Have you suffered an on-the-job injury in Pennsylvania? If so, you might wonder, “What is the purpose of an IME?” “What should I expect during an independent medical examination (IME) for my workers’ compensation claim?” While there is no need to fear the examination, it’s not something you should take lightly, either.
Here’s what you need to know about what to expect during and after the IME.
Purpose of an IME
The IME is an “independent” doctor examination scheduled by the workers’ compensation insurance carrier. The IME is not intended to treat your injuries. The purpose of an IME is to find a medical-legal opinion that the insurance company can use to limit or deny your wage loss and medical benefits. Remember that the insurance company hired this doctor. They are looking out for the insurance company’s best interest, not yours.
What Happens During an IME?
During the IME, the examiner will ask you questions about your injuries, the symptoms that arose around the time of your workplace injury, and how it has affected your ability to work. They may perform a variety of tests depending on the type of injury and symptoms you have. They might check your range of motion, strength, and overall function.
It’s best to be completely honest during the IME. Do not try to exaggerate your symptoms. Take note of the type of tests performed, the questions asked, and how long the examination lasted.
Tips for Preparing for an IME
The IME may begin before your scheduled appointment. Insurance companies might surveil you on the days before, during, and after your exam in an attempt to prove that you are not as injured as you claim to be.
In preparation for your IME, you should gather all relevant medical records, treatment summaries, and imaging results related to your injury. Be ready to discuss your medical history and how the injury occurred. Arrive on time for your appointment and dress comfortably, as the doctor might ask you to perform certain physical movements. Bring a list of your current symptoms, treatments, and any medications you are taking. Be honest and clear when answering the doctor’s questions about your condition. Reviewing your medical history beforehand can help you provide accurate information during the exam so the doctor gets all the necessary details.
It’s important to take the IME seriously, as the insurance company could try to use it to reduce or deny your benefits.
After the IME: What Comes Next?
As mentioned above, someone on surveillance could be watching you leave the IME or go about your daily activities the following day. Additionally, someone could be monitoring your social media feeds, as well as your spouse’s and friends’ feeds, to see if you post anything that appears to disprove the extent of your injuries. Set your social media feeds to private and request that your spouse do the same. It’s best to take a defensive approach to how to behave following your IME, both physically and digitally.
After the examination is complete, the doctor who examined you will prepare a report based on their findings. This report will go to the insurance company, your employer, and your lawyer if you have one. In the report, your treating doctor will provide their opinion about your medical condition. The insurance company will use the report to make decisions about your workers’ compensation benefits
Common Misconceptions About IMEs
The most common misconception is that these examinations are independent and in your best interest. This is not true. The insurance company chooses the doctor, and they want to use the findings of the IME as a reason to reduce or deny your benefits.
Another common misconception is that these exams are optional. If they are scheduled, you must attend. Remember to be on time and be honest about your injuries, symptoms, abilities, and limitations. If you cannot attend or need to reschedule, ask your attorney about your rights. The insurance company could file a petition Petition with the Court to compel you to attend the IME if you wait too long to reschedule.
Another misconception is that this is a standard medical visit. It is not. The examiner is not your treating doctor, and they likely will not offer you any recommendations for your treatment or overall health.
Contact Our Pennsylvania Workers’ Comp Attorneys for More Info
If you have questions about your Pennsylvania workers’ compensation claim or need help preparing for an IME, contact the attorneys at Calhoon & Kaminsky, P.C. for a free initial consultation. We’re happy to walk you through the process and answer your questions.
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For more than 20 years, our attorneys have been helping injured workers navigate the complex Pennsylvania workers’ compensation system. We empower workers with the information and the representation they need to make the best decisions for themselves and their families’ future.
