Med-Eval provides quality medical evaluations that are On-Time and Complete

1. Medical Evaluative Services

2. Corporate Information
Incorporated in 1994
Maryland Corporation – headquarters in VA
Privately Held
Approximately 60 employees

3. Menu of Services
Medical Evaluative Services
Discounted Diagnostic Services
 Medical Imaging Studies/ Neurodiagnostic Studies

4. Medical Evaluative Services
Independent Medical Exams
Peer Reviews
Radiological Film Reviews
Care Sentry Reviews
Deposition Coordination
Medical Cost Projections

5. IME Service Process
Dedicated Service Team
 Outside Account Manager
 Visits offices on a weekly basis or as requested
 Inside Account Coordinator
 Dedicated staff depending on caseload
 Quality Assurance Representative
 Dedicated staff member or members depending on need.

6. IME Service Process
Outside Account Manager
 Visits weekly
 Discusses IME issues with claims personnel
 Copies and prepares files
 Communicates with inside staff
 Resolves issues of concern

7. IME Service Process
Account Coordinator
 Schedules IME appointments
 Prepares and sends notification letters to all
parties
 Determines if claimant attended IME
 Notifies referring adjuster/nurse
 Retrieves RTW forms/ IME reports/ addenda
 Maintains Med-Eval’s service standards
 Communicates with and updates
adjuster/nurse

8. IME Service Process
Quality Assurance Representative
 Sorts and tabs medical records
 Prepares IME purpose letter
 All letters are custom prepared
 No check blocks used
 Includes proper RTW form (if applicable)
 Reviews IME reports
 Determines need for clarification/ addendum
 Prepares addendum letters
 Reviews clarifications
 Acts as Liaison between provider and adjuster

9. Qualifications of QA Rep
Adjuster with ten to twenty years experience
in workers’ comp and or liability claims
Nurse with five or more years experience in
workers’ comp or liability claims
Demonstrated knowledge of the statute in
assigned jurisdictions
Ability to handle detailed and complex issues
Commitment to upholding Med-Eval’s
standards of ethics in the delivery of IME
services

10. Value Added Services
Set up transportation service
Set up translation service
Coordinate depositions
Rush appointments – special handling
In-house medical transcription
Other special handling
 Surveillance tapes
 Radiological films

11. Service Standards
Appointment scheduled within 24 hours
Appointment date within 2 weeks
unless otherwise specified
Notification letters sent within 24 hours
of scheduling appointment

12. Service Standards
Adjuster/ nurse notified within 24 hours
of a no-show event
Medical records copy service
Final IME reports provided
 Within 2 to 10 business days

13. “Rush” IME’s
IME clinics
Pre-paid time slots with IME physicians
Internal “rush” procedures to ensure
notifications are made, medical records
are obtained, IME purpose letter is
prepared, & IME physician has material
in advance
Allows for quick IME appointments
Affords fast turn around of RTW forms
and IME reports

14. IME Physician Panel
Board certified physicians
All medical specialties
Core geographical regions based on
account
Physicians contracted to Med-Eval
Credentialed according to the standards
of the National Committee on Quality
Assurance (NCQA)

15. Physician Credentialing
Process
Contracted IME physicians must provide:
 Signed copy of Med-Eval’s physician contract
 Completed Med-Eval application
 Answers to Attestation Questions
 Signed copy of Med-Eval’s Code of Ethics
 Copy of current state medical license(s)
 State and federal narcotics registrations
 Copies of board certifications
 Copy of medical malpractice insurance certificate
 Curriculum Vitae
 Five-year work history

16. NCQA Credentialing Standards
“Primary source” verifications performed for:
 Medical schools attended
 Residencies and internships
 Board certifications
 Five-year work history
In-depth verifications of:
 Medical licensure
 Sanctions
 Malpractice insurance coverage
 Physicians Data Bank checked for malpractice
suits

17. Ethical Considerations
Contracted IME physicians must sign Med-
Eval’s Code of Ethics
Care is taken not to “lead” the IME physician
We obtain clarifications or addenda as
necessary to offer a quality IME report, but
the integrity of the physician’s medical
opinion is upheld
We do not maintain statistics on IME
outcomes by physician

18. Ethical Considerations
Our physicians are paid on a flat fee or hourly
basis, with no incentive whatsoever
dependent upon the outcome of his/her
medical findings
Contracted IME physicians must maintain a
private medical practice
Medical records are scanned and securely
stored electronically, limiting access to only
those parties who need it

19. Referring IME Assignments
Phone
 (800) 809-5687
Fax
 (800) 351-4193
Email
 Ime_referrals@med-eval.com
Electronic Transmittal
 www.med-eval.com

20. Referral Process
One step referral
 Phone, fax, email, or www.med-eval.com
Med-Eval does the rest
 Contacts claimant
 Schedules and confirms appointment
 Faxes or emails results to you

21. We look forward to working
with you!