Will I Have to Undergo an Independent Medical Examination (IME) for My MN Workers’ Compensation Injury?

In our practice, I’d estimate at least 2/3 of my Minnesota workers’ compensation clients are required to undergo an “Independent” Medical Examination (IME) at least once during the duration of their claim. IME’s on disputed claims are almost inevitable.

We refer to so-called “Independent” Medical Examinations (IME) as adverse exams. They are not independent. The doctor you see will not offer treatment recommendations or advice. The doctor is hired by and paid for by the workers’ compensation insurance company.

The purpose of an IME is to provide an “independent” and “expert” opinion report regarding the nature and cause of your injuries for the insurance company. As you might imagine, very, very few of these reports are favorable to the Employee. Generally speaking, the IME doctor will opine that you weren’t hurt, that your injuries were pre-existing or unrelated to your work, that if you did have an injury, you’re completely healed, that your medical care has been unreasonable or unnecessary, that you’re not disabled, or that you’re simply faking it all together. The workers’ compensation insurance company then uses this so-called “expert” opinion as a basis to deny your claim.

Unfortunately, you are generally required to attend if the workers’ compensation insurance company decides to send you to one.

I ran across an interesting report from the MN Dept. of Labor and Industry analyzing what types of workers’ compensation claims involved an Independent Medical Examination. Claims that were closed in 2001 were included in the analysis, and a total of 1,197 of claims were reviewed to determine whether an IME had been performed and filed with the Department of Labor and Industry. Not all IME’s that are conducted are filed with DOLI, so some claims with no IME on file may have still had one conducted. Some claims fell into multiple categories. Not surprisingly, the analysis shows that claims where there was a dispute, or where the Employee’s disability lasted for an extended period were very likely to involve an IME.

• IME’s were filed on 9% of all claims involving indemnity benefits.
• IME’s were filed on 16% cases where claimants received temporary total disability (TTD) benefits for more than four weeks.
• IME’s were filed on 28% cases where a vocational rehabilitation plan was filed.
• IME’s were filed on 31% cases involving a primary denial of liability as well as a claim for indemnity benefits.
• IME’s were filed on 37% cases where a Rehabilitation Request for Assistance was filed.
• IME’s were filed on 56% cases where a Medical Request for Assistance was filed.
• IME’s were filed on 52% cases involving an Administrative Hearing Request, dealing with objections to discontinuances of wage loss benefits.
• IME’s were filed on 54% cases where a Stipulation for Settlement was filed.
• IME’s were filed on 63% cases where a Claim Petition was filed.
• IME’s were filed on 84% cases where a formal Objection to Discontinuance or Petition to Discontinue was filed.

If you’ve been scheduled for an Independent Medical Examination (IME) by your workers’ compensation insurance company, now is the time to speak with a workers’ compensation lawyer. It means that the workers’ compensation insurance company is going to try to stop your workers’ compensation benefits, and they’re seeking a so-called “expert” opinion to justify their reason for stopping your benefits.

For a free, no-obligation consultation with one of our Minnesota workers’ compensation lawyers, call us at 877-746-5680, or click here to send us an email.

Minnesota Workers' Compensation: What is a Claim Petition?

In Minnesota, a workers’ compensation claim is often initiated by filing a Claim Petition. A Claim Petition is a standard form that sets forth basic information about the employee’s claim for workers’ compensation benefits. The Claim Petition contains information about the employee, including his or her name, address, Social Security Number, date of birth, and date(s) of injury. It also lists the name of the employer(s) and insurer(s). The Claim Petition also sets forth the nature of the injury and the average weekly wage at the time of the injury. Finally, the Claim Petition lists the types of claims alleged, including Temporary Total Disability (TTD), Temporary Partial Disability (TPD), Permanent Total Disability (PTD), Permanent Partial Disability (PPD), Rehabilitation benefits, and/or medical benefits.

The Claim Petition is filed with the Department of Labor and Industry, and copies of the Claim Petition are served on the employee, the employer, the insurer, and any third-party payors, such as major medical insurers. Notice to Potential Intervenors is often served along with the Claim Petition to any medical providers and any third-party payors.

A Claim Petition is generally filed when the employer and/or insurer is denying primary liability, meaning that they admit no responsibility for the injury. A Claim Petition is also filed when there is a claim for monetary benefits, such as Temporary Total Disability, Temporary Partial Disability, and/or Permanent Total Disability, even if the insurer admits primary liability. If an injured worker has settled his or her case on a full, final complete basis, leaving open future medical benefits, a Claim Petition may be used in some instances where there is a dispute over medical expenses.

Once your Claim Petition has been filed, the employer and/or insurer is generally required to file an Answer to the Claim Petition within 20 days. The employer and/or insurer is required to serve specific responses to the allegations in the claim petition. If an answer is not filed in a timely matter and/or an extension of time to answer is not requested, the employee may request that the matter be scheduled for an expedited hearing.

Typically, after the Claim Petition has been filed, the matter is scheduled for a Settlement Conference at the Office of Administrative Hearings. Prior to the Settlement Conference, if appropriate, the employee’s attorney will often submit a settlement demand to the attorney for the employer and insurer. The purpose of the Settlement Conference is to attempt to discuss the possibility of settlement. Some cases settle at the Settlement Conference, and some do not. If it appears that the parties have reached an impasse, and that further negotiations will not facilitate a settlement, the case may be referred to the Office of Administrative Hearings for the scheduling of a hearing. If either side needs additional information, if the case is not ripe for settlement discussions, or if the sides need additional time to negotiate, the Compensation Judge may also reset a Settlement Conference for a month or two in the future.

If the parties are unable to reach a settlement, the case will proceed toward a Hearing. In Minnesota workers’ compensation, a Hearing is the equivalent of a trial. At the Hearing, both sides will present evidence in support of their respective positions, and the employee will generally provide testimony. After all evidence has been heard, the Compensation Judge issues a decision, which is final and binding on the parties.

The entire process from the filing of the Claim Petition through a Hearing can take anywhere from six months to a year or more. To see a blank copy of a claim petition, click here.

If you’ve been injured on the job, and the workers’ compensation insurance company is denying your claim, you should consult with an experienced workers’ compensation lawyer who can file a Claim Petition on your behalf to help you get the benefits you deserve. Meuser & Associates has been representing injured workers for over 20 years. To schedule a free, no-obligation consultation with one of our workers’ compensation lawyers, call Meuser & Associates at 877-746-568 or click here to send us an email.

Visit Minnesota Workers' Compensation and Personal Injury Law Firm, Meuser & Associates, P.A., at MeuserLaw.com