201609.20
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How to Stay on the “Good Side” of the Audit Unit

The Department of Industrial Relations’ Office of Self-Insurance Plans has recently outlined its best practices for claim handling and, in particular, its red flags for audit risks.  The Office of Self-Insurance Plans noted that there are a growing number of self-insured employers in California, and new e-filing and updated Regulations will also result in increased…

201608.31
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Communicating With The Qualified Medical Evaluator

When a dispute arises regarding a medical determination made by an employee’s treating physician, the issue is often resolved by use of a Qualified Medical Evaluator (QME). There are rules, however, as to what information may be provided to the QME and under what circumstances. The Law California Labor Code section 4062.3 contains rules regarding…