The Independent Medical Examination: Necessary Elements and Reporting Expectations of the Physician Examiner

Abstract

The Independent Medical Examination (IME), as it is commonly referred to, is currently a mainstay of the medicolegal system. The IME is typically a one-time interview, physical examination, and supplemental record review performed by an impartial (ie, nontreating) physician at the request of a claimant's legal counsel or opposing defense attorney, in order to provide focused answers to a particular set of questions intended to help resolve a medicolegal dispute over the claimant's alleged work injury or personal injury claim. IME services provide opportunity for physicians to broaden and diversify their expertise and scope of practice.

Keywords: Apportionment; Exacerbation versus aggravation; Impairment rating; Independent medical examination (IME); Maximum medical improvement (MMI); Medical necessity and appropriateness of treatment; Permanency.