If you’re involved in a workers’ compensation claim, you may be scheduled for an Independent Medical Examination (IME). Many injured workers feel anxious when they receive this notice, and for good reason. IMEs can significantly impact your benefits, work restrictions, and the overall direction of your case. Understanding what they are and how to approach them can make all the difference.
What Is an IME?
An Independent Medical Examination is a medical evaluation requested by the workers’ compensation insurance company (or sometimes the employer) to get an opinion on:
- The cause of your injury
- The severity of the injury
- Whether further treatment is necessary
- Your work capabilities or restrictions
- Whether you have reached maximum medical improvement (MMI)
Despite the word “independent,” the doctor is not your treating provider and is not there to treat you, only to examine and report.
Why Are IMEs Requested?
Insurance companies often request IMEs when:
- They disagree with your treating doctor’s recommendations
- Your recovery is taking longer than expected
- They want clarification on work restrictions
- They are considering stopping or reducing your benefits
The IME report can strongly influence the insurer’s decisions.
What Happens During the Examination?
IMEs typically involve:
- Reviewing your medical records
- Asking questions about how the injury happened
- Discussing your symptoms and medical history
- Performing a physical exam
- Observing your movement and physical abilities
The doctor may also note your demeanor and activities, everything from how you walk into the office to how you get on and off the exam table.
How to Prepare for Your IME
Preparation is key. Here are important tips:
- Be honest and consistent.
Exaggerating or minimizing symptoms can harm your credibility. - Stick to the facts.
Answer questions clearly but don’t volunteer unnecessary information. - Be aware you are being observed.
IME physicians often watch your movements before and after the exam. - Know your medical history.
Review dates of the injury, treatments, and surgeries so you can answer confidently. - Contact a workers’ compensation attorney if you have concerns.
An attorney can explain what to expect and how the IME could affect your case.
What Happens After the IME?
The IME doctor sends a written report to the insurance company. The report may:
- Confirm your current treatment plan
- Recommend different treatment
- Indicate you can return to work
- Claim your injury is not work-related
- Suggest your benefits be modified or stopped
If the IME opinion conflicts with your treating doctor’s findings, it can lead to disputes or changes in benefits.
If the IME Hurts Your Case, What Can You Do?
You are not without options. You may be able to:
- Challenge the IME report
- Request additional evaluations
- Present evidence from your treating doctors
- File petitions through the workers’ compensation system
Having an attorney can be crucial in these situations.
Protect Your Rights During the IME Process
An IME can feel intimidating, but preparation and legal guidance can help you navigate it with confidence. At Stark Law Group LLC, we help injured workers understand their rights, prepare for IMEs, and take action if the results threaten their benefits.
If you’ve been scheduled for an IME or have questions about how it may affect your claim, we’re here to help.