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DaisyBill: Record Review Nearly One-Third of $110.5M Clients Billed for Med-Legal Services

  • State: California
  • Topic: Top
  • - Popular with: Legal
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California workers’ compensation bill review firm DaisyBill said record review accounts for ab…

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4 Comments (One Reply)

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Do not post libelous remarks. You are solely responsible for the postings you input. By posting here you agree to hold harmless and indemnify WorkCompCentral for any damages and actions your post may cause.
Anne Bazel Nov 5, 2021 a 7:30 am PDT

Don't forget, QME rates never followed inflation and was kept the same for many years. The increase is still not up to date.

Ron Perelman Nov 5, 2021 a 8:34 am PDT

From 2006-2021 we had no raise. The process we now have is simple and equitable. Sorry, but records are important in writing a report, that the parties can use to finalize a case. We simplified the system because of all the past nonsense about complexity. If you want to give us less records, then someone needs to determine what is important and relevant. That would fall on the adjusters and attorneys. If they omit something important, the case will suffer. BTW-90% of my initial evils have less than 200 pages of records

Gary Nelson Nov 5, 2021 a 8:54 am PDT

I would think both the employer and the employee would want a report that is substantial medical evidence such that the matter can be equitably settled or submitted to a judge for a resolution. The doctors deserve to be compensated for their time or soon there won't be many of them left.

Jeffrey Gaines Nov 5, 2021 a 10:38 am PDT

Applicant's attorneys will not agree to limit the amount of records reviewed. They will intentionally increase the cost of the exam and use it as leverage for settlement.

Mark Gearheart Nov 8, 2021 a 2:58 pm PST

Mr. Gaines is incorrect. This doesn't increase the settlement value. (Unless you run a mill that settles before having a full med-legal report.) Most reputable applicant attorneys want a full case work up to determine its value. Leaving out relevant medical records leads to inaccurate reporting and makes it difficult to evaluate case value - for both sides. Plus if settlement fails and you have to try the case the report may not be substantial evidence. Both sides should want and expect a substantial evidence report so as to accurately assess the case value. Mark Gearheart

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