Independent Medical Evaluations (IMEs) Explained

Question	Answer
What is a Pediatric Rehabilitation IME?	A Pediatric Rehabilitation IME is a medical evaluation conducted by a specialist in pediatric rehabilitation to assess and determine the medical and rehabilitative needs of a child.
What is an Opioid Management IME?	An Opioid Management IME is a medical evaluation performed by a physician specializing in pain management to assess and manage a patient’s use of opioids for pain relief.
What is the focus of a Pediatric Rehabilitation IME?	A Pediatric Rehabilitation IME focuses on evaluating and managing the physical, cognitive, and social development of children with disabilities or injuries, with the goal of maximizing their functional independence.
What is the focus of an Opioid Management IME?	An Opioid Management IME focuses on assessing and managing a patient’s opioid medication use, including evaluating the appropriateness, effectiveness, and potential risks associated with opioid therapy for pain management.
Who typically performs a Pediatric Rehabilitation IME?	A Pediatric Rehabilitation IME is generally conducted by a pediatrician or a specialist in pediatric rehabilitation medicine.
Who typically performs an Opioid Management IME?	An Opioid Management IME is typically performed by a physician who specializes in pain management or addiction medicine.
What are the common reasons for a Pediatric Rehabilitation IME?	Common reasons for a Pediatric Rehabilitation IME include assessing the need for rehabilitation services, determining the nature and extent of a child’s disabilities or injuries, and developing an appropriate treatment plan.
What are the common reasons for an Opioid Management IME?	Common reasons for an Opioid Management IME include evaluating a patient’s opioid use for pain management, assessing the effectiveness of current treatment, and making decisions regarding the continuation, modification, or cessation of opioid therapy.
Does insurance cover Pediatric Rehabilitation IMEs?	Insurance coverage for Pediatric Rehabilitation IMEs may vary depending on the type of insurance and specific policy provisions. It is advisable to check with the insurance provider for coverage details.
Does insurance cover Opioid Management IMEs?	Insurance coverage for Opioid Management IMEs may vary depending on the type of insurance and specific policy provisions. It is advisable to check with the insurance provider for coverage details.