Independent Medical Exams in Workers’ Comp Cases: What to Expect

Understanding Independent Medical Exams (IMEs) in Workers’ Comp Cases

If you’ve been injured on the job and filed a workers’ compensation claim, you may be asked to undergo an Independent Medical Exam (IME). This is a crucial step in many workers’ comp cases, as it can significantly impact your ability to receive the benefits you deserve. Employers and insurance companies often use IMEs to verify the severity of an injury and determine whether further treatment is necessary. Understanding what to expect during this exam can help ensure you’re prepared and protect your rights.

At Rosenberg & Rosenberg, P.A., our experienced workers’ compensation attorneys have guided countless injured workers through the IME process. If you’re facing an IME, knowing your rights and having legal support can make a difference in the outcome of your claim.

What is an Independent Medical Exam?

An Independent Medical Exam (IME) is a medical evaluation requested by the workers’ compensation insurance provider or employer to assess the validity and severity of an employee’s injury. The purpose of the IME is to determine:

• Whether your injury is work-related

• If your treatment plan is appropriate

• Whether you have reached maximum medical improvement (MMI)

• If you can return to work or require further treatment

• Whether your disability rating is accurate

Unlike your primary doctor, the physician conducting an IME is selected and paid for by the insurance company. This means they may not have your best interests at heart. Having a trusted workers’ comp attorney, such as the team at Rosenberg & Rosenberg, P.A., can help you navigate any challenges that arise from an IME report.

When Are IMEs Required in Workers’ Comp Cases?

An IME is not always required in every workers’ comp case, but insurers often request them when:

• There is a dispute about the severity of your injury

• The insurance company wants a second opinion

• Your medical treatment seems prolonged or unnecessary

• You are applying for permanent disability benefits

• The insurer suspects fraud or exaggeration of injuries

If you receive notice of an IME request, it’s crucial to understand your rights and be prepared to handle the exam properly.

What to Expect During the Independent Medical Exam

Knowing what happens during an IME can help you stay confident and composed. Here’s what you can expect:

1. Scheduling the Exam

The insurance company will notify you of the date, time, and location of the IME. While you are required to attend, you do have the right to request a reasonable date and location.

2. Medical History Review

The IME doctor will review your medical records, previous treatments, and diagnostic tests related to your workers’ comp case. It’s essential to ensure your records are accurate and up to date.

3. Physical Examination

The doctor will conduct a physical evaluation, which may include:

• Checking range of motion

• Evaluating pain levels

• Reviewing X-rays or MRI scans

• Asking questions about your symptoms and daily limitations

4. Questions from the IME Doctor

You may be asked various questions, such as:

• How did the injury occur?

• What symptoms are you experiencing?

• What treatments have you undergone?

• Has your condition improved or worsened?

It’s important to answer truthfully but concisely. Avoid exaggerating symptoms but also do not downplay them.

5. Medical Report Submission

After the exam, the IME doctor will prepare a report with their findings and send it to the insurance company. This report can support or dispute your claim, affecting your workers’ compensation benefits.

Common Issues with IMEs in Workers’ Comp Cases

Since IME doctors are paid by the insurance company, their findings can sometimes be biased. Common problems include:

• Minimizing your injury: The IME doctor may claim your injury is less severe than it is.

• Questioning causation: They might argue your injury is not work-related.

• Suggesting unnecessary treatments: Some IME reports push alternative treatments instead of ongoing care.

• Declaring you fit for work too soon: The doctor may state you are ready to return to work before you are fully healed.

These tactics can delay or deny your benefits, making it critical to seek legal representation.

How to Prepare for an IME

To ensure your IME goes smoothly, follow these key steps:

1. Review Your Medical Records

Familiarize yourself with your medical history so your responses are consistent.

2. Be Honest and Accurate

Provide truthful and concise answers to the doctor’s questions.

3. Bring a Witness

If permitted, bring a friend or family member to take notes.

4. Take Notes After the Exam

Document what the doctor asked and how the exam was conducted.

5. Consult an Attorney

If you suspect an unfair IME, contact a workers’ comp lawyer immediately.

How Rosenberg & Rosenberg Can Help with Workers’ Comp Cases

At Rosenberg & Rosenberg, P.A., we have over 50 years of experience handling workers’ compensation cases in Florida. Our skilled attorneys can help you:

• Challenge biased IME reports

• Obtain additional medical evaluations

• File appeals for denied benefits

• Negotiate fair settlements

• Represent you in workers’ comp hearings

If your workers’ compensation claim is at risk due to an IME report, don’t wait to take action. Our legal team is prepared to fight for the benefits you deserve.

Contact Rosenberg & Rosenberg, P.A. Today

Navigating an Independent Medical Exam in a workers’ comp case can be challenging, but you don’t have to go through it alone. Rosenberg & Rosenberg, P.A. is dedicated to protecting injured workers and ensuring they receive the compensation they are entitled to.

📍 Location: 2501 Hollywood Boulevard, Suite 110, Hollywood, FL 33020
📞 Toll-Free: +1 (954) 371-2196
📞 Local Number: +1 (954) 371-2080

Fill out our contact form today, and let our team get to work securing your benefits!