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Who determines MMI?
The treating physician is the only person who can determine MMI; however, an employer can also request an Independent Medical Examination (IME) by a qualified physician to make this determination after reviewing the patient’s medical records and examining the patient. In addition, the Bureau of Workers’ Compensation can perform its own exam.
Keep getting treatment, as needed
Your workers’ compensation payments may stop but this does not mean that your treatment has to stop. Keep getting treatment if you need it because discontinuation of treatment once MMI is determined may result in regression or deterioration of your medical condition.
What is MMI in medical terms?
What is MMI? Maximal medical improvement is a term that describes an injured person whose medical condition has reached the highest point it possibly can . One thing to note is that this designation does not specify a person who is back to their original health.
What is an adverse MMI?
An adverse, but relatively common, occurrence is a worker being given MMI despite them believing they can still improve. Unfortunately, employees often have a tough time speaking up and often end up suffering the consequences. This situation is best tackled with an attorney, so those that are in it should consider speaking with one.
What is the first issue that comes with maximum medical improvement?
The first issue that comes with maximum medical improvement is that some of your benefits might stop. The one you should worry about most is your medical treatment . The theory goes that because you are at MMI, you do not need further treatment. Sometimes this assertion is true, but it often is not. The second danger is that an MMI designation may make it harder for you to reopen your case later on. A situation that frequently plays out is a worker’s condition worsening after being given MMI. This classification makes obtaining further benefits more difficult.
What is maximum medical improvement?
Maximum medical improvement, or MMI, is a medical term that is used in the treatment of an injured worker who is receiving workers' compensation benefits for their work-related injury or illness.
What does it mean when an injured worker has reached maximum medical improvement?
When an injured worker reaches a point where their condition has improved the most that it will improve , they are said to have reached maximum medical improvement. This may mean that an injured worker is fully and completely recovered from their injury or illness and able to return to the job that they had before their injury or illness, ...
What is the goal of MMI?
The goal is to shut down the employee’s benefits. The insurance carriers select treating physicians who they know will act in the best interests of the insurance carrier. They expect the physicians will discharge employees and assign them MMI very quickly to end the worker’s compensation benefits.
What is MMI in workers compensation?
It is the date upon which a treating medical doctor concludes that you are no longer in a stage of curative treatment. They determine that essentially you have reached a plateau in recovery from your injury. You are the best you will be, whether you are fully recovered or not. When a physician identifies your MMI, they communicate it to the claims adjuster at the insurance company which pays your worker’s compensation claims. A claims adjuster is the employee handling the communications and the claim for the employer and insurance carrier.
What does impairment rating mean?
When your treating physician’s evaluation of the this impairment rating is anything greater than 0%, it means the employee has sustained a permanent injury and is entitled to additional benefits.
Can you change your MMI rating?
Generally, the answer is NO. First, even assuming a treating physician has placed you at MMI with a 0% Impairment Rating, and released you to full duty, you may have the right to challenge this opinion with a request for a one time change in treating physician.
What does MMI mean in workers compensation?
MMI stands for Maximum Medical Improvement. Reaching MMI is an important milestone in workers compensation. MMI has a role in determining many things, such as: Whether you can return to your pre-injury job. Whether you have permanent restrictions that limit you to light duty work for the rest of your career.
What does MMI stand for in workers comp?
MMI stands for Maximum Medical Improvement.
What if I Disagree with My Doctor’s Opinion that I am at MMI for My Workers Comp Injury?
Sometimes doctors give up too quickly and state that a patient has reached maximum medical improvement even though there is other treatment, including surgery, that could improve your condition and functional abilities.
What is Maximum Medical Improvement (MMI) and What Does It Mean?
Maximum Medical Improvement (MMI) is the term used by your workers comp doctor to indicate that your physical condition has stabilized and further improvement in your functional abilities is unlikely.
Who Decides That I Have Reached MMI for My Work Injury?
Only a medical doctor (MD) or osteopathic doctor (DO) can determine that you are at maximum medical improvement for your work-related injury.
How Long Does it Take to Reach MMI After a Work-Related Injury?
When it comes to the length of time it takes to reach maximum medical improvement, every person and injury is different.
What is an IME?
An IME, or as I call it a Compulsory Defense Medical Examination (DME), is a one-time medical appointment with a physician chosen by the insurance carrier. Under the Workers Compensation Act your employer or its insurer can force you to attend one IME per medical specialty per year.
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