This is one of the official workers' compensation forms for the state of Pennsylvania.
Pittsburgh Pennsylvania Impairment Rating Evaluation Appointment for Workers' Compensation
Category:
State:
Pennsylvania
City:
Pittsburgh
Control #:
PA-LIBC765-WC
Format:
PDF
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FAQ
A worker with a 0 percent impairment rating is considered to have no impairment at all. Therefore, such a worker is expected to continue with their daily tasks as they would before the injury.
To calculate the impairment award, the CE multiplies the percentage points of the impairment rating of the employee's covered illness or illnesses by $2,500.00. For example, if a physician assigns an impairment rating of 40% or 40 points, the CE multiplies 40 by $2,500.00, to equal a $100,000.00 impairment award.
In simple terms, an IRE is an examination done by a doctor who must follow the latest edition of the American Medical Association's Guidelines for Permanent Impairment, to determine what percentage of the injured worker's body is impaired.
The impairment rating is a percentage that represents the extent of a whole person impairment of the employee, based on the organ or body function affected by a covered illness or illnesses.
Class 3: Moderate impairment: Can't live independently without regular support. Needs prompting to shower daily and wear clean clothes. Does not prepare own meals, frequently misses meals. Family member or community nurse visits (or should visit) X 2-3 per week to ensure minimum level of hygiene and nutrition.
To calculate the impairment award, the CE multiplies the percentage points of the impairment rating of the employee's covered illness or illnesses by $2,500.00. For example, if a physician assigns an impairment rating of 40% or 40 points, the CE multiplies 40 by $2,500.00, to equal a $100,000.00 impairment award.
An impairment class broadly brackets the percentage impairment that the claimant might be awarded. For most conditions, the classes are as follows: ? Class 0: No objective problem. ? Class 1: Mild problem. ? Class 2: Moderate problem.
An Impairment Rating Evaluation (IRE) is a medical examination requested by the insurer and/or their counsel to determine an injured worker's whole-body impairment due to the compensable injury.
An impairment rating can also be calculated based on the percentage of the entire body. This usually depends on the personal injury laws of that particular state. For example, a 30 percent bodily impairment rating means the victim has suffered impairment affecting at least 30 percent of their body.
A rating between 1 percent and 99 percent means you have a permanent parfial disability. Most injured workers do not have a permanent disability, and those who do usually have ratings between 5 percent and 30 percent (if injured before 2005).