Quick Answer: How Do You Deal With IME Doctors?

What happens when IME doctor disagrees with my doctor?

The IME doctor disagreed with my doctor and my employer stopped paying benefits…can they do that.

Once your employer has an opinion contradicting your treating physician’s opinion, your employer can refuse to pay additional benefits, authorize additional treatment, accommodate your work restrictions, etc..

What do IME doctors look for?

Objective Manifestations of Injury – The IME doctor will (should) typically review any medical imaging studies, such as x-rays, MRI reports, CT scans, and EMG nerve conduction studies, to try to find objective manifestations of injury – that is, objectively measurable damage or injury to your body.

What does a 10 impairment rating mean?

The most common disability rating is to the “body as a whole”. This type of rating pays you receive three weeks of benefits for every one percent that you are rated. So, a 10% disability rating to the body as a whole will pay you 30 weeks of permanent partial disability benefits.

What does a 10 percent impairment rating mean?

What is an Impairment Rating? The impairment rating is usually a number that the doctor assigns to your injury. Typically if you have a back injury, it may be a 10 percent or a 15 percent impairment rating. An impairment rating is meant to be the percentage of injury that you have to that part of your body.

How long does it take to settle after MMI?

If it is the Primary Treating PHysician that found you at Maximum Medical Improvement (we say MMI now; P&S is no more), and your attorney agrees with that Treating Physician’s findings — and those findings address ALL the claimed injuries — then expect your attorney to suggest a settlement demand about 6 weeks after …

What happens after my ime?

After the IME, the doctor will write a report with his or her conclusions and opinions, particularly in response to the disputed issues or questions raised by the insurance company. You or your lawyer should receive a copy of this report. The results of the IME can have a large impact on your case.

What does a 5 impairment rating mean?

Re: 5% Immpariment Rating Good is a relative term. 0 means you had relatively full recovery with little or no residule affects-comparatively speaking. 5% means you are a lot better off physically then many others who’ve ended up with substantial functional problems.

How can I pass IME exam?

Preparing for the Independent Medical ExaminationKeep your appointment. … Know what you’re getting into. … Get organized. … Note the date, time and place of your exam and the name of the doctor who will be examining you. … Arrive early. … Take time to answer all questions carefully. … Avoid unnecessary elaboration. … Be precise.More items…•

Can I refuse an IME?

You’re an employee, you’ve been off sick and you’re ready to return to work. But your employer says you need to go to an “independent medical examination” (IME) before you can return to work. … You should not refuse a direction to attend an IME.

Can you record IME?

By law, you are allowed to video or audio tape an IME examination. The doctor CANNOT refuse to allow you to do so. Bring a friend or family member with you to record the exam on a camera, smartphone, or whatever is available.

Does workers comp affect future employment?

Will a Workers’ Compensation Case Affect My Future Employment? As long as you do not badmouth your former employer, a previous workers’ compensation claim should not impact your chances of being hired in the future.

What is the purpose of an independent medical examination?

An independent medical examination provides the insurer or your legal representative with an independent opinion regarding your injury and treatment to assist with decisions about your rehabilitation, recovery at/return to work and your entitlements to compensation.

What should you not say in an IME?

What Not to Say to the Independent Medical Examination DoctorDo not ask the physician for a diagnosis. … Do not exaggerate the symptoms of your injuries or occupational illness. … Avoid saying more than you should.

Can IME doctor send you back to work?

While your regular doctor is concerned with treating your condition and facilitating your return to work, an IME doctor’s only role is to provide additional information or to clarify specific aspects of your condition and to report back to WorkCover. … Nothing you say to the IME doctor will remain confidential.

What happens when you reach MMI?

Reaching MMI means that the employee is not expected to get better with additional treatment. … There’s also the risk that returning to work will make their injury worse. The impairment rating assigned by the physician at the time MMI is reached determines their limitations.

How do I prepare for IME?

Checklist for Preparing for Your Independent Medical Examination (IME)Be Appropriately Cleaned, Groomed & Dressed. … Arrive at Least 30 Minutes Early. … Be Familiar with Your Medical History. … Be 100% Honest – Don’t Exaggerate Your Injuries.More items…

What should I not say to my workers comp adjuster?

As a general rule of thumb, you should never discuss anything except the basic facts of the accident, including where it occurred, the date and time it occurred, what type of accident it was, and which body parts were injured.

Why do workers comp doctors lie?

Because many people worry about a preexisting injury affecting their claim, they may be tempted to lie and say they didn’t have a previous injury. Unfortunately, this can hurt your claim, too. Your doctor can easily find out about your previous accident, especially if they have access to your medical records.

How is MMI determined?

Who determines MMI? The treating physician is the only person who can determine MMI; however, an employer can also request an Independent Medical Examination (IME) by a qualified physician to make this determination after reviewing the patient’s medical records and examining the patient.

Can you sue an IME doctor?

Can they sue the IME doctor or physical therapist for medical malpractice? According to a sharply divided NY Court of Appeals, the answer is “Yes”.

Can a doctor force you back to work?

Your employer can’t force you to return to work early. If your doctor has given you restrictions to follow for your recovery, you don’t have to accept a job that exceeds those restrictions. You do, however, have to accept a temporary position that fits within your restrictions.