California Regulations 16 7
From Wcc
§ Determination of Fees for QME Eligibility
(a) For purposes of establishing the annual fee for a qualified medical evaluator pursuant to article 2, physicians (as defined under Section 3209.3 of the Labor Code) shall be classified into one of three categories: (1) QMEs who meet all applicable requirements under Article 2 and 5 and who have conducted 0-10 comprehensive medical-legally evaluations in the twelve months prior to the assessment of the fee. Comprehensive medical-legal evaluations are evaluations as defined under Section ( 1) (d) of this chapter performed by a physician, (2) QMEs who meet all applicable requirements under Article 2 and 5 who have conducted 11-24 comprehensive medical-legal evaluations in the twelve months prior to assessment of the fee. Comprehensive medical-legal evaluations our evaluations as defined under Section ( 1) (d) of this chapter performed by a physician, (3) QMEs who meet all applicable requirements under Article 2 and 5 who have conducted 25 or more comprehensive medical-legal evaluations in the twelve months prior to assessment of the fee. Comprehensive medical-legal evaluations our evaluations as defined under Section ( 1) (d) of this chapter performed by a physician. (b) The evaluations shall be conducted in compliance with all applicable statutes and regulations. (c) Verification of the number of examinations shall be made by the Council using The Findings Summary Form in Section 36.1. Misrepresentation of the number of evaluations performed for purposes of establishing a physicians QME fee shall constitute grounds for disciplinary proceedings under Section 60 of this chapter. History: amendment effective 1/19/00; renumbering of former section 16 to section 18 and renumbering of former section 14 to section 16 filed 4/14/00. |
