Board Certified Neurologist

Florida Workman Compensation Expert Medical Advisory

Thank you for your interest in supporting Maximus and the Florida Workman Compensation Expert Medical Advisor- FL WC EMR. Program: Florida Workers Compensation

Program Role: Physicians are utilized by the Division and Judges of Compensation Claims as Expert Medical Advisors (EMAs) to render expert medical opinions, peer review and expert testimony to resolve disputes related to reimbursement, differing opinions of health care providers, and health care and physician services rendered in accordance with subsection 440.13(9), F.S. and Rule 69L-30.007, F.A.C. In Florida, an Expert Medical Advisor (or “EMA”) is asked by a workers’ compensation judge to resolve certain controversies. A judge must order an EMA if either party requests one. They also must be called when there is a disagreement between two independent medical examiners. A judge may also choose to call an EMA when doctors disagree about the medical evidence in the case, when doctors disagree about whether further treatment is necessary and when doctors disagree about an employee’s ability to come back to work. The EMA’s opinion is given a legal presumption of correctness. This presumption can be rebutted only by clear and convincing evidence to the contrary of the EMA’s opinion.

Qualification: To qualify as an EMA, a physician must possess a current clear and active. Provider MUST be Florida Licensed

Florida Department of Health license and must be board-certified in a specialty area appropriate to address medical issues arising from the treatment of occupational health diseases and injuries. Once a physician is certified as an EMA, the certification will be valid for a period of two years. However, if at any time during the certification period, the physician no Longer meets all qualifications for certification, the EMA shall be decertified and removed from the Certification List, which is why it is important to verify the EMA’s license status prior to engaging an EMA for services.

Reimbursement: The reimbursement rate for Expert Medical Opinion Report services is $300.00 per hour, for a maximum of 7 hours, per case, unless additional hours are authorized in advance. Ancillary services necessary to fulfill an EMA service contract, such as an injured employee physical examination, medical record review for deposition or expert medical testimony, or travel expenses are reimbursed separately.

For more information: Physicians interested in participating as an EMA in the Florida Workers' Compensation system can learn more about the EMA process by viewing Chapter 69L-30, F.A.C., Expert Medical Advisor Rule, or by clicking the Medical Service Link: OJCC Home

Minimum Qualifications:

Must have Clean & Active Florida Medical License

Active direct patient care

Board Certification

Must become Certified with FL WC EMR through (maximus will support the process) Expert Medical Advisor Qualifications | Florida Workers’ Compensation | Florida Workers' Advocates

5 years experience in appropriate specialty post training (MD/DO)

Florida Workman Compensation Expert Medical Advisor (FL WC EMA)

RATE Description of Review

$300 per case up to 7 hours.

MD/DO

If interested in hearing more let's set up a call to discuss

Andrea Cota

562-674-8435

AndreaCota@maximus.com

As a leading strategic partner to governments across the globe, Maximus helps improve the delivery of public services amid complex technology, health, economic, environmental, and social challenges. With a deep understanding of program service delivery, acute insights that achieve operational excellence, and an extensive awareness of the needs of the people being served, our employees advance the critical missions of our partners. Maximus delivers innovative business process management, impactful consulting services, and technology solutions that provide improved outcomes for the public and higher levels of productivity and efficiency of government-sponsored programs. For more information, visit maximus.com.