Independent Medical Examination

IME Review Support Service

IME Review Support Services help Independent Medical Examiners efficiently review complex medical records and prepare for an evaluation. Support includes medical record organization, treatment chronology, diagnostic findings, prior medical history, treatment and therapy summaries, work-status history, identification of key medical events, and structured information needed to address the referring party’s questions.

Objective

Summit’s IME Physician Support Services help the examining physician prepare for a one-time evaluation.

Evaluation Roadmap

The Objective Is to Answer These Questions

Structured synthesis designed around the five fundamental questions the examiner must evaluate:

1

What exactly happened?

Clear mechanism of injury, emergency admission notes, initial reporting, and contemporaneous statements.

2

What treatment has already been done?

Sequential catalog of conservative care, surgeries, physical therapy, pain injections, and medications.

3

Did the patient improve?

Objective recovery trajectories, response to interventions, functional milestones, or therapeutic plateaus.

4

What still doesn't make sense?

Gaps in clinical logic, symptom magnification, unverified claims, or subjective complaints exceeding imaging.

5

What should I examine personally?

Targeted anatomical checklist highlighting key examination focus areas and specific maneuvers to correlate.

A. Case Snapshot

Immediate high-level overview delivered on page one of every IME review file.

Event
Injury
Milestone
Date of injury
Anatomy
Body parts
Scope of Referral
Referral questions
Record Metrics
Number of records reviewed
Dossier Size
Total pages

B. Timeline (Major Events)

Chronological milestones tracing the claimant’s complete medical progression.

Event 01

DOI

Date of Injury & contemporaneous incident reporting.

Event 02

ER

Emergency room presentation, triage, and immediate diagnostics.

Event 03

MRI

Initial and follow-up imaging and radiological interpretations.

Event 04

Surgery

Operative reports, surgical technique, and post-op notes.

Event 05

PT

Physical therapy cycles, attendance compliance, and functional progress.

Event 06

Pain Management

Injections, epidural steroids, nerve blocks, and pharmacological care.

Event 07

Current Status

Most recent physician examination and active complaint profile.

C. Detailed Chronology

A thorough, date-ordered index of every physician encounter, clinic visit, hospital stay, therapy note, and consult report.

  • • Date & Provider Identification
  • • Subjective Complaints & Vitals
  • • Objective Exam Findings
  • • Precise Bates Citation Linking

D. Treatment Progression

Systematic tracking showing whether therapeutic interventions produced demonstrable clinical recovery or if plateau occurred.

  • • Conservative Care vs. Invasive Care
  • • Medication Escalation & Weaning
  • • Therapy Response Milestones
  • • Plateau & Stabilization Indicators

E. Diagnostic Study Summary

Consolidated catalog of all diagnostic modalities, radiology impressions, electrodiagnostic reports, and lab findings.

  • • MRI, CT, & Radiograph Reports
  • • EMG / Nerve Conduction Studies
  • • Comparative Pre- vs. Post-Op Scans
  • • Degenerative vs. Acute Distinctions

F. Red Flags

Critical clinical, chronological, and behavioral contradictions flagged for examiner scrutiny.

Every file undergoes rigorous analysis to identify discrepancies, gaps, and confounding factors across 10 vital parameters:

⚑ Delayed treatment
⚑ Gap in care
⚑ Conflicting history
⚑ Different mechanisms of injury
⚑ Symptoms inconsistent with MRI
⚑ Repeated normal examination
⚑ Medication seeking
⚑ Multiple accidents
⚑ Pre-existing injury
⚑ Prior surgery

H. Current Functional Status

Day-to-day capability, work readiness, and physical assistive dependencies.

1

ADLs

Activities of Daily Living: self-care, mobility, personal hygiene, driving capacity, and household maintenance ability.

2

Work status

Active employment standing, off-work notices, modified duty assignments, and historical work capacity documentation.

3

Restrictions

Specific physician-ordered limitations on lifting, carrying, bending, prolonged standing, walking, and postural demands.

4

Assistive devices

Prescribed or self-utilized braces, splints, canes, walkers, crutches, orthotics, or assistive ergonomic equipment.

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