Advanced QME Report Quality Program with Report Review
Advanced Report Quality & Defensibility Package (16 hours)
12 Hour Report Writing Course – Sessions 2
In this session of the program we review what the law, what the 2016 Physician's Guide, and what the AMA Guides have to say about what topics, items, and issues need to be included and discussed in today's QME Report and, we create a hybrid Template that includes all of the required elements specific to California Workers Compensation.
12 Hour Report Writing Course – Sessions 3
In this brief session we review the Administrative Director's Disability Evaluation Guidelines as described in CCR 43-46 and, we begin our Introduction to 1) the AMA Guides to the Evaluation of Permanent Impairment - 5th Edition and 2) the QME Regulations CCR 1 - 159. These are important sections of the law for all QMEs to be familiar with, and to review regularly.
12 Hour Report Writing Course – Sessions 4
This session begins a 3 parts series entitled "The Language of Reports." In these next 3 session we begin to develop the new vocabulary you will be using and mastering in the completion of your QME Reports. In this session, we trace the flow of the QME Report through the workers compensation system, all the way to a successful resolution of the claim/case.
12 Hour Report Writing Course – Sessions 5
This is the second video in the 3 part series "The Language of Reports." In this session, we review the 4 laws that govern your "Review of Records", we review how to compose the "Occupational History section of your Report, and we review the AMA Guides and the many diagnostic tests and studies that are required in the evaluation of Permanent Impairments.
12 Hour Report Writing Course – Sessions 8
California Code of Regulations 10682 and the 2016 Physician's Guide give us reference to what must be included in the QME Report. We also get some direction from the AMA Guides for those cases that involve a Permanent Impairment evaluation. In Today's session, we begin Session #1 of "The Anatomy of a Good Report" by beginning at the beginning of the Report and going through it section by section to see how the Report is constructed, according to the rules. In this Session, we review the INTRODUCTION, OPENING STATEMENT, HISTORY, RELEVANT MEDICAL HISTORY, and REVIEW OF RECORDS sections of the Report.
12 Hour Report Writing Course – Sessions 10
This is Session #3 of the topic "The Anatomy of a Good Report." In this Session, we conclude our review of the high quality QME Report by reviewing CAUSATION, PERMANENT & STATIONARY, PERMANENT IMPAIRMENT, APPORTIONMENT, FUTURE MEDICAL CARE, and WORK STATUS sections of the Report.
Disability Impairment Rating
Almaraz/Guzman Impairment Ratings
In this Live ZOOMinar sponsored by SullivanonComp, well known and highly respected QME Steve Feinberg M.D. joins us to explain exactly HOW to incorporate alternative impairment ratings into your final conclusions for an accurate description of the examinee's actual impairment, and loss of function for activities of daily living. Here, we review actual examples of alternative impairment ratings for 1) headaches, 2) upper extremity, and 3) lower extremity and, we explain how to support your opinion for an alternative impairment rating with substantial medical evidence.
When and How to Add (Versus Combine) Impairments
The Kite Decision is important for Qualified Medical Evaluators to understand. In cases where the examinee is left with Impairments of multiple body parts, it may be more accurate to add those Impairments, versus combining them through the use of the Combined Values Chart. In Today's Live ZOOMinar sessions, well respected Applicant Attorney Mason Bledsoe explains the many opportunities to add Impairments and, he shows how to write this argument up within the body of your Report.
The Accurate Apportionment – The Hikida Effect
There are many many scenarios whereby injured workers suffer increased Permanent Disability above and beyond that due simply to the injury. Many times, the medical treatment itself causes a compensable consequence injury that then fails to resolve to pre-injury condition. In the event that this leads to a Permanent Impairment rating, the Apportionment of this Impairment has an EXACT handling - known as "The Hikida Effect."
Anti-Bias Training (ABT – 2 hours)
Combatting Bias in the QME Evaluation 5
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Combatting Bias in the QME Evaluation 6
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Workers’ Compensation Case Law (WCCL – 2 hours)
The QME Top 10 - "You Make the Call"
- Recent case law gives us as Qualified Medical Evaluators tremendous authority in rendering opinions and conclusions on our examinees. History supports even preposterious opinions as long as those opinions qualify as "substantial medical evidence." Here we briefly review 5 cases that demonstrate the QME's omnipotence, and, how decisions are handled when an opinion is, or is NOT "substantial."
The QME's Expert Deposition - Part 5
QME's CANNOT just throw out opinions and conclusions as if God has spoken. No - nowadays, there has to be some "substance" behind the opinion. There have to be relevant facts that support your reasoning. In today's Live Video, we review 3 actual cases. In 2 of the cases, the QME failed to qualify his/her opinions as "substantial medical evidence" and, as a result, the WCAB ruled HEAVILY in favor of the defense. In the 3rd case, the QME got it right and the Applicant came away with a BIG WIN under Almarez/Guzman.
Online course examination
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