IME & Peer Review Rebuttals

2012 Statistics:

• 95% of patients get IME denials (the majority of responses)
• 73.6% of doctors give no directions to their patients going for IMEs
• .7% of doctors don't know how to overturn IMEs (although few are overturned)
• 76% of doctors (respondents) NEVER read the research behind the denials

Negative Improper IMEs

1. Prevent patients from receiving necessary care
2. Reduce your income
3. Hurt your reputation with patients and lawyers
4. Certify your care as not valid

The IME, or independent medical examination, and peer review processes are necessary and integral steps in maintaining a system of checks and balances in health care billing in order to prevent unnecessary care. Over the last two decades, the system has evolved to where too many doctors who are hired by the carriers through an IME company (middle man) or directly by the carriers are not performing examinations that are remotely close to independent. Two decades ago, some of the facts reported were not accurate, leading to desired conclusions. Today, it is a rarity, based upon this author's 31 years in the industry reviewing IME and peer review reports nationally and polling treating doctors and lawyers from coast to coast, to see the facts represented accurately.

Over the years, it has been my experience that too many IME companies have handed doctors completed reports, mandated diagnoses, misquoted research and/or given strict orders regarding the scope of care permitted, all prior to the examination. In almost every instance I have encountered, the carrier or IME company has offered to send the doctor more cases if he/she works with them to reach a desired conclusion, whatever that may be.

The goal of this program is to teach providers and patients' legal representatives how to hold the IME and peer review doctors to the complete and accurate facts of the case. We educate and give tools that will "weed out" the bad ones so that integrity prevails and the system can do what it was intended to do, determine necessary care and conclude the truth vs. inaccuracies at the patient's and treating doctor's expenses. The tools include a significant amount of didactic action steps to take in both crafting rebuttals and rendering complaints to carriers and licensure boards.

YOU GET:

1. Legal Standards for IME's
2. Legal Standards for Peer Review's
3. How to Recognize Proper IME & Peer Review Conclusions
4. Current Strategies that Some IME Companies Employ to Improperly Deny Care
5. How to Use Research to Certify Care
6. How to Use Research to Overturn Improper Denials
7. How to Identify Improper Tactics in Peer Reviews
8. How to Use State Regulations to Overturn Improper IME's & Peer Reviews
9. How to Use State Regulations to Remove the "BAD" IME & Peer Review Doctors" from the System
10. How to Write Admissible Rebuttals to Overturn Improper IME's and Peer Reviews
11. How to Work with the Patient's Lawyer in Certifying Necessary Care
12. How to Use a Negative IME Report as Evidence For More Care
13. How to Position Your Patient Properly to Get Necessary Care approved in an IME
14. How to Use Authoritative Opinions (AMA Guides to Impairment) to Certify Care

$299 includes the program plus 6 months of updates Sign up Today!    $199 additional 6 months of updates Sign up Today!

This program works because it is centered on how to enforce licensure regulations that apply to both the treating and IME/Peer Review doctors alike. 

We give you proven tools to win on necessary care

"75% of my IME'd patients now get more care approved" KC, DC practicing 21 years

"I am now getting paid on 92% of my personal injury charges, in spite of the negative IMEs" MS, DC practicing 31 years

"My negative peer review was overturned in under a week" RL, DC practicing 28 years

"Care is now certified without a fight or being subjected to peer reviews and our PI income has increased 25%" JC, DC practicing 25 years

"I now prevail (get paid) in overcoming the negative IME reports 75% of the time" RL, DC practicing 20 years