Tag Archives: IME

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Workcover and the term Psychological Overlay

In the quest to curb costs, the WorkCover system often engages in counterproductive actions or inactions such as delaying care, inadequate care, denial of responsibility and minimization/ downgrading of the injury. Way too often, the depressed injured worker learns that delayed or inappropriate medical care has resulted in a chronic condition, and they are told that this could have all been prevented had you seen a doctor/surgeon earlier, but the (Eg. nerve damage, whatever) is now permanent. The injured worker already felt a sense of frustration, fear, and helplessness, but with that information, they now feel angry and hopeless. In addition to that many WorkCover case managers will take the liberty to fabricate intricate mumbo-jumbo cover letters that are sent to a cherry-picked independent medical examiner, together with some irrelevant medical information. One of the more common cover letters we have seen states that “… it has been alleged that there may be a psychological overlay…“.

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Grilled by a psychiatrist IME – Answer like a politician

If you have been unfortunate enough to have suffered a psychological or psychiatric injury or illness at your workplace, once you start down the workcover claim path, you will soon realise that this is when your nightmare will truly begin. Once your workcover agent receives your claim, they will do just about anything to find ways to either deny or reduce your benefits. One of the unsavoury tactics used by the workcover insurer is to sent you to independent medical examinations.

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What do you do if you feel your IME report is incorrect?

As we have stated a zillion times, independent medical examiners (IMEs) are not always perfect. Sometimes the IME doctor will make mistakes, these could be genuine mistakes and oversights based on, for example, very selective and outdated “material” your case manager sends to the IME doctor. But unfortunately some IMEs are outright biased, some more than others. So what do you do if you feel your IME report is incorrect, or is missing important information, or has partial “mistakes” and/or “oversights”?

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Injured workers continue to face insane barriers to medical treatment

Unfortunately, and despite the fairly recent Ombudsman’s findings and recommendations about WorkCover VIC, we know first hand that people with longer-lasting injuries are still often forced to battle doctors hand-picked by insurance companies to get medical treatment. In other words: injured workers are still waiting in pain!

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Attending IME for psych work injury

For any injured worker the prospect of having to undergo an Independent Medical Examination (IME) causes a lot of apprehension and fear. But for those workers who have suffered a psych injury at work ( in particular a primary psych injury) attending an IME can cause even more trepidation!

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Tips about WorkCover Expert Witnesses and the like

For many injured workers, many medical professionals and even personal injury lawyers, there is quite a bit of scepticism about the workcover system’s use (or abuse) of “expert witnesses” including the (over)use of Independent Medical Assessors. It has been alleged that workcover expert witnesses and the like are not always there to share informed, evidence-based insights or opinions, but rather to “spin” evidence as required (by the insurer).

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workcover crazy

Workcover makes you feel like a leper

Our workcover system is a true nightmare. Literally. Because the system and those who work within it trigger feelings of confusion, senselessness, helplessness and even alienation. It causes nothing short of a feeling of anxiety, sometimes shame or guilt and a feeling of unending difficulty hampering every step. Feelings that cannot be placated. It’s eerily a feeling like…“And why am I under arrest?” “That’s something we’re not allowed to tell you,” would be the bureaucratic answer. “Go to your room and wait there. Proceedings are underway and you’ll learn about everything all in good time…”

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amputee-awaits-apology-from-doctor doctor

Researching Doctors whilst on workcover

Good Morning!

Having been in the system for a while, I have inevitably been sent to numerous doctors and IME’s for reports and opinions.  The process is a daunting one for both physically and mentally injured workers, no doubt. One thing that has helped me is knowing about the doctor prior to going to appointments.

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