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Liability | Workers'
Compensation | Disability
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Independent Medical Exams:
Independent medical exams are set up in accordance with the state-specific
laws.
Appointments are scheduled to occur within 12 days from the date
Crossland receives the case, allowing time for proper written notification to
the claimant (and if represented, his/her attorney). Rush cases are the
exception and we will accommodate these cases upon request. Special attention
is always given to extenuating circumstances such as hiring a translator and
arranging transportation. Immediate advisement is given to the claims
representative on all events concerning appointment scheduling.
Independent Medical Exams Process :
IME Request Intake:
Once a referral is made via Crossland’s web based referral and Case Management
system, the claimants location is immediately identified by county. A service
representative will locate the closest IME consultant that meets the criteria
according to the requested specialty training and/or certification.
Scheduling:
An appointment date and time is arranged with the IME consultant’s office. Once
contact is made with the claimant or the claimant’s legal representation, the
responsible party is made aware of the time and date of the IME. Certified mail
and rush appointment scheduling can be completed upon request. Notification
letters of examinations are sent to all parties at least seven
business days prior to the scheduled date of the exam. Copies of notification
letters are sent to the claimant and legal representation (if applicable)
as well as to the claims examiners for their records
Notification:
Now that the claimant or claimant’s attorney
has been advised of the IME, appointment
letters are sent to all concerned parties advising of the appointment date and
time. Also stated on the appointment letter are
explicit instructions to advise
what the nature of the IME request is concerning and how to contact Crossland’s
Claimant Service Department. Information is also provided to assist the
claimant with any questions that arise.
Day of Exam:
On the day of the exam, Crossland continues the open line of communication
between the claimant and the IME consultant. Our Service team is always on hand
to help the claimant with directions or answer questions from the IME
consultant. Once a claimant appears at the IME consultant office they are asked
to complete a history form and submit photo ID. The
physician will spend as much time as necessary with
the claimant depending on the nature of the reported injury and
complexity of the claimant’s history.
IME Reports:
The selected IME doctors will address the questions requested by
the Insurance Carriers representatives. Turn- around time ranges from 3-5 working days from the
exam date.
Crossland will advise the Insurance Carrier of the need for a
re-examination based on the examining
physicians findings.
Liability
Liability Medical
Assessment Service:
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Independent Medical Exam
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File Review Service
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Expert Witnesses
Why Crossland…..
Crossland’s Liability medical assment division specializes in liability and
bodily injury claims. We maintain a national network composed of
objective independent Board Certified Physicians,
in many cases at the top of their field either nationally or geographically
. Criteria for the liability network focuses on education,
professional experience, specialty certification, state licensing verification
and practice focus.
Crossland understands the critical role of the plaintiff examination in the
litigation or arbitration process. We work with defense attorneys and carriers
relating to the specific issues of each case. All of our procedures are
personalized to meet the very specific needs and guidelines of each of our
clients.
Objective IME and File Review reports are powerful tools consisting of detailed
analyses of medical records, list of alleged
injures "bill of particulars" and diagnostic tests. An
objective independent physician will report the findings and address important
issues that may be at the center of a dispute or matter that requires
confirmation of an injury, explanation of the causality of an injury, radiology
interpretation, recommendation for further treatment, impairment rating,
disability status or work ability. We are known for outstanding service and maintaining the
highest of standards and exceptional quality control.
More
of What We Do.
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Notice of Availability, county of venue is adhered to. IME is setup in the
county / municipality of the law suit.
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Proper scheduling through plaintiff
attorney
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Coordinate the IME specialist, time, date and location with the plaintiff
attorney complying with notice of availability and other court ordered
directives
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Crossland’s network of Liability consultants are chosen based on
their
specialty qualifications, board certifications, educational background, and
professional affiliations
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Physician’s curriculum vitae are kept on file electronically and are available
for your review upon request
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Crossland mandates to its network of consultants that compliance and
availability with testimony as required by defense is critical in panel
maintenance
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From time to time it is necessary for physicians to conduct physical
evaluations in locations other then the examining doctor’s office, such as
claimant’s homes, nursing homes, attorney offices, other venue locations, or in
some instances other institutions. In any such situation Crossland can
coordinate a travel request when necessary
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Record Obtainment service is a feature offered to facilitate the IME
process
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Diagnostic Studies
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Reports
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Medical Records
Workers' Compensation
Independent Medical Exams:
As a New York State based company all of our services are provided in
accordance with “NY State Workers’ Compensation Law, Section 137”. Our NY State
IME Entity Number is: 010128. Our consultants are also Workers’ Compensation
Board authorized having met all the professional criteria and are certified to
perform Independent Medical Examinations by the chair of the NY State Workers’
Compensation Board. Our doctors will address the issues set forth by the
Worker’s Compensation guidelines including SLU, disability and ability to
return to work, medical necessity of continued treatment, classification and
other Workers’ Compensation issues. All NY State Workers’ Compensation reports
will include the consultant’s BWC authorization number, including their
availability to testify on their reports. Notifications of examinations are
sent to all parties including the IME-5 form and are sent at least seven
business days prior to the scheduled date of the exam. In addition all reports
are filed with the Workers’ Compensation Board on the IME-4 form by Crossland
Medical Review Services and distributed the same day in the same manner of
filing to all interested parties.
Nationally, we use the same stringent criteria to add doctors to our panel. We
ensure that all state-specific regulations and guidelines are followed when
notifying claimants of examinations and distributing reports. All members of
our national panel of consultants are certified within their respective state
or municipality and are in compliance with any and all regulations which may
apply in each local area.
Reports are case specific and not written from templates. All issues requested
by examiners are addressed, including the review of all records and diagnostic
testing results by the examining consultant.
Copies of notification letters sent to the claimant and legal representation if
applicable will be sent to examiners for their records. Certified mail and rush
appointment scheduling can be complied with upon request.
Disability LTD/STD
Independent Medical Exams:
Our disability examining consultants are qualified and experienced in
evaluating both short and long term disability. Delineation of a disability may
vary as determined by the insurer and/or the individual policy. Issues
emanating from disease, illness, surgery, trauma, and cognitive/mental health
are among some of the bases for disability claims.
The Independent Medical Exam and Functional Capacity Evaluation
are tools which can be used in evaluating and understanding the level and
severity of the disability status in a particular claim.
Through Crossland, the disability IME will address those issues pertinent to
the specific claim and conditions of the individual policy as requested by the
medical claims representative. The appropriate medical treatment can be
discussed as well as the degree of, and projected period of disability.
The Functional Capacity Evaluation will prove essential as an
assessment which measures the claimant’s level of function and ability to
sustain under prolonged activity. Crossland’s panel of FCE experts provide
detailed reports summarizing the comprehensive evaluation which indicates an
accurate level of the individual’s capabilities.
Crossland’s national panel of disability evaluating consultants
consist of physicians such as orthopedists, neurologists, neurophysiologists,
neurosurgeons, occupational medicine, obstetrics, gynecologists, physical
medicine & rehabilitation, rheumatologists, otolaryngologists,
psychiatrists, internal medicine specialists and other practitioners and
licensed medical professionals.
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