Difference between Bone Fracture IME vs Complex Regional Pain Syndrome (CRPS) IME?

IMEs Explained

FAQs Bone Fracture IME Complex Regional Pain Syndrome (CRPS) IME
What is it? An Independent Medical Examination (IME) conducted to assess the severity and extent of a bone fracture. An Independent Medical Examination (IME) conducted to diagnose and evaluate the condition of Complex Regional Pain Syndrome (CRPS).
Who conducts the IME? A qualified orthopedic surgeon or related specialist. A pain management specialist or neurologist with expertise in CRPS.
What is the purpose of the IME? To determine the nature and extent of the bone fracture, as well as the expected healing time and any necessary treatments. To confirm whether the patient has CRPS, its severity, causes, and appropriate treatment options.
How is the IME conducted? The examiner reviews the patient’s medical history, performs a physical examination, and may order additional tests or imaging. The examiner reviews the patient’s medical history, conducts a thorough clinical examination, and may use specific diagnostic criteria for CRPS.
What are the common symptoms evaluated during the IME? Pain, swelling, deformity, limitations in mobility, and potential complications related to the bone fracture. Severe and persistent pain, changes in skin color and temperature, joint stiffness, and muscle weakness associated with CRPS.
What documents should be provided for the IME? Relevant medical records, imaging results (X-rays, CT scans, etc.), treatment history, and any relevant insurance or legal information. Medical records, diagnostic test results, treatment history, any prior IME reports, and any relevant insurance or legal information.
Are there any specific preparations for the IME? The patient should wear loose-fitting clothes that allow easy access to the injured area and bring any supportive devices (cast, braces, etc.) currently in use. The patient should be prepared to provide a detailed medical history, describe their symptoms, and inform the examiner about any medications or treatments currently being used.
How long does the IME usually take? Typically between 30 minutes to an hour, depending on the complexity of the fracture. Usually about 60 to 90 minutes, taking into account the comprehensive assessment required for CRPS diagnosis.
When are the results of the IME provided? The examiner may provide immediate feedback or a preliminary report, with a detailed written report usually available within a few days to a week. The examiner usually provides a written report within a few days to a week after the IME.
Is the IME covered by insurance? Most insurance plans cover bone fracture IMEs as they are necessary for assessing the need for treatments and potential disability claims. CRPS IMEs are typically covered by insurance if the diagnostic criteria for CRPS are met or if it is required for ongoing treatment and disability claims.