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Perform One-Time Exams With Guaranteed Payment

Tuesday, July 25, 2017   (0 Comments)
Posted by: Brook Schales
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By Amy Wadsworth, Outreach Coordinator, Workers’ Compensation Division

The Oregon workers’ compensation system needs more providers to perform one-time exams to help injured workers get back to work. NDs are eligible to provide these exams, as long as they’ve certified with the Workers’ Compensation Division. When you perform any of these exams, you are guaranteed payment, the process is straight forward, and the system benefits from your professional opinion. Although the insurer pays for these exams, the insurer is not involved in coordinating the exams. If you have any issues, contact the Workers’ Compensation Division for assistance at 503-947-7606.

  • Medical Arbiter Exams – These exams help the Workers’ Compensation Division Appellate Review Unit resolve disagreements over impairment findings. The division will provide you with resources on how to perform arbiter exams and will work with your office and the worker to schedule the exams. Arbiter exams are paid by complexity, from $467 to $1,628.
  • Physician Review Exams – These exams help the Workers’ Compensation Division Medical Resolution Team resolve whether a specific treatment is appropriate given the worker's accepted condition. The physician reviewer provides a one-time evaluation, which includes a review of the medical record, an exam, and a report that answers three standard questions. Physician reviews are paid at an hourly rate up to six hours for the record review and exam.
  • Worker-Requested Medical Exams – These exams are also called WRMEs and are available to an injured worker whose workers’ compensation claim has been denied based on an Independent Medical Exam (IME). A WRME is an objective and impartial one-time exam. Upon completing the exam, your report needs to address the questions asked during the original IME and address any questions submitted by the worker or the worker’s attorney. WRME exams are paid at your usual fee.

If you have questions or are interested in performing any or all of these exams, please call the Workers’ Compensation Division at 503-947-7606.

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