Did You Know?
allnurses is the largest community for nurses on the web. We now have over 388,232 members! Join today to network with other nurses, laugh, share, and much more.
| |  Help with disability claim info.
Updated
Jan 09, 2009 at 06:50 PM by preoprn
I have an attorney that works only with disability claims that would like me to do some case screening for him. These will be my FIRST CASES AND I AM FREAKING OUT! He wants me to look at attending physician statements, peer review reports, I&E reports, etc. I don't know what a peer report or an I&E report is! Can anyone help me!? Am I in over my head, should I bail out now?
OK, I had to edit, I was so nervous talking with him, it is an IME report! Still would like any input or help you can provide!
 Search Tags None  | 
| | Advertisement Sponsored Links | | | | No. 1 | 
Jan 09, 2009, 07:04 PM
Re: Help with disability claim info. Originally Posted by preoprn  I have an attorney that works only with disability claims that would like me to do some case screening for him. These will be my FIRST CASES AND I AM FREAKING OUT! He wants me to look at attending physician statements, peer review reports, I&E reports, etc. I don't know what a peer report or an I&E report is! Can anyone help me!? Am I in over my head, should I bail out now?
Hello, preop
Don't panic. Don't bail. Deep breath and calm down. You've come to the right place.
I don't think the attorney said, "I and E Report". I think he said, "IME Report".
IME=independent medical examination
In an IME, the client is claiming mental and/or physical disability(s). The disability insurer or other party such as SS, worker's comp, etc., will choose a physician to examine the allegedly disabled party. They have a legal right to request these exams. (LNCs can and do attend these IME's). A report will be issued the client and disability insurer (or other responsible party). So, I'm sure this is what he's referring to and wants you to review the IME report(s).
Peer review=a team of like colleagues (peers), physicians for example, reviewing the physician in question conducting him/herself during the event in question and if he/she adhered to/deviated from, the Standard of Care. Peer Review is a scrutiny, if you will, of the individual, or one's "peer".
I'm sure you will be also reviewing all medical records from all physicians, hospitals, claim documents, any appeals records, applicable wage/earning reports, and other pertinent reports, etc.
Do not be overly concerned. Take the case, get all the initial paperwork, review this, and you should do just fine.
If you have any other questions, please post here or send me a private message.
Congratulations on getting the case. And, good luck.
| | No. 2 |
Jan 09, 2009, 09:14 PM
Re: Help with disability claim info. Originally Posted by sirI Hello, preop
Don't panic. Don't bail. Deep breath and calm down. You've come to the right place.
I don't think the attorney said, "I and E Report". I think he said, "IME Report".
IME=independent medical examination
In an IME, the client is claiming mental and/or physical disability(s). The disability insurer or other party such as SS, worker's comp, etc., will choose a physician to examine the allegedly disabled party. They have a legal right to request these exams. (LNCs can and do attend these IME's). A report will be issued the client and disability insurer (or other responsible party). So, I'm sure this is what he's referring to and wants you to review the IME report(s).
Peer review=a team of like colleagues (peers), physicians for example, reviewing the physician in question conducting him/herself during the event in question and if he/she adhered to/deviated from, the Standard of Care. Peer Review is a scrutiny, if you will, of the individual, or one's "peer".
I'm sure you will be also reviewing all medical records from all physicians, hospitals, claim documents, any appeals records, applicable wage/earning reports, and other pertinent reports, etc.
Do not be overly concerned. Take the case, get all the initial paperwork, review this, and you should do just fine.
If you have any other questions, please post here or send me a private message.
Congratulations on getting the case. And, good luck.
Thanks sirI. I remember that now from class, I must have just really stressed out! I really appreciate you putting it all in perpective. He actually said that he has 5 or 6 cases that he wants me to work on. When he said that is when I probably started to freak out. I pick them up on Monday!
It's absolutely GREAT to be able to come here and get support!!!! Thanks!!!!
| | No. 4 |
Jan 11, 2009, 06:22 PM
Re: Help with disability claim info. Originally Posted by sirI That's normal, preop. Anxiety about new cases is quite normal. You are going to do just fine. Congratulations on all those cases. You are on your way!!!!!
Thanks sirI!
My next problem is - what is he going to be wanting from me? I know what to look for med. mal. wise but as for social security disability, and disability in general, I'm not so sure. He mentioned looking mostly at date of disability, attending physician statements, medical requirements of the patient need for disability, IME reports and peer review reports. But what am I looking for in these? Not quite what I expected my first cases to be!
Don't get me wrong, I am extremely excited to have my first case, I just wish I knew where to start!
| | No. 5 |
Jan 11, 2009, 06:36 PM
Re: Help with disability claim info. Originally Posted by preoprn Thanks sirI!
My next problem is - what is he going to be wanting from me? I know what to look for med. mal. wise but as for social security disability, and disability in general, I'm not so sure. He mentioned looking mostly at date of disability, attending physician statements, medical requirements of the patient need for disability, IME reports and peer review reports. But what am I looking for in these? Not quite what I expected my first cases to be!
Don't get me wrong, I am extremely excited to have my first case, I just wish I knew where to start!
Well, since I do not know the issues of the case, I cannot intelligently answer your question. And, we cannot discuss these issues per TOS. 
You need to ask of him exactly what he wants you to do. Point by point, issue by issue. Just handing you these records w/o outlining what he expects of you is not how to proceed. So, you ask specifics.
Good luck.
| | No. 6 |
Jan 11, 2009, 06:54 PM
Re: Help with disability claim info. Originally Posted by sirI Well, since I do not know the issues of the case, I cannot intelligently answer your question. And, we cannot discuss these issues per TOS.
You need to ask of him exactly what he wants you to do. Point by point, issue by issue. Just handing you these records w/o outlining what he expects of you is not how to proceed. So, you ask specifics.
Good luck.
OK, so it sounds like he would expect these questions and I won't look stupid if I ask them. Thanks again!
| | No. 7 |
Jan 11, 2009, 06:55 PM
Re: Help with disability claim info.
Correct.
Never enter into a contract w/o first knowing exactly what is expected of you. Details.  |
| 301 members
2,823 guests 3,124
| 1 | | | 12 | | | 2 | | | 9 | | | 17 | | | 11 | | | 14 | | | 16 | | | 37 | | | 14 | | | 20 | | | 23 | | | 19 | | | 24 | | | 10 | |
|
Nursing News