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Understanding IMEs In Workers’ Compensation Claims

In any injured employee’s workers’ compensation claim, Independent Medical Examinations (IMEs) play a crucial role in determining the extent of their injuries and benefits eligibility. While the term may sound complex, breaking down the concept of IMEs can help individuals better understand the steps their workers’ comp lawyer takes to pursue their claim. Today, our friends from Rispoli & Borneo P.C. are giving you more information about IMEs so you know what to expect if your employer asks you to undergo one.

What Is An Independent Medical Examination?

An Independent Medical Examination (IME) is an evaluation conducted by a third-party medical professional who is not involved in the initial treatment of the injured worker. The purpose of an IME is to provide an unbiased and objective assessment of the worker’s medical condition, helping to resolve disputes and clarify the extent of the injuries.

Why Are IMEs Conducted?

IMEs are typically requested by employers, insurance companies, or the state workers’ compensation board when there is a disagreement about the severity of the injuries or the need for ongoing benefits. It is not an attempt to undermine the injured worker’s claims but rather to ensure an impartial evaluation of their medical condition.

What To Expect During An IME?

The injured worker will be scheduled for an appointment with a healthcare professional chosen by the party requesting the examination. During the IME, the examiner will review the individual’s medical history, conduct a physical examination, and may ask questions related to the workplace injury. It’s essential for the injured worker to be honest and thorough in providing information during this examination.

How To Prepare For An IME

It’s normal to feel nervous about going to the IME. You may have “white coat syndrome” or feel offended that your employer doesn’t believe how badly you’re injured. However, good preparation can help ensue the exam goes well.

·         Review Your Medical History: Ensure that you have a clear understanding of your medical history, including details about the workplace injury and any pre-existing conditions.

·         Bring Documentation: Bring all relevant medical records, reports, and documentation related to the workplace injury to provide a comprehensive overview of your case.

·         Be Honest and Open: Answer all questions truthfully and openly. The goal of the IME is to accurately assess your condition. Withholding information may adversely impact your case.

The Role Of The IME Report

After the examination, the IME doctor generates a detailed report outlining their findings. This report will be shared with the involved parties, including the employer, insurance company, and possibly the workers’ compensation board. The report can influence the outcome of the workers’ compensation claim, affecting benefits and the overall resolution of the case.

What If You Disagree With The IME Report?

If the injured worker disagrees with the findings of the IME report, they may have the opportunity to present additional evidence or seek a second opinion. It’s crucial to consult with a workers’ compensation attorney to explore options for addressing discrepancies and ensuring that your rights are protected.

Although Independent Medical Examinations may seem daunting, understanding their purpose and preparing appropriately can empower injured workers to navigate this aspect of the workers’ compensation process with confidence. Seeking legal advice when needed ensures that individuals receive fair and just treatment throughout the evaluation and claims resolution process.