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Leep, Tescher, Helfman And Zanze

Choosing a qualified medical examiner for workers’ compensation

Most injured workers count on workers’ compensation benefits to cover medical care costs and provide other benefits. But, getting these benefits isn’t always easy. A critical step in getting the benefits that one is due is selecting a qualified medical examiner (QME) in conjunction with one’s California workers’ compensation case.

The choice directly influences the case outcome because the QME’s evaluation is crucial in determining the nature and extent of a worker’s injury. Understanding how to navigate this selection process is essential for a favorable outcome.

In a workers’ compensation case, a QME is a licensed physician certified by the Division of Workers’ Compensation Medical Unit. They aim provide an objective medical opinion, vital in resolving disputes about workers’ compensation benefits. This opinion forms the basis for any decisions regarding a worker’s injury and subsequent benefits.

Steps in choosing a QME

If you need to choose a QME for a workers’ comp case, the process begins with receiving a list of three QMEs from the Division of Workers’ Compensation, matched to your injury type. This list requires careful consideration. Matching the QME’s specialty with your injury is essential. For example, a back injury would benefit from a QME specializing in orthopedics or chiropractic care.

Consider the QME’s location and language proficiency, ensuring accessibility and clear communication. Investigating the QME’s professional background, including their experience, board certifications and disciplinary history, is also crucial.

Professional background and experience

A QME with a solid professional background and extensive experience in workers’ compensation cases is preferable. They should have a clear understanding of how to navigate the system and experience in writing medical-legal reports.

Timeliness and final considerations

It’s essential to act promptly when choosing a QME, as delays can prolong your case. The right QME should provide a fair and comprehensive evaluation of your injury, which is crucial for determining your workers’ compensation benefits. Because of this, research and consider your options, understanding that this decision can significantly impact your case’s resolution.

Finally, keep in mind that getting the benefits you’re due can sometimes require assistance from someone who’s familiar with these matters. As such, seeking legal guidance proactively may be wise.