Colorado Information Regarding Independent Medical Examination (IME) is a process used to evaluate the medical condition of an injured worker. IME is mandated by the state of Colorado and is used to determine the extent of the worker’s injury and the appropriate amount of medical benefits. The IME is conducted by a qualified independent medical professional and is typically requested by the employer or the insurance company. The Colorado Division of Workers’ CompensationDOWNWC) sets forth specific rules and regulations regarding IME. The DOWN requires that the medical professional conducting the IME must be licensed in the state of Colorado, must be approved by the DOWN, and must be a Board Certified Physician or Board Certified Chiropractor. The IME must be conducted using accepted medical practices and the medical professional must provide a written report of the examination to the DOWN. There are two types of Colorado Information Regarding Independent Medical Examinations: Qualified Medical Evaluations (Ames) and Utilization Review (UR). Ames are conducted by a qualified medical professional and are used to determine the extent of the worker’s injury and the appropriate amount of medical benefits. UR is conducted by an independent medical review company and is used to evaluate the medical necessity and appropriateness of the care requested by the injured worker.
Colorado Information Regarding Independent Medical Examination
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The DIME model is a process of program Design, Implementation, Monitoring, and Evaluation developed and used by the Applied Mental Health Research (AMHR) Group since 2000. The model is a series of activities that combines evidence-based programming with rigorous monitoring and impact evaluation.
An independent medical examination (IME) is an objective medical-legal examination requested (by L&I or self-insurer) to establish medical findings, opinions, and conclusions about a worker's physical condition. These examinations may only be conducted by L&I-approved examiners.
Independent Medical Examinations - Southern Maryland Law.
Independent Medical Exams will only be paid utilizing these CPT codes: o CPT 99455- IME by Treating Physician- Includes 30 minutes of record review time. o CPT 99456- Summary of Notes by Non-Treating Physician- Includes 30 minutes of record review time.