Texas Workers' Compensation

DDE Review Support Service

DDE services support Designated Doctors in conducting independent evaluations of injured employees in Texas workers' compensation cases. The process typically involves reviewing medical records, understanding the DWC-defined issues to be addressed, conducting the examination, analyzing the medical evidence, and preparing a compliant report that provides the doctor's findings and medical opinions.

Summit offers comprehensive DDE Physician Support Services that go beyond generic record summaries. We organize evidence according to the questions DDE must answer.

Core Evaluation Focus

The Objective Is to Answer These Questions

Every evaluation file is structured around five critical clinical and factual inquiries:

1

What exactly happened?

Clear injury mechanism, workplace event documentation, and initial triage reports.

2

What treatment has already been done?

Sequential inventory of conservative care, medications, therapy, injections, and surgical interventions.

3

Did the patient improve?

Objective clinical response tracking, pain scores, functional progress, or treatment plateau indications.

4

What still doesn't make sense?

Discrepancies between subjective complaints, imaging findings, diagnostic gaps, and prior conditions.

5

What should I examine personally?

Targeted exam checklist highlighting unverified ROM, sensory deficits, or disputed diagnostic areas.

Case Snapshot

Essential case parameters and intake metrics delivered at the very top of each evaluation file.

Parameter
Injury
Milestone
Date of injury
Scope
Body parts
Statutory Scope
Referral questions
Volume Metrics
Number of records reviewed
Verification
Total pages
Evaluation Framework

Detailed DDE Review Sections

Evidence indexed precisely against each contested issue to substantiate the Designated Doctor's report.

MMI (Maximum Medical Improvement)

Clinical plateau and date determination

We categorize treating doctor notes, therapy progress logs, and plateau milestones into balanced evidence columns:

  • Evidence supporting MMI — Documented recovery plateaus, completed therapy courses, and stabilization notes.
  • Evidence against MMI — Ongoing active therapies, upcoming surgical consultations, or pending diagnostics.

Impairment Rating

AMA Guides 4th Edition objective metrics

All clinical rating criteria systematically cataloged for quick reference and calculation:

• ROM (Range of Motion)
• Strength
• Surgery
• EMG
• MRI
• Objective findings

Extent of Injury

Compensable scope & disputed body parts

Clear demarcation between accepted liability and disputed diagnoses:

  • Accepted injuries — Formally recognized body parts and conditions on the claim.
  • Disputed injuries — Contested diagnoses, secondary complaints, and carrier dispute notices.
  • Additional diagnoses — Pre-existing degenerative conditions or non-compensable findings.

Disability & Return to Work

Functional capacity & employment history

Complete timeline of physical capability vs. employment availability:

Disability Parameters
Current restrictions — Sitting, standing, lifting, and repetitive task limitations.
RTW attempts — Documented trial work periods and outcomes.
Employer accommodations — Bona fide offers of modified or light duty employment.
Return to Work Evidence
• Treating Physician Opinions
• FCE (Functional Capacity Exam)
• PT notes (Physical Therapy)
• Employer records
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