WHO DETERMINES MAXIMUM MEDICAL IMPROVEMENT?

There are many intricate parts to a workers’ compensation claim. From filing deadlines and doctors’ reports to dealing with the insurance company, it can get complicated without the assistance of an attorney. One of the most critical pieces to your workers’ compensation claim is the determination of maximum medical improvement. Here’s what every injured worker should know:

WHAT IS MAXIMUM MEDICAL IMPROVEMENT?

Maximum Medical Improvement (MMI) is a determination used in a workers’ compensation claim to illustrate that an injury or condition is not likely to improve substantially within the next year. The conclusion of MMI establishes the type of benefits and compensation you will receive from your workers’ compensation claim.

WHO DETERMINES MAXIMUM MEDICAL IMPROVMENT?

Only a licensed physician can determine MMI. Typically, your treating doctor will determine MMI, however, your insurance carrier may require you to have a QME (Qualified Medical Evaluator) Exam). After your QME exam is completed, the insurance company may ask if your treating physician agrees with the QME report. It’s not uncommon for doctors to have different opinions about a disability. This can pose a setback in your case, which is why it’s critical to have an experienced workers’ compensation attorney assist you.

WHAT DOES THE MMI REPORT INCLUDE?

The MMI report will include basic information such as your occupation, job description, medical records and any other pertinent medical information related to your work injury. The MMI report should also include:

  • Cause of injury
  • The degree of pain caused by the injury
  • Mobile inabilities
  • Work restrictions or limitations to the work performed
  • Type of medical treatment needed in the future
  • The condition status of the body parts that sustained the injury

If you’ve been injured in a work accident don’t go up against the insurance companies alone. An experienced workers’ compensation attorney can get you the benefits you deserve. Contact Law Offices of Bo Katzakian today at (844) 311-7793 for a free case evaluation.

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