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MA PDC Medical IME FCE Peer Review Referral Form 2004
Get MA PDC Medical IME FCE Peer Review Referral Form 2004-2024
PDC MEDICAL IME FCE PEER REVIEW Referral Form Referral Source Company Name Phone Extension Fax Date of Referral Date Needed Please check all that apply IME Peer Review FCE Orthopedic Surgeon/Orthopedist Physical Medicine Rehabilitation Physiatrist Internal Medicine Occupational Medicine Physician Neurologist Neurosurgeon Cardiologist Rheumatologist Physical Therapist / Occupational Therapist Other please specify other specialty Case Details Pleas.
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Orthopedic FAQ
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 peer review is different from an IME or independent medical examination because it does not involve a medical examination of the patient. The peer review physician employed by the health insurer would review the treatment records of the claimant and create a peer review report.
A medical peer review is a performance assessment. Through this process, peers evaluate other physicians' clinical performances. Teams of multiple physicians are assembled, often by administrative committees and ethics committees, to review the patient charts and activities of a particular physician.
One can use an FCE to develop a treatment program, to measure the physical abilities of patients before and after a rehabilitation program, to modify a rehabilitation treatment, to evaluate whether an injured worker can work, and to determine when he/she can return to work.
Here are some of the most common questions that IME doctors will ask: How Did You Injure Yourself? ... What Are Your Symptoms? ... What Is Your Current Pain Level? ... Have You Been Treated for This Condition Before? ... What Is Your Current Medical Treatment? ... What Are Your Current Physical Limitations? ... How Do You Spend Your Day?
Often confused with peer or independent medical reviews (IMR), an IME is utilized for a second opinion, often after a peer review has already occurred. A key difference between IME and IMR is independent medical review does not involve an in-person examination of the patient.
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