Independent Medical Examination Services

Integral provides a variety of Independent Medical Evaluation services which are unsurpassed in the industry.  We tailor each of our offerings specifically to the needs of different types of claims, claims offices, and claims representatives.

As a specialized service-oriented organization, we are equipped to work closely with clients to develop a customized program that best suits your specific needs.

Pain Management Record Reviews

The overuse and abuse of pain medications is a major concern in society and in claims particularly.

Integral is offering Pharmaceutical Reviews. These Record/Peer Reviews are conducted by Pain Management physicians, and are done in accordance with evidence-based medical sources, including the New York State Workers Compensation Board Non-Acute Pain Medical Guidelines, with an eye toward assuring that a claimant’s use of pain medications is appropriate and safe.

They may also include discussion of Morphine Equivalent Dosages, weaning schedules, use of generic equivalents, and other relevant issues. Supporting medical evidence can be appended as well, and our specialty is Rushes.

All Cases

• Secure online referral and record submission.
• Arranging of transportation for claimants to and from exams, upon request.
• Arranging of interpreting services, upon request.
• Rush appointments when needed.
• Scheduling with specific consulting physicians at request of adjuster, even if the physician does not appear on the regular panel.
• Radiology and neuroradiology independent reviews.
• Record reviews.
• Functional Capacity Evaluations.
• Testimony scheduling.
• Checking and double checking all case information to ensure that distributed documents are properly received and filed.

Workers Compensation

• Compliance with all state regulations with regard to physician utilization, appointment notification and report distribution.

New York State Workers Compensation

In March 2001, WCL Section 137 regulations were put into effect by the New York State Workers Compensation Board. Integral Consulting Services is authorized by the Board to conduct Independent Medical Evaluations under authorization # 010007. Even these years later, some independent medical examination vendors struggle to be in compliance with these regulations. A precluded report is a tremendous waste of time and money for the carrier.
Integral specializes in New York State Workers Compensation cases and we have automated and refined our procedures to ensure compliance. We stake our reputation every day with every examination.

• Authorized by the New York State Workers Compensation Board to perform independent medical examinations.
• Training of doctors and staff on all New York Workers’ Compensation issues and Guidelines, including the Medical Treatment Guidelines and the Guidelines for Determining Permanent Impairment.
• Accessing medical records for IMEs directly from eCase file, with authorization.
• Full compliance with all parts of Section 137

We continue to monitor and communicate with the WCB to make sure we are aware of any changes to the regulations to ensure that our clients and Integral are up to date and in compliance.

Workers Compensation PAR Reviews

Integral is an authorized Medical Review Organization (MRO) through the New York State Workers Compensation Board Medical Portal.  With our extensive panel of providers in all specialties, we can turn around a Level 2 review through the Medical Portal to meet any deadline, up to and including the same day.  Select Integral as the MRO to submit Level 2 PAR reviews. 

No-Fault

• Scheduling of appointments 10-14 days from the date of request.
• Scheduling with multiple specialties in one location simultaneously.
• Scheduling with multi-specialty physicians to reduce overall expense.
• Same day notification of Double No-Shows.
• Peer Reviews.
• New York NF-10 preparation.
• Re-examination reminders.

General Liability

• Contact plaintiff attorney prior to scheduling.
• Upon request, copies of correspondence and IME report to defense attorney.
• Obtaining authorizations from plaintiff attorneys, and records and diagnostic studies from treating facilities.
• Diary referrals ahead for examinations to take place after EBT’s are held when requested, with follow up to confirm that they have been held.