November 25th, 2019

What type of Exam is your injured worker getting?

Workers Comp 0
  • BWC 90-Day examination:
    90 day examinations are required by statute and are conducted when an injured worker has received 90 consecutive days of temporary total disability compensation. This exam addresses a number of issues, including continuing compensation, return-to-work barriers, potential RTW solutions, need for further medical treatment or supportive care and  potential for rehabilitation.
  • BWC Physician Review (MEDCO-21)
    These file reviews are normally regarding an additional allowance request or anything that had been requested in the claim that requires a medical opinion but does not need a full exam to make a decision.
  • BWC Independent Medical Exam (IME)
    An IME is an objective medical evaluation conducted by an independent, qualified medical specialist at BWC’s request and is for the purpose of clarifying an injured worker’s medical and disability status.
  • C92 Examinations
    C-92 examination provides an unbiased, objective estimate of the whole person, percent of impairment for a given allowance referred to as percentage of permanent partial ( %PP, %PPD, or, most frequently, C-92) awards. This must be based on the most current edition of the American Medical Association’s Guides to the Evaluation of Permanent Impairment, using the available medical documentation, history and physical examination.

    These are initially completed by the BWC to determine a PPD% award and will support their tentative order. The injured worker/attorney and the employer/TPA/attorney can also have this exam completed to obtain their own PPD% as defense to get it increased or lowered.
  • Industrial Commission – IME
    This is normally done in regard to permanent total disability (PTD). A physical and psychological (if psych is allowed in the claim) IME will be completed based on the industrial commission request.

    For a PTD issue, there will be IME reports from the IC, IW and the employer, if needed.
  • IME/IMR – TPA/Employer
    These are reports obtained by the TPA claim examiner, the employer, or the employer’s attorney.