Independent Medical Evaluation (IME)
IME’s are evaluations performed by an independent physician who is not involved in the claimant’s treatment for the purpose of clarifying a medical status or diagnosis. An IME is used by insurers to determine a claimant’s diagnostic need for continued treatment, degrees of permanent disability or ability to return to work. IME’s may be performed anytime there is a dispute, concern or question regarding the medical treatment. IME’s can address:
Medical Record Review
A Medical Record Review is a formal evaluation of the claimant’s data and medial records to validate a diagnosis. It may also be performed to investigate legal implications stemming from sustaining an injury.
A utilization review is a procedure to evaluate how services are being used and delivered to confirm they are being utilized in a way which is efficient and cost effective.
A peer review is a system where physicians evaluate the performance and quality of a claimant’s treatment of their peers in the profession. Peer reviews determine whether the doctors clinical care/treatment of his or her patient meets the acceptable standard for patient safety.
A re-read or comparison of previous completed diagnostic testing.
IES coordinates noninvasive diagnostic testing with licensed and registered professionals and diagnostic facilities. All diagnostic tests must have a signed prescription. Noninvasive diagnostic testing includes:
Audiogram, a hearing test to evaluate the ability to hear by measuring the ability of sound to reach the brain.
Electroencephalography (EEG), recording of electrical activity along the scalp. EEG measures voltage and fluctuations resulting from ionic current flows within the neurons of the brain.
Electromyography/Nerve Conduction Study, (EMG/NCV), measures the electrical activity of muscles at rest during contraction. Nerve conduction studies measure how well and how fast the nerves can send electric signals.
Electronystagmogram (ENG), measure involuntary rapid eye movements called nystagmus and evaluates the muscles that control eye movements.
Magnetic Resonance Imaging (MRI), uses a powerful magnetic field, radio frequency pulses and a computer to produce detailed pictures of organs, soft tissues, bone and virtually all other internal body structures.
Radiograph (x-ray), is an imaging technique that uses electromagnetic radiation other than visible light to view the internal structure of a non-uniformly composed and opaque object.
Functional Capacity Evaluations
A functional capacity evaluation (FCE) is a set of tests, practices and observations that are combined to determine the ability of the evaluated to physically function in a variety of circumstances. An FCE evaluates an individual’s capacity to physically perform. The FCE process compares the individual's health status and body functions. The primary purpose is to evaluate a person’s ability to participate in work, although other instrumental activities of daily living that support work performance may also be evaluated.
Who can benefit from an FCE?
Litigated Claims/Liability Cases
Depositions and conferences are coordinated to accommodate client needs and trial dates.
Litigated and liability cases can be complex and require special exceptions. Please contact IES for any questions with regards to exceptions that need to be made.
Call Us: 586-722-7314