Independent Medical Evaluation

At Missouri Independent Medical Evaluations, we provide a unique and specialized independent medical examination and report performed by a licensed physician with over 20 years of practice experience in the field of Emergency Medicine. Through this experience Dr. Mullins has treated and continues to treat illness and injury across the spectrum and the life span.

His training, skill, and knowledge cover a wide breadth of disciplines including orthopedics, neurology/neurosurgery, and pain management. Further, Dr. Mullins has specialized training as to the standards dictated by the AMA Guides to the Evaluation of Permanent Impairment and is rich in experience of the Independent Medical Evaluation (also known as IMEs), having completed thousands of examinations.

There is great benefit of an independent evaluation versus a medical report by a treating physician. An examination by a patient’s treating physician is usually performed to determine a diagnosis and document the clinical course over time.

The IME is a one-time examination to objectively document the patient’s status and collect a more comprehensive history than the conventional history collected by the treating physician. It provides a broader scope than simply treatment recommendations. IMEs are different than the conventional medical report because of how they are utilized, how they are requested, performed, issues addressed, and the how they are reported. The IME may be an important piece of evidence in a hearing and other legal proceedings and must be clearly and precisely written.

Each of our IMEs provide a complete, comprehensive, and objective description of the patient’s condition at that time, in the context of prior health, physical and vocational capabilities, and social functioning. Our final report will most usually contain the following:

Introductory information and descriptive data including patient information, date of injury, referring source, and date of examination; patient history garnered from the records review and the subjective oral history given during the patient interview; summary of the review of all records provided by the referral source.

Subjective, current patient interview including documentation of Chief Complaint with symptoms and chronology, pain, associated symptoms, how and when the injury occurred, how symptoms have changed over time, subjective response to treatment, pre-incident symptoms, subsequent injuries/episodes, current functional status, occupational history, relevant past medical history, other conditions or injuries, personal and family/social history, and a Review of Systems.

Each IME has a physical examination with use of tables for documentation.

Lastly the opinion section. Here Impression (diagnosis), discussion of diagnosis, comments on past medical treatment, opinion as to whether the patient is as Maximum Medical Improvement (MMI), comments on future medical treatment, causation (may include mechanism of injury, correlation of past and current medical history, activities of daily living, work and social history, etc.), apportionment and Impairment Rating based on the AMA Guides to the Evaluation of Permanent Impairment (if applicable), disability/functional status, and prognosis.

We feel strongly that each IME should be just that — an Independent Medical Evaluation. There is no patient/physician relationship prior to or after the evaluation. Dr. Mullins relies on the patient’s history, examination, and a comprehensive review of medical records-including diagnostic studies, and the patient interview to arrive at his own diagnosis and opinions independent of referring source, remuneration, other’s opinions, or personal bias.