IMEs Explained
FAQs
| Question | Bone Fracture IME | Interventional Pain Management IME |
|---|---|---|
| What is the purpose of the IME? | To assess the extent of the bone fracture and determine appropriate treatment options. | To evaluate the effectiveness of previous interventions for pain management and determine further treatment strategies. |
| What type of injuries do they focus on? | Bone fractures | Persistent or chronic pain conditions |
| What medical professionals conduct these IMEs? | Orthopedic surgeons or professionals specialized in bone fractures | Pain management specialists or professionals specialized in interventional pain procedures |
| What diagnostic tests are typically required? | X-rays, CT scans, or MRIs to visualize the fracture | Previous medical records, imaging studies, or diagnostic tests relevant to pain management |
| What information does the IME provide? | Extent of the bone fracture, recommended treatment options, and estimated recovery time | Evaluation of previous pain management interventions, effectiveness of treatments, and future treatment recommendations |
| Can the IME result in a disability rating? | Yes, if the bone fracture leads to long-term impairments | Not typically, as the focus is primarily on pain management rather than disability evaluation |
| What are the common treatment options recommended? | Casting, splinting, surgical repair, physical therapy, or use of assistive devices | Medication management, physical therapy, interventional pain procedures, or other non-surgical interventions |
| How soon should an IME be scheduled after the injury? | As soon as possible to assess the fracture and determine timely treatment plans | After previous pain management interventions have been attempted and evaluated |
| Can an IME be requested by the patient or only by an insurer? | Either the patient or the insurer can request a bone fracture IME | Primarily requested by the insurer or employer |
| Does insurance typically cover the cost of the IME? | Yes, if deemed necessary for treatment decision-making | Yes, if deemed necessary for evaluating treatment options and progress |