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Workers' compensation insurance carriers, auto insurance carriers, and self-insured employers have a legal right to this request. Should the doctor/therapist performing the independent medical examination conclude that a patient's medical condition is not related to a compensable event, the insurer may deny the claim and refuse payment.
MMI is relevant in multiple contexts, including personal injury cases and workers' compensation cases. When a worker receiving Workers' Compensation benefits reaches maximum medical improvement, their condition is assessed and a degree of permanent or partial impairment is determined.
The Office of Workers' Compensation Programs administers four major disability compensation programs which provide wage replacement benefits, medical treatment, vocational rehabilitation and other benefits to certain workers or their dependents who experience work-related injury or occupational disease. [2]
An FCE involves assessments made by one or more medical doctors. There are two types of FCE used by the United States Social Security Administration: the Mental Functional Capacity Evaluation (MFCE) that measures emotional and mental capacity, and the Physical Functional Capacity Evaluation (PFCE) that measures physical functioning.
The Commission generates case law that is valid in Illinois. This decisions, and the case law derived from them, serve as initial points of reference for questions of employer liability, disability diagnoses and treatments, and the extent to which medical expenses can be charged to an employer and an employer's workers' compensation insurer. [1]
Applicants for Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI) file applications for disability benefits at local Social Security field offices. If the application is accepted, it is sent to the DDS in the state that the applicant lives to have the claim of disability assessed.
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This includes occasional leave for doctors' appointments for a chronic condition, treatment (e.g., physical therapy, psychological counseling, chemotherapy), or temporary periods of incapacity (e.g., severe morning sickness, asthma attack). [35] "Highly compensated employees" have limited rights to return to their jobs.