Ancillary
Services
A FULL RANGE OF INDEPENDENT MEDICAL EVALUATIONS supporting treatment planning, return-to-work decisions, and claim resolution
Workers’ Compensation evaluations and exams are unbiased, independent assessments that ensure injured employees receive appropriate care and treatment. Using evidence-based medical practices, qualified medical professionals confirm whether the treatment being provided is appropriate, necessary, and aligned with current medical principles.
These evaluations help to ensure that injured workers not only receive the best possible care, but also help to manage the costs for employers, insurers, and claim administrators.
Each evaluation is conducted by independent medical professionals and guided by objective, evidence-based medical standards.
Independent Medical Exams
Independent Medical Evaluations provide fair and objective examinations of the individual and clinical records. Our experienced staff reviews the referral and selects the most appropriate physician within our network to evaluate the medical condition and address any and all claim concerns. We will assist in determining appropriateness of care, whether Maximum Medical Improvement (MMI) has been achieved, and any other questions requested in the referral.
For your convenience, we offer a secure online portal to access reports. We accept referrals by fax, email, phone, or through our online referral forms.
Specialty-matched Board-Certified physicians- Thorough evaluations/Detailed answers to your questions
- Timely and influential reports – typically available within 24 hours of examination
- Reliable and valid documentation
Peer Review
Our comprehensive peer reviews offer an objective clinical evaluation of all aspects of the care provided to a patient, including medical necessity, appropriateness of treatment, and over/under utilization. A provider in the same specialty as the treating provider will be selected to review medical records, reports, diagnostic tests and any other details of the case the client would like addressed.
For your convenience, we offer a secure online portal to access reports. Referrals may be made by fax, email, phone, or through our online referral forms.
- Evidence-based assessments of medical necessity and treatment quality
- Performed by active, specialty-matched Board-Certified physicians
- Timely, unbiased evaluations with documentation for claims or appeals
Functional Capacity Evaluation (FCE)
Primarily administered when progress has plateaued or work readiness needs to be determined, an FCE is a short-term, intensive exam that measures a worker’s ability to meet the physical requirements of their job.
Recommendation criteria for an FCE exam would be an injured worker who is at Maximum Medical Improvement (MMI) whose case meets the criteria of excess reporting, with permanent restrictions, post back or neck surgery; or at a physician’s request to assist in determining return-to-work repetitive injuries, and auto accident-related injuries.
For your convenience, we offer a secure online portal to access reports. We accept referrals by fax, email, phone, or through our online referral forms.
- Evaluates strength, endurance, flexibility, and physical/cognitive abilities
- Helps determine return-to-work readiness or disability status
- Identifies symptom magnification or inconsistent effort
- Determines Maximum Medical Improvement (MMI) rating
Permanency Exam
Used to support the final resolution of a claim, permanency exams assess whether a worker has reached Maximum Medical Improvement (MMI) and if a permanent impairment remains. Medical providers will assess the severity of the injury and how it affects the worker’s ability to perform their job and at-home daily activities.
For your convenience, we offer a secure online portal to access reports. Referrals are accepted by fax, email, phone, or through our online referral forms.
- Conducted by licensed same-specialty professionals to determine lasting injury
- Helps to establish level of permanent impairment,
if any - Used to support benefits determination and closure of claims