2018 Workers Compensation Newsletter - Fourth Quarter

Under what circumstances do you recommend a Utilization Review (UR) or an Independent Medical Examination (IME) in an otherwise compensable claim?

 

 

In Iowa, Defendants control medical care in Iowa, therefore, use of URs is limited as the Agency does not like when Defendants attempt to deny treatment that the doctor they authorized recommended.  IMEs however can be useful in several instances including bolstering a treating doctor’s opinions, applying pressure to an authorized treating doctor who might not be moving a claim along as quickly as would be preferred, or to rebut a Claimant’s expert report. Please see memo here.