We provide insights and proven strategies to drive accurate impairment ratings, including a unique suite of practice, effective solutions:

	ImpairmentAssessment™ - Impairment Resources reviews the applicable medical records including imaging study reports such as MRI’s and X-rays, electrodiagnostic study reports, consultation reports, operative reports, and physical therapy notes and estimates the permanent impairment rating in those cases that do not yet have a calculated impairment rating. The assessment of the estimated impairment is explained in a written report. View Sample
	ImpairmentScreen™ - Impairment Resources reviews the physician’s impairment rating report to determine the probable correct impairment rating for each ratable diagnosis using the applicable edition of the AMA Guides. Impairment Resources reviews the impairment values for each ratable diagnosis and provides a brief written report outlining the conclusions as to the accuracy of the original impairment rating assigned by the physician. When there is a significant variance between the original rating and the Impairment Resources’ rating, Impairment Resources will contact the adjuster and recommend an ImpairmentExpert™. View Sample
	ImpairmentExpert - Impairment Resources reviews a physician’s impairment rating report to determine the probable correct impairment rating for each ratable diagnosis using the applicable edition of the AMA Guides and assesses all critical issues. The ImpairmentExpert™ includes multiple levels of review by highly skilled professionals. Impairment Resources analyzes the physician’s rating, and other pertinent medical records including imaging study reports such as MRI’s and X-rays, electrodiagnostic study reports, consultation reports, operative reports, and final physical therapy notes and provides a detailed narrative report. View Sample
	ImpairmentLetter™ - Impairment Resources writes a letter to assist the adjuster with obtaining the appropriate impairment rating from the physician. There are three types of Impairment Letters: Letter of Guidance; Letter of Clarification; Letter of Analysis. The letter is sent directly to the adjuster. The letter may provide discussion points regarding the diagnosis or apportionment as it relates to the calculation of the impairment outlined in the Guides. The adjuster may incorporate the Impairment Resources’ analysis into the letter they are sending to the physician. If the ImpairmentLetter™ is authored by a Physician Reviewer, it is recommended that the Impairment Resources’ letter is sent by the adjuster directly to the physician or is included with the medical records sent to the physician. It is suggested that all letters are sent per jurisdictional requirements and in most cases it will need to be copied to the claimant or opposing counsel.
		Letter of Clarification: Impairment Resources recommends a Letter of Clarification if there is a significant difference between the objectively supported rating included in the ImpairmentExpert™ review and the evaluating physician’s original rating. It assists the adjuster with drafting correspondence to the physician and objecting to the original rating. The Letter of Clarification provides the evaluating physician with the processes and methodologies outlined in the Guides for achieving the accurate rating. The goal is to have the evaluating physician reconsider his or her calculation of impairment. View Sample
		Letter of Guidance: This letter is utilized when maximum medical improvement (MMI) is approaching or has been achieved and the claimant has not been assigned an impairment rating. The Letter of Guidance proactively helps obtain an accurate rating from the treating physician, state designated doctor, or independent medical examiner and often initiates a final examination. It is particularly helpful if the physician has received advance notice that a program is in place in which they may receive assistance with his or her rating determination. At the time the adjuster believes MMI is approaching or the claimant is only receiving palliative treatment, the adjuster sends the last 3 months of medical records including imaging study reports such as MRI’s and X-rays, electrodiagnostic reports, consultation reports, operative reports, and physical therapy notes. View Sample
		Letter of Analysis: Impairment Resources recommends a Letter of Analysis in those cases in which a claimant has been rated and a state designated examination or independent medical evaluation is being obtained. It assists the adjuster with drafting correspondence to the physician prior to the evaluation. The Letter of Analysis provides the examiner with the processes and methodologies outlined in the Guides for achieving the accurate rating. The letter is authored by a Physician Reviewer. View Sample
	Consultation, Deposition, and Expert Witness Testimony Services - Impairment Resources will consult with the adjuster and defense counsel to discuss trial strategies. These services include assistance with cross-examination questions for physician depositions and expert witnesses for trial.

These best practice resources provide a very strong value proposition and create a great opportunity for having accurate, unbiased ratings.