THE SLIPPERY SLOPE OF SUBSTANTIAL MEDICAL EVIDENCE

 In an ideal World, the parties would LOVE it if the QME would just offer opinions and conclusions that qualify as "substantial medical evidence."  That way, they could actually USE the conclusions without having to back again over and over and over again to request the QME the clarify, explain, and elaborate on their bare conclusory opinions.  Now, it's a new day.  Now, it's either do it right the first time, or spend your weekends writing "remedial" supplemental report after supplemental report - for FREE.  Here is the most complete course you will find on exactly HOW to fashion your opinions and conclusions so that, once and for all, they are IRREFUTABLE! 

 Medical decision making on complex disputed issues is EASY when you have the formula.  The formula rests in the algorithm of "substantial medical evidence."  The algorithm sprinkles "truth serum" across your opinions and conclusions.  Opinions and conclusions that are NOT true and accurate turn green and you can discard them.  Opinions and conclusions that ARE true and accurate shine brightly.  Retain those and watch your confidence as a QME soar to new heights all the while knowing that you rendered the perfectly accurate conclusion - every single time! 

 When providing opinions and conclusions within the body of your QME Report, it is imperative that you explain to the parties the "how" and "why" reasoning that went in to the opinion.  That way, the parties can determine if your opinion and conclusion is based on correct thinking, on correct legal theories, and on relevant facts.  Absent your detailed explanations, the parties simply conclude that you don't know what you're talking about - as these two cases illustrate. 

 Coming up with your Apportionment approximate percentages should not be so difficult.  All you need to do is take your numbers - whether it be 80/20, 60/40, 50/50 - and pass them through the filters of substantial medical evidence.  The numbers that fall out of the bottom of the filters are ALWAYS the exactly accurate and correct percentages.  You can count on it because it is a SYSTEM!  Here we show you how to do it. 

 When you provide your Permanent Impairment opinion - whether under the strict application of the AMA Guides, or by use of an alternative Impairment Rating under Almaraz/Guzman - it is going to get raked over the coals by the parties.  The parties are going to dissect your Impairment Rating in search of the basis of its ACCURACY.  In order to provide Permanent Impairment Ratings that are accurate and that withstand the nit-picking of the greedy parties, you need to have a system that brings you to the naturally correct and accurate Impairment Ratings - every single time.  In today's Live Video, we reveal such a system. 

 When you provide an alternative Impairment rating under Almaraz/Guzman, you KNOW that you are providing a rating that is double, triple, quadruple, etc. the rating that would otherwise apply according to the conservative AMA Guides.  Your multiplied Impairment rating will only be upheld if it is actually ACCURATE for the examinee's condition.  It won't be upheld simply because you so state it in your Report.  You have to PROVE to the parties that the alternative Impairment rating is the MOST ACCURATE description of the examinee's Impairment.  Is this difficult?  Not really.  Here is how to prove to the parties that your alternative Impairment rating should be used in resolving the case.