Independent Medical Examination for Workers’ Compensation: What to Expect

Glendale Workers Compensation Lawyers

If you’ve been injured at work, you may want to hire Glendale workers compensation lawyers to help you with your case. Once you’ve filed a claim, you may be asked to have an independent medical examination to review your condition. If you’re asked to attend an examination, don’t panic — inform your workers compensation lawyers in Glendale who may be able to tell you what to expect. Learn more about What Happens After a Work-Related Injury?

If you’ve been injured at work but haven’t filed a claim yet, time is running out. Call Hickey & Turim, S.C. for a free consultation at 262-797-6677 today.

The Independent Medical Examination (IME)

Your Glendale workers compensation lawyers may inform you that an IME may be requested if there is any question about your condition or the level of compensation you deserve. A doctor usually performs the exam that your employer or their insurance company hired. In some cases, your state’s workers compensation agency may request the IME.

If it will work in your favor or counter an IME that another party requested, your own workers’ compensation lawyers in Glendale may request another IME. This means there is a chance that you may have to go through more than one IME.

Once the exam is complete, the doctor may issue a report that includes answers to one or more of the following questions:

  • Were you accurately diagnosed, and does that diagnosis match your claim?
  • Is it possible that your accident was caused outside of work?
  • What is the impairment rating of your condition?
  • Will additional treatment or testing help? If so, what do you need?
  • Have you reached the maximum medical improvement and aren’t expected to improve no matter what treatments are done?
  • What work restrictions should you have?
  • Are you able to return to work? If so, when?

Your Glendale workers compensation lawyers may be able to use the answers to the exam in your favor or may need to be prepared to counter them.

Preparing for the Exam

Before the exam, you may want to meet with your Glendale workers compensation lawyers to go over what you can expect in the exam. Your lawyer may be able to tell you how these appointments usually go and help you be more relaxed in advance of the exam.

It would help if you were truthful about your medical history, including any injuries that may have happened in the past. You want to outline reasons why this injury caused at work is different from other injuries in the past.

The doctor may ask you how the accident happened and gather more information from you regarding your diagnosis and treatments so far. You’ll likely discuss your current symptoms and condition, and then the doctor will examine you.

Additional Information That Glendale Workers Compensation Lawyers Want You To Know

Workers Compensation Coverage

While most American workers are covered by workers compensation programs, a smaller percentage of workers might not be covered. Many states have laws mandating that companies operating in the state must have a workers compensation policy with a valid insurer. However, certain employers might not be required to have a policy. Before hiring a team of Glendale workers compensation lawyers, it’s a good idea to check if your employer has a workers compensation policy. Learn more about What types of benefits does workers’ compensation provide?

Injuries and Illnesses Covered by Workers Comp

Furthermore, some injuries might not be covered in a workers comp claim. The primary defining characteristic of a valid workers compensation claim is that the victim sustained the injury in a work-related task (or the illness developed due to a work-related task). Injuries sustained in certain situations may be exempt from a compensation claim. States typically set restrictions on what constitutes a “work-related activity,” and you can check with any of your local Glendale workers compensation lawyers if you have questions about your injury.

Having documentation from a doctor and an independent medical exam is one way to bolster your chances of successfully arguing your case. In the event of a repetitive motion injury or a stress-related injury, it’s wise to have as much documentation as possible regarding your injury. This is because you may have to prove that a work-related task was the primary cause of your injury.

Suppose you have recently been diagnosed with an occupational injury, such as mesothelioma (from asbestos exposure) or black lung disease (from exposure to coal mine dust). In that case, it’s essential to stay mindful that your workers compensation claim may look a little different from the average claim. For these illnesses, the statute of limitations would apply from the date that you were diagnosed — not the date at which you were first exposed to the harmful substance. A skilled team of Glendale workers compensation lawyers can help you understand how your claim may be filed and processed.

Denied Workers Compensation Claims

A large percentage of workers comp claims are denied each year. It’s not uncommon for some insurers to look for any possible reason to deny a claim; after all, insurance companies are businesses looking to turn a profit. The more money they pay out in claims, the less money they retain as a profit. If you’ve already filed a claim and have been denied, this may be an excellent time to speak with some of the top workers compensation lawyers in Glendale, WI. Some claims are denied due to lack of evidence, while others are denied due to minor clerical errors. It may be possible to appeal your claim and successfully negotiate for a fair settlement. Deadlines in the appeals process are often very short, so it’s wise to turn to Glendale workers compensation lawyers for legal counsel.

Contact Hickey & Turim, S.C. Today

At our firm, we want you to be as prepared as possible for your entire injury claim. We offer free case evaluations for new clients who would like more information about the workers compensation claims process. For more information, call the Glendale workers compensation lawyers at Hickey & Turim, S.C. today.

Types of Workers’ Comp Benefits

If you are unable to work because you were injured while on the job, is there a way to get paid while you are recovering? Take a walk to your human resources office and report your injury as soon as possible after the event occurs; then call one of the best workers compensation lawyers in Glendale. Of course, seek immediate medical attention if the injury calls for it. Document everything — details of the actual accident, time of day, conditions of the area where the accident occurred, note any witnesses present. Take lots of pictures, both of the area where the accident occurred and of any injuries you sustained as a result of the accident.

If the accident was obviously work-related, you have witnesses, and you can provide pictures and medical evidence, you probably do not need the assistance of an attorney. As long as the benefit settlement reimburses you for medical expenses and lost wages and you are satisfied with the resolution, there is no need to pursue further action.

However, if you do not feel the compensation is fair or fails to cover the costs you incurred as a result of the accident, contact the Glendale workers compensation lawyers at Hickey & Turim. They bring several years of experience successfully settling workers’ comp claims, getting you the compensation that is rightfully yours.

There are four types of benefits you can receive through a workers’ comp claim. These include:

  • Weekly wage compensation
  • Reimbursement of medical expenses
  • Benefits should you be permanently impaired as a result of the accident
  • Cost for vocational rehabilitation

What you cannot collect as part of a workers’ comp settlement

The workers’ comp laws only provide for the items listed above. They do not provide compensation for any pain and suffering that may occur due to the accident. The benefits are there to cover wages when you are not able to work. If the injury is so bad that you cannot return to your job, you will continue to receive your weekly wages. Still, if you wish to recover damages for pain and suffering damages, you may have to contact Glendale workers compensation lawyers and file a personal injury case.

How long do workers’ comp benefits last?

The length of time you can collect workers’ comp benefits varies from state to state. There is no limit on how long you can receive permanent disability benefits; however, some states will stop the benefits once a person reaches the age of 65.

How much will you get a week?

Total disability is about two-thirds of your average weekly wage, which may include overtime. There is a cap in most states at about $1000 per week. Partial disability is figured out a bit differently. If you can work part of the time, your average weekly wage is deducted by the percentage of time you are capable of working.

Workers compensation lawyers in Glendale can help if you are not getting satisfactory assistance from your HR representative or your claim has been denied. Experienced Glendale workers compensation lawyers at the law firm of Hickey & Turim can meet with you to discuss how they can help you obtain the workers’ compensation benefits that are fair and appropriate in light of your injury.

Tips for Managing a Denial of Workers Compensation Benefits

Our Glendale workers compensation lawyers have represented clients struggling to retain the benefits they are entitled to following a work-related incident. It comes as no surprise that a claim denial can be both frustrating and worrisome. Knowing the best way to move forward can leave many injured workers scratching their heads, unsure of what to do next. Following a work-related accident, it’s possible to be left to manage complications, all of which our team from Hickey & Turim, S.C. can assist with. 

Understanding Why Your Claim Was Denied

It can be incredibly stressful for someone injured and reliant on workers compensation benefits to receive a denial letter. One of your first questions will be, “why?” Sometimes, making sense of the denial letter is confusing; however, understanding the reason behind your claim is critical to sort out how best to rectify the situation. Common reasons employees may receive a denial letter include:

  • You failed to seek medical treatment
  • You are unable to tie your injuries to the accident that happened at work
  • You did not notify your employer after the accident, leaving them to question the validity of your claim
  • You did not follow recommendations for medical treatment
  • Your employer is disputing the claim
  • You have a pre-existing condition

Should you receive a denial after attempting to obtain workers compensation benefits, it’s critical to reach out to our workers compensation lawyers in Glendale, Wisconsin. We can assist in correcting the situation and providing the best opportunity to receive the benefits you need. 

If you are currently managing a denial of your workers comp benefits, consider keeping the following tips in mind:   

Contact a Lawyer with Experience

Should you receive a denial letter, take immediate action before it’s too late. By contacting our firm, we will be able to review the situation, determine what happened, and sort out the proper next steps to take. Often, having a legal professional on your side can offer much peace of mind. With our assistance, you provide yourself with the best opportunity at a favorable outcome. 

Gain an Understanding of Why Your Claim Was Denied

If you have received a denial letter for your claim, it’s crucial that you not give up or delay moving forward with the next steps. Know that it could be possible to rectify the situation. The first step to this will be gaining a better understanding of why your benefits were denied. In some situations, you may be able to correct the issues rather quickly. Having your lawyer review the denial letter is recommended as they will be able to sort out how to proceed. 

Consider Whether it’s Necessary to File an Appeal

Your denial letter should include a timeframe to respond. In some situations, it may be in your best interest to file an appeal. Because the process can be complicated and vary from state to state, pursuing guidance from a workers comp lawyer will be in your best interest. 

Are you dealing with complications following your work-related accident? Was your claim recently denied, and you are struggling to obtain the assistance you are so desperately in need of? Don’t hesitate a moment longer—our team from Hickey & Turim, S.C. is prepared to help you. No matter the reason for the denial, we can help understand what happened and strategize the best way to move forward. To learn more, contact our Glendale workers compensation lawyers to get started.