Quick Answer: What Happens After My Ime?

What is MMI impairment rating?

If, after 104 weeks from the time you become eligible for Temporary Income Benefits, you still have not reached your Maximum Medical Improvement, then you will, by law, be deemed to have reached MMI and you will be given an Impairment Rating at that time The impairment rating refers to the percentage of limitation of ….

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 long after reaching MMI did you receive your WC settlement?

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 does IME mean for workers comp?

independent medical examinerAn independent medical examiner (IME) is a specialist with qualifications relevant to your injury. They do not replace your nominated treating doctor.

How is impairment rating calculated?

The rating is based on the difference of hearing loss between both ears. The average hearing loss in the unaffected ear is subtracted from the average hearing loss in the affected ear and the difference determines the impairment rating.

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.

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 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.

What should you not say in an IME?

Legal BlogBe Honest. … Describe the areas and degree of pain exactly as it is, not as the doctor suggests it should be and not as you think it should be after researching your symptoms on Google. … Assume that you are being watched the entire time. … Don’t talk about your injury claim – assume that ‘walls have ears’.More items…•

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.

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…

Can I record my IME appointment?

Some injured workers have reported that secretly recording independent medical examinations can lead to IME doctors cancelling the appointment if it is discovered. Recording a private conversation, and as such a medical consultation or a workcover IME examination is lawful in VICTORIA, QLD and the NT.

What should I not say to my workers comp adjuster?

Below is a list of tips you should keep in mind during any conversations you might have the insurance adjuster: Never agree to a recorded statement. You are not obligated to provide a recorded statement to the workers’ compensation adjuster and doing so will not do you any favors, so politely decline this request.

Can workers comp deny a second opinion?

If Your Second Opinion is Denied The insurance company may deny your request for a second opinion. In this case, you can visit another doctor of your choice. However, you could face several challenges. The insurance company may not accept your doctor’s recommendation.

How do you fight an IME report?

5 Ways You Can Beat a UNUM IME ReportDon’t Exaggerate Your Symptoms. … Build Strong Relationships With Your Treating Doctors. … Assume You’re Under Surveillance Before and After an IME. … Bring a Trustworthy Witness With You. … Consult an Experienced Disability Insurance Lawyer.

How do you deal with IME doctors?

Even if the IME doctor has been hired by the insurance company or workers’ comp agency, you should still be polite and respectful. Don’t assume the examiner is out to get you. Even if the doctor is less than friendly, responding with hostility can only hurt you. Be honest and don’t exaggerate your symptoms.

How long does it take to get IME report?

The IME doctor will prepare a report for the insurance company describing his examination of you, along with his findings and opinions. (Usually it takes 2 weeks and you can request a copy of the report under the FOI).