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 Nebraska, there are several situations that call for using an independent medical examiner in a compensable claim.  These situations include (1) when an employer wants to question whether current or future medical care is reasonable; (2) whether work restrictions provided through a pro-claimant IME or by a treating physician are medically necessary or too restrictive; (3) whether an employee has reached maximum medical improvement; and (4) whether an employee has experienced a permanent impairment.  The Nebraska Workers’ Compensation Act specifically allows for utilization review. Please see memo here.