Avoiding an IME

This post sponsored by
Joseph Medlin D.C.
Spine Tree Chiropractic
1607 NE Alberta St,
Portland OR 97211

IME stands for "Independant Medical Examination". You might correctly think of it as "Insurance Mandated Ending" to the case. I overheard Dr. Medlin tell another doctor about IME's and case management. He got it exactly right. I think:

Once your patient gets summoned to an IME, it's very very difficult to achieve anything further for the patient. A rebuttal is an option, but they will undoubtedly ignore it.

What I have found to be the most successful approach is to avoid the IME all together. Many times this can't be done, but with good notes on progress and a good causal narrative in the beginning and a good treatment plan showing improvements etc. with a defined and confident prognosis, the IME will be less likely. Also I've found that maintaining a good relationship with the case adjuster/mgr etc, does wonders to keep them off the IME button.

I'm not saying you didn't do any of this. It's not fool proof. I'm just providing what seems to work for me.

We staff can assist the doctor on this in several ways:

• Relay whenever a patient tells you about progress so the doctor can chart it.
• Always call to verify new Worker's Comp and Auto Accident claims.
• Learn the adjuster's name and preferred means of contact
• Ask if the carrier needs pre-authorizations or referrals
• Help the patient stay on schedule so they get better.
• Always send legible chart notes with the claims.
• Reply to questions about treatment plans quickly and sensibly.
  

All the best to you and yours!

This post sponsored by
Joseph Medlin D.C.
Spine Tree Chiropractic
1607 NE Alberta St,
Portland OR 97211