An IME may be necessary in a variety of situations. For example, in a workers’ compensation claim, it may be necessary to help determine if the injury is work-related. In an accident or injury claim, an IME will help decide if the examinee’s condition is consistent with the claimed injury mechanism. In reviewing medical care, an IME can differentiate between medically necessary and reasonable care, and if such care is related to the claim. Disabilities and medical impairments can be differentiated between disease and injury, and IMEs can further opine regarding the validity, precision, and accuracy of such ratings.
IMEs may be scheduled more than once throughout a case. While an IME may be crucial at the beginning of a claim, it can also be useful at key decision points during the course of treatment to assure quality and precise case management. For example, in a workers’ compensation claim it may be necessary to assess an examinee to determine if a return to work is appropriate after an unexpectedly long period of disability.