Guest guest Posted November 30, 2004 Report Share Posted November 30, 2004 You give your opinion, the neurosurgeon gives theirs, the IME gives theirs (most likely an adverse opinion) and the WC attorney hashes it out in a hearing. The final say will be written in the Opinion and Order by the hearings officer. This is no small case ,given the long term consequences. Make sure they have a good attorney who actually has taken WC cases to a hearing. sharron fuchs dc -----Original Message-----From: Dr. ph Medlin D.C. [mailto:deadmed@...]Sent: Tuesday, November 30, 2004 11:25 AM Subject: IME Hey folks, have an inquiry here about IME's. Haven't dealt with them very often. I had a WC case where the guy only worked there for a week or two and SAIF is ordering an IME to determine if the injury was actually caused at work (disc herniation) Anyway, both myself and the neuro-surgeon (who is performing surgery today) concluded that the injury was a direct cause of work activity. Now If the Godly IME disagrees, is that the opinion the insurer takes and we are left holding our "you know whats"?? thanks joe medlin dc PDXOregonDCs rules:1. Keep correspondence professional; the purpose of the listserve is to foster communication and collegiality. No personal attacks on listserve members will be tolerated.2. Always sign your e-mails with your first and last name.3. The listserve is not secure; your e-mail could end up anywhere. However, it is against the rules of the listserve to copy, print, forward, or otherwise distribute correspondence written by another member without his or her consent, unless all personal identifiers have been removed. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 8, 2004 Report Share Posted December 8, 2004 Has anyone undergone an " Independent Medical Exam " ? Any tips for survival, any tricks you encountered? This is to be at least 7 sessions, plus 8 hours of paper and pencil testing. No, it's not against a drug company, and not specifically drug related, just what caused me to need the drugs in the first place. Any help would be greatly appreciated. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 9, 2004 Report Share Posted December 9, 2004 Get a good Doctor or Psychologist first. Know who you are going to go to and know their views on psychiatry and psychology and true solutions that do not require drugs. They need to understand the real problems with medications and have the ability to see what the underlying cause for your travail is, not the BS line that it's some chemical imbalance or genetic cause. More likely it's your enviorment or a allergy or some nutritional handling, but you want a real doctor to help you with that. www.alternativementalhealth.com Has doctors that get people off psych drugs and many can handle all the other thousands of real reasons that could have got you on the drugs. Dr. Breeding is a Psychologist and knows more like minded professionals who may be close to your area. www.wildestcolts.com Best, Jim Has anyone undergone an " Independent Medical Exam " ? Any tips for survival, any tricks you encountered? This is to be at least 7 sessions, plus 8 hours of paper and pencil testing. No, it's not against a drug company, and not specifically drug related, just what caused me to need the drugs in the first place. Any help would be greatly appreciated. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 9, 2004 Report Share Posted December 9, 2004 Get a good Doctor or Psychologist first. Know who you are going to go to and know their views on psychiatry and psychology and true solutions that do not require drugs. They need to understand the real problems with medications and have the ability to see what the underlying cause for your travail is, not the BS line that it's some chemical imbalance or genetic cause. More likely it's your enviorment or a allergy or some nutritional handling, but you want a real doctor to help you with that. www.alternativementalhealth.com Has doctors that get people off psych drugs and many can handle all the other thousands of real reasons that could have got you on the drugs. Dr. Breeding is a Psychologist and knows more like minded professionals who may be close to your area. www.wildestcolts.com Best, Jim Has anyone undergone an " Independent Medical Exam " ? Any tips for survival, any tricks you encountered? This is to be at least 7 sessions, plus 8 hours of paper and pencil testing. No, it's not against a drug company, and not specifically drug related, just what caused me to need the drugs in the first place. Any help would be greatly appreciated. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 9, 2004 Report Share Posted December 9, 2004 Get a good Doctor or Psychologist first. Know who you are going to go to and know their views on psychiatry and psychology and true solutions that do not require drugs. They need to understand the real problems with medications and have the ability to see what the underlying cause for your travail is, not the BS line that it's some chemical imbalance or genetic cause. More likely it's your enviorment or a allergy or some nutritional handling, but you want a real doctor to help you with that. www.alternativementalhealth.com Has doctors that get people off psych drugs and many can handle all the other thousands of real reasons that could have got you on the drugs. Dr. Breeding is a Psychologist and knows more like minded professionals who may be close to your area. www.wildestcolts.com Best, Jim Has anyone undergone an " Independent Medical Exam " ? Any tips for survival, any tricks you encountered? This is to be at least 7 sessions, plus 8 hours of paper and pencil testing. No, it's not against a drug company, and not specifically drug related, just what caused me to need the drugs in the first place. Any help would be greatly appreciated. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 9, 2004 Report Share Posted December 9, 2004 Get a good Doctor or Psychologist first. Know who you are going to go to and know their views on psychiatry and psychology and true solutions that do not require drugs. They need to understand the real problems with medications and have the ability to see what the underlying cause for your travail is, not the BS line that it's some chemical imbalance or genetic cause. More likely it's your enviorment or a allergy or some nutritional handling, but you want a real doctor to help you with that. www.alternativementalhealth.com Has doctors that get people off psych drugs and many can handle all the other thousands of real reasons that could have got you on the drugs. Dr. Breeding is a Psychologist and knows more like minded professionals who may be close to your area. www.wildestcolts.com Best, Jim Has anyone undergone an " Independent Medical Exam " ? Any tips for survival, any tricks you encountered? This is to be at least 7 sessions, plus 8 hours of paper and pencil testing. No, it's not against a drug company, and not specifically drug related, just what caused me to need the drugs in the first place. Any help would be greatly appreciated. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 8, 2006 Report Share Posted February 8, 2006 Hi Folks, I must report there have been incidents where I have never received the IME report from the PIP insurance companies. The patient has had to bring their copy to me, but repeated requests to the insurers has not resulted in what I thought was their legal responsibility of informing the treating doc. Christian Mathisen, DC cmathdc@... 3650 S Pacific Hwy Medford, 97501 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 8, 2006 Report Share Posted February 8, 2006 Dr. Mathiesen, OR DCs, I don’t think there is a “legal responsibility” for the PIP carrier to provide an IME repot to the attending DC (such as there is in Oregon W/C). It is however a very good idea from a consumer protection point of view, not to mention from a professional courtesy perspective. Any chance this could be on the CAO legislative agenda, Vern? A. Simpson, DC From: [mailto: ] On Behalf Of Christian Mathisen Sent: Wednesday, February 08, 2006 8:23 AM Subject: RE: IME Hi Folks, I must report there have been incidents where I have never received the IME report from the PIP insurance companies. The patient has had to bring their copy to me, but repeated requests to the insurers has not resulted in what I thought was their legal responsibility of informing the treating doc. Christian Mathisen, DC cmathdc@... 3650 S Pacific Hwy Medford, 97501 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 8, 2006 Report Share Posted February 8, 2006 I think there's a new OBCE administrative rule that requires the IME doctor to provide a copy of the IME report to the attending physician "upon proper authorization" (i.e. medical release authorization). The rule obviously puts a little more burden on the IME doc, but I think the rule is written that way, because the OBCE does not have jurisdiction over third-party payors. I know the administrative rules committee was working on that rule for a year or so, but I can't put my finger on it at this moment, and I can't positively confirm whether it has been officially adopted. Perhaps another member of the committee or Mr. Mcteague could clear that up. G. , Gatti et. al. From: [mailto: ] On Behalf Of Chuck Simpson, DCSent: Wednesday, February 08, 2006 8:33 AMChristian Mathisen; Subject: RE: RE: IME Dr. Mathiesen, OR DCs, I don’t think there is a “legal responsibility” for the PIP carrier to provide an IME repot to the attending DC (such as there is in Oregon W/C). It is however a very good idea from a consumer protection point of view, not to mention from a professional courtesy perspective. Any chance this could be on the CAO legislative agenda, Vern? A. Simpson, DC From: [mailto: ] On Behalf Of Christian MathisenSent: Wednesday, February 08, 2006 8:23 AM Subject: RE: IME Hi Folks, I must report there have been incidents where I have never received the IME report from the PIP insurance companies. The patient has had to bring their copy to me, but repeated requests to the insurers has not resulted in what I thought was their legal responsibility of informing the treating doc. Christian Mathisen, DC cmathdc@... 3650 S Pacific Hwy Medford, 97501 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 8, 2006 Report Share Posted February 8, 2006 OR DCs, Mike, et al, This form Dave McT of the OBCE... A. Simpson, DC RE: IME Hi Folks, I must report there have been incidents where I have never received the IME report from the PIP insurance companies. The patient has had to bring their copy to me, but repeated requests to the insurers has not resulted in what I thought was their legal responsibility of informing the treating doc. Christian Mathisen, DC cmathdc@... 3650 S Pacific Hwy Medford, 97501 OregonDCs rules: 1. Keep correspondence professional; the purpose of the listserve is to foster communication and collegiality. No personal attacks on listserve members will be tolerated. 2. Always sign your e-mails with your first and last name. 3. The listserve is not secure; your e-mail could end up anywhere. However, it is against the rules of the listserve to copy, print, forward, or otherwise distribute correspondence written by another member without his or her consent, unless all personal identifiers have been removed. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 8, 2006 Report Share Posted February 8, 2006 In a message dated 2/8/2006 7:15:10 PM US Mountain Standard Time, vsaboe@... writes: requires IME doctors to perform a functional chiropractic examination What tests are on a functional chiropractic exam? Anglen Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 8, 2006 Report Share Posted February 8, 2006 Well , it's part of the current "Clinical Justification Rule" as is language that requires IME doctors to perform a functional chiropractic examination not just the standard ortho/neuro test which are rarely "positive/present." .....go figure! Vern Saboe RE: RE: IME I think there's a new OBCE administrative rule that requires the IME doctor to provide a copy of the IME report to the attending physician "upon proper authorization" (i.e. medical release authorization). The rule obviously puts a little more burden on the IME doc, but I think the rule is written that way, because the OBCE does not have jurisdiction over third-party payors. I know the administrative rules committee was working on that rule for a year or so, but I can't put my finger on it at this moment, and I can't positively confirm whether it has been officially adopted. Perhaps another member of the committee or Mr. Mcteague could clear that up. G. , Gatti et. al. From: [mailto: ] On Behalf Of Chuck Simpson, DCSent: Wednesday, February 08, 2006 8:33 AMChristian Mathisen; Subject: RE: RE: IME Dr. Mathiesen, OR DCs, I don’t think there is a “legal responsibility” for the PIP carrier to provide an IME repot to the attending DC (such as there is in Oregon W/C). It is however a very good idea from a consumer protection point of view, not to mention from a professional courtesy perspective. Any chance this could be on the CAO legislative agenda, Vern? A. Simpson, DC From: [mailto: ] On Behalf Of Christian MathisenSent: Wednesday, February 08, 2006 8:23 AM Subject: RE: IME Hi Folks, I must report there have been incidents where I have never received the IME report from the PIP insurance companies. The patient has had to bring their copy to me, but repeated requests to the insurers has not resulted in what I thought was their legal responsibility of informing the treating doc. Christian Mathisen, DC cmathdc@... 3650 S Pacific Hwy Medford, 97501 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 10, 2007 Report Share Posted April 10, 2007 The term 'IME' as in 'Independent Medical Exam' is incorrect and completely false. A better term is 'DME' as in 'Defense Medical Exam' or if 'IME' is to be used the 'Insurance Medical Exam' is a more appropriate term. , DC, DABCO, LLC > > As a former auto claims adjuster, I'd say the PIP IME is designed to > achieve one goal: give the insurance company a justification for > terminating benefits. Just in the last few weeks I've heard through the > vine of at least one insurance company putting certain IME docs on the > " bad boy list " --doctors who are no longer welcome to perform IME's on > insureds of this particular company, because they too often find > treatment to be both reasonable and necessary as well as causally > related to the injury-producing event. In the case at hand, it may be > that the at-fault carrier communicated " off the record " with the PIP > carrier and notified it that it was going to contest all treatment, and > it may be that the PIP carrier still wants an IME to simply have a piece > of paper that terminates care as of the last date the insurance company > paid for care. Just my two cents. G. , Gatti, Gatti, et. > al. > > ________________________________ > > From: [mailto: ] On > Behalf Of Chuck Simpson, DC > Sent: Tuesday, April 10, 2007 8:02 AM > bingonis@...; > Subject: RE: [OregonDCs] IME > > > > and OR DCs, > > The legal beagles on the list may want to chime in here... > > but in my experience with so-called PIP IMEs (those IMEs called for by > the patient's own insurance company-not by an adverse party), the issue > is one of the PIP carrier wanting a second opinion on causation, medical > necessity, etc., for exactly the purpose that the claims examiner > indicated to you...the PIP carrier wants additional ammo when going into > negotiations with the responsible party's insurance company. > > A. Simpson, DC > > Vice President, Medical Director > > Complementary Healthcare Plans > > 6600 SW 105th Avenue, Suite 115 > > Beaverton, OR 97008 > > 503-619-2041 > > csimpson@... <mailto:csimpson@...> > > ________________________________ > > From: [mailto: ] On > Behalf Of bingonis@... > Sent: Monday, April 09, 2007 5:15 PM > > Subject: [OregonDCs] IME > > > A patient contacted me today after speaking with her insurance company > (Amer. Family) about her upcoming scheduled IME. She told her claims > adjuster that she was planning to discontinue care in a couple weeks and > would they consider calling off the IME dogs. The claims adjuster was > very pleased to hear that she was discontinuing her care... > > She was put on hold and when the adjuster returned she told my patient > that she should go to the IME because it might help her settlement > against the adverse (State Farm). When she told the adjuster that she > was not interested in a settlement, the adjuster told her that she > should go to the IME to help them (Amer. Family) get their settlement > from State Farm... > > Is this just a tactic to get my patient to attend her IME? > Quote Link to comment Share on other sites More sharing options...
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