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How to Beat an Independent Medical Exam (IME)

The decision handed down by the IME doctor can make or break your Washington state L&I claim, so it’s crucial to ready yourself ahead of time. Undergoing an Independent Medical Examination (IME) can be stressful and overwhelming. However, it is an important process for your L&I claim. With ample preparation and knowledge, you will be able to complete your IME appointment and maximize your chances of receiving the L&I benefits to which you may be entitled.

Here are our tips on how to beat an Independent Medical Exam (IME) and see past IME doctor tricks:

Prepare and Provide a Thorough Medical History

Before your evaluation, review and gather all your medical records and any imaging results related to your workplace injury or occupational disease. Being familiar with your own medical history allows you to provide the IME provider important and accurate information regarding your claim, including your symptoms, injuries, and medical care. Be sure to bring these with you to your Independent Medical Exam.

Chart notes and test results that have been covered on your claim may already be available to your IME provider, but it is always a good idea to be prepared in case they do not have access to such records. Additionally, your file may be missing notes and results from any appointment that was covered by your private insurance. If you are attempting to add an injury to your existing claim, this can be a crucial step in ensuring that the IME provider has all of the facts about your condition.

Provide an Accurate Account of the Incident or Cause of Injury

During your Independent Medical Exam (IME), the examiner will likely ask you to provide an account of what happened and might also have you submit an IME questionnaire. Prepare beforehand by listing important details to ensure you can provide an accurate account of the incident.

Here are some sample IME questions your examiner may ask you during your Independent Medical Exam (IME) that you should be prepared to answer:

  • How did the injury happen?
  • What symptoms are you experiencing?
  • How would you rate your pain?
  • Have you had the condition or been treated for it before?
  • What is your current treatment plan?
  • What are your current physical limitations?
  • How do you spend your day (before and after injury or illness)?

Bring an Observer to Your IME and Have Them Take Notes

When faced with an Independent Medical Exam, it is normal to be nervous. If you are stressed, you may forget what the provider has stated or what questions that they have asked. Bringing an observer with you can be helpful.

Have someone accompany you to the examination — preferably your significant other or trusted friend. The observer should take detailed notes of the exam; you can prevent scenarios in which the IME doctor omits facts relevant to your case.

You may not bring an observer to a psychiatric IME appointment.

Record Your Examination

You have the right to record an IME using audio and/or video. If you would like to record, you or your representative must formally notify the IME provider of your intent to record the examination no fewer than seven days in advance. The IME provider should supply any equipment associated with recording the examination; however, it is wise to be prepared with a recording device of your own that you can set down for the duration of the IME.

Just as it is your right to record the examination, it is the IME provider’s right to deny your request if they do not consent to be recorded. In order to accommodate both parties, the IME scheduler will cancel the IME and attempt to schedule your examination with a provider who does consent to be recorded. Some providers only allow recording in their examinations under the condition that they also record a copy for themselves, in which case you may be asked to consent to co-recording. For additional details regarding your rights and obligations regarding recording of IME examinations, please visit the L&I website.

Obtain a Copy of Your IME Report

L&I or the self-insured employer (SIE) must provide a copy of your Independent Medical Exam (IME) report to you, your attending physician, and your representative. The IME examiner will use your intake as a baseline and reference when evaluating your injury or illness. Obtaining a copy of your IME report will help avoid misunderstandings and inconsistencies between you and L&I as you navigate the L&I claim process.

Be Honest

It is important to be honest and open with your examiner. More specifically, be honest about relevant previous injuries. Insurance companies are skilled at uncovering past injuries. Provide a thorough history of the symptoms, injuries, and medical care related to your case.

Withholding or exaggerating any information can damage your credibility, and doing so may have legal consequences — so be accurate and truthful. Your objective is to help the provider get a clear understanding of your injury.

If you experience pain at any point during the examination, let the doctor know. Describe how the pain feels and where it hurts, using words like searing, stabbing, or throbbing. L&I considers pain to be subjective. If you are not able to describe what kind of pain you are feeling and where, the IME provider may not take you seriously and could discredit your injury.

Be Polite and Cooperative

On the day of your Independent Medical Exam, make sure to dress appropriately and arrive at least 30 minutes early.

During your Independent Medical Exam, make sure to stay composed at all times. Be polite and cooperative with the IME doctor, but do not answer questions that pertain to fault or that are irrelevant to your case (such as questions about unrelated medical problems), as this is a typical IME doctor trick. It is also crucial not to interrupt your examiner or react to the length of the exam.

Remember that the doctor conducting your Independent Medical Evaluation is hired to get the necessary information on your claim. Do not consider them a threat or a hurdle. Rather, your examiner is there to help you get the support and evidence necessary to win your case, so always remain on your best behavior during the exam.

Remember You Are Being Observed at All Times

Be aware that you will be under observation at all times, from the moment you get out of your car in the parking lot until you leave the premises. The IME doctor will be looking for any signs that cause suspicion or that contradict your claim of injury. If you spring out of your car or a waiting room chair, the doctor may testify that you are not experiencing pain. In addition, some Independent Medical Examiners set up scenarios that catch patients off-guard; for instance, a doctor may drop something or make a sudden movement that triggers the patient to quickly turn his or her head.

Mistakes to Avoid During Your Independent Medical Exam (IME)

Independent Medical Examination (IME) form on a wooden table.

Undergoing an Independent Medical Exam (IME) often makes people feel uncomfortable or that they are being investigated or doubted. It is important to remember that being defensive or aggressive during your IME appointment will not help to support your claim. An IME is conducted to establish finding, opinions, and conclusions about your physical condition, and you should consider it as a stepping stone rather than a stumbling block. Be aware of your attitude and mindset, and do your part to ensure that the examination rating is an accurate determination of your injury or illness.

Some of the most important things to avoid during your Independent Medical Exam include:

Avoid Providing Lengthy Answers

Your IME doctor only has a limited time to conduct the IME exam, so it is important to keep your answers brief but thorough, elaborating only when your examiner asks you to. Preparing a detailed but concise account of your injury or occupational disease before your appointment will help you avoid this common IME mistake.

Additionally, IME doctors sometimes ask irrelevant questions in order to distract you or get you to say something that might jeopardize your claim. For example, an examiner might ask an injured worker with a healing leg what they did over the weekend, hoping that they might say they did something that requires walking or standing. Even if the amount of movement is within the restrictions set by the worker’s attending provider, the examiner can easily misunderstand or even twist your response to make it seem like  you are not as injured as you claim.

Do Not Sign Anything Other Than the Sign-in Sheet

Be cautious of signing anything other than a sign-in sheet or evaluation consent form. Importantly, read any paper you are given to make sure you are not signing anything you shouldn’t. By signing without fully understanding the document, you might accidentally waive legal rights, subject yourself to unfair terms, or agree to provide information that could be used against you.

Do Not Discuss Your Representation

The purpose of the Independent Medical Exam (IME) is to assess your medical condition, not your lawyer. Focus on your injury and the evaluation. If the IME doctor asks you why you hired representation, keep your answer brief. You do not need to go into detail about your case.

Do Not Agree to Invasive Testing

Do not agree to invasive tests or submit to procedures that your regular doctor has already performed. There is no reason to endure painful or repetitive procedures.

Avoid Discussing Pain Medications

You do not want to give your examiner the impression that you are abusing over-the-counter or prescription drugs — or that your condition is not bad enough to require a higher or more frequent dosage. If you are asked about pain medication, answer it with a simple yes or no.

IME Doctor Tricks

A doctor preforms a medical examination on a patient.

In addition to knowing which mistakes to avoid during your IME appointment, you also need to be aware of IME doctor tricks that could be used against you in an attempt to devalue your L&I claim.

IME doctor tricks might include:

Asking about Your L&I Claim or Case Value

Your Independent Medical Exam (IME) is conducted purely for the purpose of establishing medical finding and opinions. There is no reason for them to ask you any further or in-depth questions about your claim or case value. Anything discussed during your IME is recorded in your file and passed along to your employer and the insurance company, so it’s best to avoid talking about your claim at all to prevent saying something that could harm the case.

Asking Irrelevant Questions

Another popular IME doctor trick is to ask questions that have nothing to do with your injury. It may seem as though they are just being friendly and making conversation, but this is rarely the case. As an example, maybe you’ve injured your shoulder on the job, but during your exam, the IME doctor asks if you play tennis. This could be a tactic to blame a different scenario on your injury instead of the work-related accident.

Surveilling You or Trying to Catch You Lying or Exaggerating

This IME doctor trick can be particularly problematic for injured workers. An IME doctor or one of their associates may surveil you — follow you without your knowledge — to try and catch you doing things you shouldn’t be able to do if you are, in fact, injured.

This trick could also extend to your Independent Medical Exam (IME), where the doctor may ask you different questions that counteract things you’ve previously said. They do this to see if you’ll change your story or suddenly exaggerate what happened or how you’re feeling. This is because, while IME doctors are meant to be independent contractors, they are often biased as they are paid by the insurance company and could make more money if they deny your claim.

Tying Your Injury or Illness to Prior Injuries or Symptoms

If you have a previous injury or occupational disease that could have similar symptoms to your industrial injury, a common IME doctor trick is to connect your new injury to your old one. Doing this could discredit you or weaken your claim as it could cause the insurance company to question your Washington state L&I claim and ultimately deny it.

Speculating about Alternate Causes

Without a previous injury or occupational illness, your IME doctor may start suggesting other causes of your injury. They may imply that the medication you’re taking, your lifestyle, your family history, or even a hobby could be to blame. This ties into our previous point of them asking you irrelevant questions, as they can use your answers to speculate that anything other than work could have led to your injury.

Performing Fake Tests

IME doctor tricks often include performing unnecessary or fake tests to “find” pain that couldn’t possibly be related to your injury. For example, maybe you’ve hurt your wrist in a fall at work, but they want to test your inner ear to see if a balance issue could have been the real culprit behind the injury.

Don’t be afraid to politely question any recommended tests to see exactly what the IME doctor is trying to test for before moving forward.

Writing an Incomplete Summary of Your Medical Records

Another IME doctor trick of which to be aware is a provider’s purposeful decision to omit relevant details of your examination in their summary report. Instead, the IME doctor could highlight irrelevant details that discredit your claim and lead to a denial. This is why we recommended bringing an observer to take notes on everything discussed or requesting to record the examination; you can then compare their notes and the recording to what is listed in your assessment.

If you suspect the IME doctor is withholding important details or relevant information for your claim, your Seattle L&I attorney can help identify and expose the inaccuracies of the IME report.

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Your Washington State L&I Claim Is Worth More If You Also Have an Employment Claim

A significant number of Washington state L&I claims often involve additional legal claims, such as employment or third-party claims. Many people file their claims without seeking representation from an experienced Seattle L&I attorney and thus never discover that, in addition to their Washington state L&I claim, they may be missing out on the ability to file an employment claim or a third-party claim. Pursuing additional legal action with the help of an experienced Seattle workers’ compensation and L&I attorney has the potential to significantly increase a claim’s overall compensation. At Emery | Reddy, our experienced Attorneys practice both Employment and Labor Law as well as Workers’ Compensation Law, which means we will investigate all aspects of your claim to make sure you aren’t missing out on any potential benefits.

What Is an Employment Claim?

Many injured workers find that their employer has taken, or plans to take, adverse action against them because they filed an L&I claim or they are out of work. You can file a lawsuit against your employer for several reasons, including retaliation, wrongful termination, discrimination, or unpaid wages. An L&I attorney who is experienced in both L&I — Workers’ Compensation Law and Employment and Labor Law can help you with your Washington state L&I claim while simultaneously filing a federal or state law claim for the violation of workers’ rights by your employer.

What Is a Third-Party Claim?

A third-party claim is one in which someone other than your employer or co-worker is responsible for your injury. If you have been injured on the job due to someone else’s actions or negligence, you may be entitled to additional compensation through a third-party claim, which combines your Washington state L&I claim with a personal injury claim using the same facts.

Unlike workers’ compensation payments, there is no limit to the amount of compensation an injured worker may seek in third-party damages. Third-party claims are private matters and are typically litigated directly with the Washington State Superior Court.

Who Is at Fault for a Workplace Injury?

L&I is a no-fault system, ensuring compensation for any industrial disease. However, if a third party is involved in causing your illness, you may be able to pursue legal action against them for additional compensation under third-party claims.

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How Do I Know If I Have a Strong Washington State L&I Claim?

If you have a Washington state L&I claim or wonder if you should contact an experienced Seattle L&I attorney, ask yourself the following:

If any of the above apply to you, Emery | Reddy may be able to help.

Navigating a Washington state L&I claim can be difficult and very time-consuming, especially when you’re ill or injured. You want to focus on healing and make sure your bills are paid, but if you don’t file things properly or on time, your health, home, and job could be in jeopardy. Many individuals miss out on much-needed L&I benefits because they don’t understand what to do or how to get the most compensation for their injuries. If you are experiencing any challenges in your case, a Seattle workers’ compensation and L&I attorney can assist you. By contacting Emery | Reddy as soon as possible after you’ve been injured, we can help you avoid the common pitfalls of filing and navigating an L&I claim. Our Seattle L&I Attorneys are here for you every step of the way.

Emery | Reddy Can Help You with Your Washington State L&I Claim

Emery | Reddy is the only law firm in Washington state that is equipped to provide comprehensive representation on your case from every angle. Our Washington state L&I Attorneys thoroughly assess every case to determine if our clients have additional claims, and at times this can extend far beyond the underlying workers’ compensation claim.

If you have been injured in the workplace, call Emery | Reddy today for a Free Case Review with an experienced Intake Specialist to learn more about how we may be able help. No fee unless we recover for you.

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