Demystifying Independent Medical Examinations in Workers’ Compensation Claims

BY: Koszdin | Wednesday, May 17, 2023.

In the realm of workers’ compensation claims in Los Angeles, an Independent Medical Examination (IME) can play a vital role. These examinations often serve as a critical turning point in a case, potentially influencing the benefits a worker receives.

Why Are IMEs Requested?

Insurance companies or employers typically request an IME when there is a dispute about the medical condition of an employee filing a workers’ compensation claim. This could be due to disagreements about the extent of the injury, the treatment plan, or the degree of disability. The IME serves as a third-party assessment to clarify these points.

What Happens During an IME?

During an IME, a physician who is not previously involved in your care examines you. This examination can include a review of your medical history, a physical examination, and a review of your current treatment plan.

Remember, the physician conducting the IME is not your treating doctor and doesn’t have an ongoing doctor-patient relationship with you. Their role is to provide an objective opinion about your medical condition related to your workers’ compensation claim.

The Impact of IME Results

The results of an IME can significantly affect the outcome of your claim. If the IME doctor’s opinion conflicts with that of your treating physician, it may lead to disputes about your benefits. These could include the type and extent of treatment covered, whether you’re capable of returning to work, and if you have any permanent disability.

Preparation Is Key

Preparing for an IME can make a significant difference. Consider doing the following:

  • Understand the purpose: Know why the IME is being requested and what issues it’s meant to address.
  • Review your medical history: Be familiar with your medical records related to your claim.
  • Be accurate and consistent: Provide accurate information about your medical history and current condition. Be consistent in your descriptions of your symptoms and limitations.
  • Consult an attorney: An experienced workers’ compensation attorney can guide you through the process, helping you prepare for the IME and understand its potential impact.

Your Advocate at Koszdin, Fields & Sherry

Navigating a workers’ compensation claim can be challenging, especially when an IME is involved. The team at Koszdin, Fields & Sherry can help. Our dedicated attorneys have extensive experience with workers’ compensation cases and can guide you through every step of the process, including preparing for an IME.

We understand the impact that an IME can have on your claim and are committed to advocating for your rights and the benefits you deserve. If you’re facing an Independent Medical Examination as part of your workers’ compensation claim, reach out to us at 818-812-5639 or send us a message here. Let us be your advocate during this critical time.

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