Unit of California’s Division of…