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Workers' Comp

These pages present background information regarding California Workers' Compensation and is not intended as a substitute for expert legal counsel. If you require further information contact either the California Workers' Compensation Office of Assistance, or seek legal representation from a Workers' Compensation Attorney in your area.

Dr. Gallia is a Qualified Medical Evaluator (California) and can conduct QME evaluations or act as a Workers' Comp treating physician-dentist.

The QME is is a physician or other health care practitioner licensed in California who has passed all requirements set forth by the California Industrial Medical Counsel (IMC). (As of 1/1/2004, the functions of the IMC have been taken over by the Dept of Workers' Compensation.) A QME may be an MD, DC, DO, DDS, DPM, or PhD. Doctors with an appointment as a QME must pass the QME Competency Examination.

California State Law provides for the regulation and resolution of disputes regarding work related injuries. If you have been injured at work, your employer or their insurance carrier may dispute your injury, or you may disagree with the findings of your medical provider. In either event, California Law provides for either side to receive an unbiased medical examination by a QME to help determine the facts of the case. You may also request a QME examination if your employer or their insurance carrier have denied your claim of injury.

Either party may contest the findings of your treating doctor. Here is an example of a possible dispute leading to a QME examination:

  1. If your injury has resulted in a permanent loss of your work capacity your employer/insurer may dispute the disability findings of your treating doctor. You may then be asked to submit to a QME examination.
  2. If YOU disagree with the findings of your treating physicians permanent and stationary report, you may request a QME examination from the California Industrial Medical Counsel (IMC). You may also request a new QME if you disagree with the findings of a QME which the insurance carrier had you undergo.
  3. You may require more than one QME examination. For example, if your workplace accident resulted in both serious knee and TMJ problems, you may require a QME from both a knee and a TMJ QME.