I have had some weird expereinces in doctor's offices. I got embarrassed to death by a nasty secretary who didn't understand the role of the case manager, and told me I would have to wait for the doc's writen report, couldn't attend, even tho pt said it was OK.
So, I went to the IME web site, I forget the exact link, but american borad of IME something.com and I don't see any regulations for this practice, ie, can CM be present during exam? etc.
So, what is your expereince? Do you observe the exam? Is there a form you request the doc fill out? Does anyone know if there is a specific guideline to be followed for IME exams? I never say a word during the exam, unless the pt asks me to clarify something to the doc, and then only at the end, re findings and recommendations? I don't contribute anything other than the med recs already sent, so the exam is unbiased.
That's another gripe I have! So many times I have busted my arse to obtain and send them records, and they don't review them prior to the exam, then they do ask me dozens of questions, which are all in the records I sent. I find this aggravating. Do you think they are trying to be unbiased, and that is why they don't read the records?? I have found it very difficult to get any cooperation from the docs who request pre-pay. I guess they figure they have you by the ba!!s, since they already have their money.
I recently went to a reknowned facility for a spinal IME, it was a pre-pay. Doc barely gave me the time of day, after I wated almost 2 hours to speak to him, then submitted the WORST report I have ever read. I was appalled. He came so highly recommended, I was shocked! Not to mention embarrassed. PLUS his report was completely different from what he told me verbally, the pt could RTW w no restrictions, in his report he said RTW w 50% travel restrictions. I was so upset. And this is one of our meanest accounts to work for. I have since had to wrote letters to try to communicate and clarify info, he has yet to return any messages.
How do you get good info while at an IME when docs haven't read the medical rec's and won't commit to signing anything in writing at the appt?? Newbie needs help.