Comprehensive Impairment Ratings: A complete service evaluation by our expert physicians. A comprehensive visit usually performed on request of a primary treating physician, at the direction of a claims adjuster with the approval of the primary treating physician, or as an independent/agreed medical examiner (IME/AME). This product includes a comprehensive face to face applicant interview, physical exam and metric data collection, and chart review by a board certified medical provider. The report is served to the parties in a standardized medical legal outline format including the following elements:

1) Issues of Causation

2) Issues of Eligibility for Compensation

3) Issues of AMA 5th Edition Impairment Rating

4) Issues of Permanent Functional Restrictions

5) Issues of Future Medical Care

6) Issues of apportionment

7) Issues of Benefits for Worker Vocational Retraining/Qualified Injured Worker

RateFast PR4 Report Service: This is the first online report writing assistant program ever available. This service is designed to help busy, experienced, medical providers maximize their time with patients and minimize their time editing reports. The doctor simply logs into our secure web site and enters the report information and objective findings via hand held device (iPad) or computer, and our company organizes it into a PR4 Report format that is easy to read and AMA 5th Edition compliant. The reports are formatted and returned to the doctor for final edits, printing and signature. Simple, easy, fast and accurate. The best and most efficient way to generate PR4 Reports for high volume practices. This is like having a PR4 Report expert in your pocket!

Forensic Chart Reviews: A comprehensive chart review and summary report for the applicant and primary treating physician. This service is utilized for provides who have the primary treater designation on a claim that may have elements that are out of their scope of practice.


1) Address the applicant’s period of temporary total disability

2) Address multiple prior claim histories of an applicant for causation.

3) Address pre-existing, non-industrial conditions for causation or apportionment.

Claim Salvage and Treatment Re-Design: A comprehensive “360 degree review” of a claim in any status of treatment/adjudication. This service is designed to assist the applicant, doctor and adjuster to refocus the management of the claim to move forward. This product is particularly useful for claims that are in excess of 180 days with no surgery or interventional treatment contemplated in the following one year. First, a Forensic Chart Review is carried out to update the parties with and easy to understand case summary. Second, a Summary in Brief is presented that incorporates clinical report findings, significant physical exam and imaging findings, and other pertinent objective chart findings. Finally, evidence based treatment considerations based on the American College of Occupational and Environmental Medicine (2nd Edition) protocols and the Official Disability Guidelines (ODG) are provided to assist the treating provider with suggested treatment options. If the exam, or chart documents are outdated, this product may be combine with a comprehensive type face to face visit with the applicant. This is an excellent tool for multi body location/system injuries that are out of the scope of practice for the primary treating physician.

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