The 1996 amendments to the Pennsylvania workers' compensation law provided insurance companies with the right to request Impairment Rating Evaluations (IRE's). IRE's are very different from the Independent Medical Examinations (IME's) discussed previously in this Survival Guide. Impairment Rating Evaluations are a tool used by the workers' compensation insurance company to start a 500-week eligibility clock on a seriously injured worker. Starting this clock places a limit on how long and, therefore, how much the workers' compensation insurance company will have to pay to the injured worker. The workers' compensation insurance company gets to start the Impairment Rating process and controls the records which are reviewed by this physician.
Pennsylvania law sets out specific requirements regarding when an Impairment Rating Evaluation may be requested. Pennsylvania law also provides a way to challenge an Impairment Rating Evaluation and gives the injured worker the right to select his/her own doctor to perform a separate Impairment Rating Evaluation. All of these rights are important. The Impairment Rating Evaluation cannot be requested by the insurance company until an injured worker has been receiving full workers' compensation benefits for two years. However, if you have been out on workers' compensation for more than 6 months, you should call us so that we can develop strategies to prepare for an Impairment Rating Evaluation.
Tip #1 - Be Sure Your Injury Description Is Correct
Tip #2 - Be Sure Your Wage Rate Is Correct
Tip #3 - Document Receipt Of Late Checks
Tip #4 - Beware Of Offsets To Your Benefits
Tip #5 - Know The Significance Of An Independant Medical Exam
Tip #6 - Know Whose Side The Rehab Nurse Is On
Tip #7 - What Out For Labor Market Surveys
Tip #8 - Be Sure Your Medical Bills Are Paid Promptly
Tip #9 - Prepare For The Impairment Rating Exam
Tip #10 - Plan Before You Settle
Smigel, Anderson & Sacks
ATTORNEYS AT LAW
4431 North Front Street • Harrisburg, PA 17110
717.234.2401 • 1.877.CompHelp