California Medical-Legal Fee Schedule Regulations

Effective changes as of April 1, 2021

An increase in fees for reviewing, writing, and testifying in a workers’ compensation claim has begun for the state of California.

Jeff Adelson at Adelson McLean APC was recently interviewed for Business Insurance to talk about these changes.

Defense attorneys, whose insurance or employer clients bear the cost of medical-legal reviews, may have the resources to send smaller files of curated pages to the QME, whereas plaintiffs attorneys generally have high caseloads, lack the personnel to pre-review extensive medical files and don’t have the financial incentive to do so, said Jeff Adelson, Newport Beach, California-based co-managing shareholder of Adelson McLean APC.

“A doctor may get a set of 500 (pages for review) from one side, 500 from another, and maybe 400 pages will be duplicates,” he said. “The price of what should be a straightforward finding can be really high. A client will have to ask themselves, ‘Is there really value in spending $15,000 to $20,000 for a medical report?’”

-”Fee schedule changes could cost Calif. Comp system $270M”, by Angela Childers, Business Insurance, Quote-Jeffrey Adelson

Getting your business billing procedures streamlined will be vital. These are big changes and we can help you through this process.

About Jeffrey Adelson

Jeff Adelson, General Counsel and Co-Managing Partner at Adelson McLean, has practiced in the field of Workers’ Compensation for almost 40 years. In addition, Jeffrey Adelson’s legal career includes experience in the areas of civil, family, and criminal law. He enjoys the field of employment and Worker’s Compensation. A strong believer in human rights, he abhors any type of intolerance.

Click here to read more about Jeff.

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