What does the mnemonic “139.2 = QME HQ” stand for?
Labor Code §139.2 is the main statute governing QME accreditation, panels, and rules in CA workers’ comp.
What is the “12/5 rule” for QMEs?
Complete 12 hours of CME every 5 years to maintain QME certification/reappointment.
What does “45 Face Time” remind a QME to do?
Provide ~45 minutes of face-to-face exam time for a thorough med-legal evaluation (commonly expected/defensible minimum).
Decode HREFIC for QME report essentials.
History, Records reviewed, Exam, Findings, Impairment rating, Causation—include all in the report.
Decode HERD for “substantial medical evidence.”
History, Exam, Reasoning, Diagnostics—anchor opinions to these four pillars.
What does “No Solo Talk” mean?
No ex parte communication—never communicate with one party without copying the other; disclose if it occurs.
What does “See it, Say it” require?
If you suspect or identify fraud, document and report per DWC/board rules and law.
What does “Facts not Law” guide a QME to do?
Stick to medical facts and opinions (causation, impairment, apportionment); don’t give legal advice.
What does “Show Your Work” mean in a QME report?
List every record, test, and method reviewed; make reasoning transparent and reproducible.