Whether you need an IME, Peer Review, or an IRO to help you get the reviews you need completed, we have a solution that exceeds your expectations.
If you're dealing with above-average caseloads and bringing new staff up-to-speed, we're here to help you mitigate provider risk, improve the quality of physician examinations and reports, and minimize administrative workload.
What is an Independent Medical Exam (IME)?
An Independent Medical Exam (IME) is an objective medical evaluation performed by a qualified physician who has no prior treatment relationship with the injured party. IMEs are used in Workers' Compensation, auto injury, and disability claims to establish causation, assess medical necessity, determine maximum medical improvement, evaluate disability ratings, and resolve disputes about diagnosis or treatment. MCN coordinates IMEs across all 50 states with board-certified specialists in orthopedics, neurology, psychiatry, internal medicine, and 150+ other specialties, delivering comprehensive reports within 10-14 business days.
What is a Peer Review?
A Peer Review is a comprehensive analysis of medical records, treatment plans, and provider recommendations conducted by a physician in the same specialty as the treating doctor. Peer Reviews determine whether treatment is medically necessary, causally related to the claim, consistent with evidence-based guidelines, and appropriate in scope and duration. MCN’s peer review process includes complete treatment record analysis, claimant interviews when appropriate, and consultations with treating providers to ensure thorough, defensible opinions for utilization review, treatment authorization decisions, and case resolution.
What is a Functional Capacity Exam (FCE)?
A Functional Capacity Evaluation (FCE) is an objective, performance-based assessment that measures a worker's physical abilities and limitations to determine safe return-to-work capacity. FCEs evaluate lifting, carrying, pushing, pulling, sitting, standing, walking, and job-specific tasks, then compare results against the injured worker's actual job requirements. Emperion uses standardized testing protocols performed by licensed occupational therapists and physical therapists to provide physicians, claims adjusters, and employers with data-driven recommendations for full duty, modified duty, or continued disability status.
What is an Independent Review Organization (IRO)?
An Independent Review Organization (IRO) is a neutral, third-party entity that conducts evidence-based medical reviews to support fair and objective healthcare coverage decisions. IROs evaluate cases involving medical necessity, experimental or investigational treatments, and plan policy interpretation, providing unbiased clinical determinations that align with federal, state, and accreditation standards. At MCN, our URAC-accredited IRO delivers specialty-matched, independent reviews performed by board-certified physicians in active practice. These reviews support utilization management processes, appeals, and legally mandated external reviews, ensuring decisions are clinically sound, compliant, and free from conflicts of interest.
WHAT WE DOWe are deeply committed to understanding our clients and their IME, Peer Review and IRO needs, allowing us to provide the highest level of personal service possible. Because of this, our clients know that they will get reports that are fair, accurate, and timely. They also know that we will regard each case and those impacted with the respect and dignity they deserve—no exceptions.
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