Photo of doctor holding tablet illustrates blog: "California Workers’ Comp Glossary"

California Workers’ Comp Glossary

From QMEs to claim administrators and Maximus, the language of California Workers’ Comp can be obscure to the uninitiated. But don’t worry — this short glossary will make things a lot easier. AME, Agreed Medical Evaluator When there are questions about the benefits an injured worker should receive (known as a medical-legal dispute), the worker…

Photo of doctor looking at laptop illustrates blog: "What Is a Medical Legal Expense?"

What Is a Medical Legal Expense?

In today’s post, we discuss medical legal expenses, from a basic definition to how the fees for medical legal expenses are billed in California. Keep reading to learn more! What Is a Medical Legal Expense? According to California law, the term “medical legal expense” refers to any expense made to prove or disprove a workers’…

Photo of doctor with stetoscope illustrates blog: "Carriers Continue to Make Incorrect PPO Reductions — Reducing Your Revenue"

Carriers Continue to Make Incorrect PPO Reductions — Reducing Your Revenue

There’s a worrying trend that workers’ comp doctors in California are facing increasingly often: Incorrect Preferred Provider Organization (PPO) reductions that slash their revenue and consume administrative resources. In theory, workers’ comp providers are protected by the California Labor Code, which sets rules to “prevent the improper selling, leasing, or transferring of a health care…