IME from A to Z Effective use of Independent Medical Examinations in - - PowerPoint PPT Presentation

ime from a to z
SMART_READER_LITE
LIVE PREVIEW

IME from A to Z Effective use of Independent Medical Examinations in - - PowerPoint PPT Presentation

IME from A to Z Effective use of Independent Medical Examinations in New York Workers Compensation Claims Matthew R. Mead, Esq. Stockton, Barker & Mead, LLP Troy, New York May 25, 2017 PERMA Annual Conference 1 Overview Definitions


slide-1
SLIDE 1

IME from A to Z

Effective use of Independent Medical Examinations in New York Workers’ Compensation Claims

Matthew R. Mead, Esq. Stockton, Barker & Mead, LLP Troy, New York

May 25, 2017 PERMA Annual Conference 1

slide-2
SLIDE 2

Overview

  • Definitions
  • IME Qualifications
  • IME Procedure
  • IME Issues
  • Best Practices
  • Related Topics
  • Police/Firefighter Cases (GML 207)

May 25, 2017 PERMA Annual Conference 2

slide-3
SLIDE 3

Definitions

  • “IME”
  • Independent Medical Examination
  • Independent Medical Examiner
  • IME Entity

May 25, 2017 PERMA Annual Conference 3

slide-4
SLIDE 4

IME Qualifications

  • NYS License
  • Specialty Requirements
  • Application
  • Cannot be a former treating physician of examinee

May 25, 2017 PERMA Annual Conference 4

slide-5
SLIDE 5

IME Procedure

  • Notice to Claimant
  • Notice to WCB
  • Suitable Medical facilities.
  • Reports

May 25, 2017 PERMA Annual Conference 5

slide-6
SLIDE 6

IME Issues

  • 13 specific issues
  • “any other purpose recognized or requested by the

board”

May 25, 2017 PERMA Annual Conference 6

slide-7
SLIDE 7

IME Issues

  • Diagnosis
  • Causal relationship
  • Ability to work
  • Treatment – what treatment does the claimant need?
  • Maximum Medical Improvement
  • Permanency

May 25, 2017 PERMA Annual Conference 7

slide-8
SLIDE 8

IME Uses

  • Initial compensability evaluation
  • Impairment/Disability/Restrictions
  • Treatment
  • Opioid weaning
  • Maximum Medical Improvement (Permanency)
  • Percentage schedule loss of use
  • Impairment severity rating

May 25, 2017 PERMA Annual Conference 8

slide-9
SLIDE 9

Best Practices

  • Choose the right medical specialty
  • Choose the right doctor
  • Ask the right questions
  • Review the report

May 25, 2017 PERMA Annual Conference 9

slide-10
SLIDE 10

Related Topics

  • Police/Firefighter Cases (GML 207)

May 25, 2017 PERMA Annual Conference 10

slide-11
SLIDE 11

Thank You

Matthew R. Mead, Esq. Stockton, Barker & Mead, LLP Troy, New York mmead@sbmfirm.com

May 25, 2017 PERMA Annual Conference 11