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P&S Status by QMES (California)

PostPosted: Thu Oct 25, 2018 9:03 am
by vampireinthenight
There's kind of a trend I'm seeing with QMEs and it leads to confusion, disputes and unnecessary litigation. It revolves around the finding of P&S or "not" P&S.

There are scenarios when a QME has no medicals. Or, a lot of the time a QME is missing a critical diagnostic study needed for rating PD, like an MRI, electrodiagnostic study, echocardiogram, etc.

QMEs, just because you are missing a report (or even all reports), you should not be making a medical finding that a person is "not considered permanent and stationary". P&S is a question of fact (based on medicine). And if you don't have the facts, you can't make this determination. It has nothing to do with what records you have or whether or not you are able to rate someone's PD.

If you do not have enough information to make a P&S determination, please report that you are unable to determine it until you can review the additional reports you need. Then when you have the reports you can provide when the P&S date should reasonably fall.

I don't know if it's part of QME training or just a bad trend, but when QMEs declare someone is not P&S because of lack of records, it can create a lot of confusion for the interested parties.

Re: P&S Status by QMES (California)

PostPosted: Wed Nov 21, 2018 11:42 am
by lacompfun
Odds are it is training..... I am seeing it too much for a bad trend..

I am seeing it in Southern California... not sure about Northern California...