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New York Independent Examiners Report of Independent Medical Examination

State:
New York
Control #:
NY-IME-4
Format:
PDF
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Description

Independent Examiners Report of Independent Medical Examination

The New York Independent Examiners Report of Independent Medical Examination (NYMEX IRE) is a document issued by a qualified and independent medical examiner in the state of New York. It is a comprehensive assessment of the medical condition of an individual, including a description of the individual’s medical history, current medical condition, and prognosis. The report is used by health insurance companies, employers, and other entities to assess the medical risk of an individual and to determine eligibility for services or benefits. The NYMEX IRE consists of three parts. The first part is the Medical Report, which includes a detailed medical history, a physical examination, and any necessary laboratory tests. The second part is the Opinion Summary, which provides the examiner's opinion on the individual's medical condition, prognosis, and recommendations for treatment or further evaluation. The third part is the Medical Summary, which provides a summary of the findings from the examination and any recommendations for further evaluation or treatment. There are two types of New York Independent Examiners Report of Independent Medical Examination: the Initial Report and the Follow-Up Report. The Initial Report is the first report issued by the examiner after the initial examination. The Follow-Up Report is issued after any additional examinations or tests are completed.

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FAQ

The IME exam generates a report that is sent to all parties generally within 10 days. The report may or may not agree with your doctor and often will vary, especially in assessing your degree of disability.

Under normal circumstances, the physician that performed the IME will have the report prepared and mailed to the insurance adjuster within two weeks. Occasionally, if additional records are requested for review, it could take slightly longer.

The length of time you can stay out on workers' compensation will range from 225 to 525 weeks. However, the number of weeks and amount of money you can collect from workers' comp for your work-related injury each week will vary, depending upon your individual circumstances.

If the report is well-reasoned and well-supported, regardless of the favorability of the opinion, it is a good report. When evaluating an IME report, consistency matters. Inconsistent reports are not credible and they also make it difficult for the reader to figure out what, if anything, must be conceded on the claim.

A typical IME takes about 10-15 minutes. However, the appointment may take longer if your injuries are severe. Be patient during your examination. Allow the doctor to run any tests that are needed.

If you filed a claim and were assigned a number, you can call (646)264-3000 for information about your claim. If you are a U.S. Department of Labor employee, please call (816)502-0301 for claim status information.

Independent Medical Exams (IMEs) Workers' compensation insurance carrier consultants examine injured workers to provide medical opinions that support limiting medical care and lowering the rate of wage loss replacement.

More info

The text Writing and Defending Your IME Report: The Comprehensive Guide is recommended to any physician faced with writing an IME report. The Independent Medical Evaluation Report: A Stepby.Report of Independent Medical Examination must include this cover sheet and a narrative report that includes the components listed below. If. Conduct superior, Independent Medical Examinations. ♢. Write comprehensive, accurate reports. ♢. Delaware Market Conduct Examination Draft Report. 3 review the use of independent medical examiners, peer review organizations, arbitration. As part of the IME, the doctor reviews your relevant medical records, examines you, and writes a report. You may invoke the Workers' Compensation Law MGL c. 152, §§ 20 and 30A which requires the insurer to provide a copy of the report.

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New York Independent Examiners Report of Independent Medical Examination