When you’re injured at work, your primary focus is on recovering and getting back on your feet. However, the workers' compensation process can sometimes involve additional steps, like undergoing an Independent Medical Examination (IME) or an Employer's Medical Examination (EME). Understanding the role of these examinations in your workers' compensation claim can help you navigate this often complex process more confidently.
What is an Employer's Medical Examination (EME)?
An Employer's Medical Examination (EME) is a medical evaluation conducted by a doctor chosen by the employer or the workers' compensation insurance company. The purpose of an EME is to assess the worker's medical condition, clarify the diagnosis, and provide an independent view on work capabilities. This examination helps the employer or insurer determine the extent of the injury and the appropriate level of workers' compensation benefits.
What is an Independent Medical Examination (IME)?
An Independent Medical Examination (IME) is ordered by the court when there is a disagreement between the findings of the employer’s medical examiner and the worker’s treating physician. The IME serves as a "tiebreaker" opinion in these situations, providing an objective assessment of the worker's medical condition. The IME doctor is not affiliated with either the employer or the worker and is chosen to offer an unbiased evaluation.
Why Might an IME Be Required?
An IME may be required for several reasons:
- Resolution of Medical Disputes: If there is a disagreement between the EME and the treating physician regarding the extent of the injury, treatment needs, or the ability to return to work, the court may order an IME to provide an independent opinion.
- Clarification on Medical Issues: The IME can help clarify complex medical issues, including the diagnosis, the extent of the injury, and whether the injury is work-related.
- Assessment of Maximum Medical Improvement (MMI): An IME can also help determine whether the injured worker has reached MMI, indicating that their condition has stabilized and is unlikely to improve with further treatment.
How Do IMEs and EMEs Affect Your Workers' Compensation Claim?
The findings of an IME or EME can significantly impact your workers' compensation claim. Depending on the results, the insurance company may adjust your benefits, either increasing or decreasing them. For example, if the IME concludes that the worker can return to work with restrictions or has reached MMI, benefits might be reduced or discontinued.
It’s important to prepare for these examinations by bringing relevant medical records and being honest and thorough in describing your symptoms and limitations. The reports from these examinations are crucial for making informed decisions about your benefits.
Conclusion
While an IME or EME is a standard part of the workers' compensation process, it can be intimidating or confusing. Knowing what to expect and how these examinations may impact your claim helps you approach the process with confidence.
If you have questions or concerns about undergoing an IME or EME, or if you disagree with the results, the Eichelberger Law Firm is here to assist you. Our experienced team, led by Jennie Eichelberger, a knowledgeable Mississippi workers' compensation lawyer, can provide guidance and support to help protect your rights and ensure you receive the benefits you deserve.
For specific legal advice tailored to your situation, always consult with a qualified attorney. Contact us today for more information!