Leveraging AI to Maximize Disability Ratings in QME Reports

Welcome to the first post in an exciting new series exploring how Artificial Intelligence (AI) is transforming the Workers' Compensation arena, particularly in the fight to secure maximum benefits for injured workers. In this inaugural blog, I'll share insights on how we've successfully integrated AI into our law practice to scrutinize Qualified Medical Evaluator (QME) reports and optimize disability ratings.

Why AI Makes Sense for Workers' Compensation

Why turn to AI for something as nuanced as evaluating QME reports? Simple: AI provides the equivalent of having a genius at your fingertips—one who can swiftly analyze vast amounts of data, ensuring accuracy, consistency, and ultimately maximizing outcomes. However, it's crucial to remember that AI, like any tool, can sometimes make mistakes. Therefore, it is always prudent to carefully review the results to ensure accuracy and compliance with relevant guidelines. As AI technology improves—which it undoubtedly will—our results will become even more confidence-inspiring, gradually requiring less scrutiny, much like how other technologies have evolved over time. In practical terms, this translates to more substantial settlements for your clients and increased attorney fees.

Our AI Approach: Maximizing QME Report Ratings

At our firm, we've developed sophisticated AI tools tailored specifically for analyzing QME reports against the American Medical Association's Guides to the Evaluation of Permanent Impairment. Our AI solution quickly and meticulously:

• Reviews QME reports thoroughly.

• Compares findings directly against the Guides.

• Assesses whether the QME has fulfilled the Workers' Compensation mandate to maximize benefits for injured workers.

• Suggests precise and actionable methods to boost ratings.

If the AI identifies instances where the rating potentially shortchanges an injured worker, it immediately generates a comprehensive request for a supplemental QME report, effectively challenging any inaccuracies or oversights. The results are impressive: at minimum, we've regularly increased disability ratings by several percentage points, and in one recent case, achieved a remarkable 100% improvement.

The Cost Advantage: Reimbursable Litigation Expenses

Not only do these tools save significant time, but the cost of obtaining these AI-assisted ratings can also be reimbursable as a litigation expense under California law. According to Sullivan on Comp (SOC section 15.110), the expense associated with obtaining a private disability rating expert is reimbursable under Labor Code §5811, provided certain criteria are met.

Try Our AI Solutions

At Levitz Legal Group, we're enthusiastic about sharing these transformative AI tools with our colleagues. For a fee, you can experience firsthand the advantages of our AI-driven analysis and make significant gains in your Workers' Compensation cases. If you'd like further information or to arrange a demonstration, please reach out—we're here to help you craft superior QME reports and secure maximum results. 

Stay tuned for more insights as we continue revolutionizing Workers' Compensation with the power of AI.