Workers' Compensation Discussion Forums

Full Version: How do you dispute MMI Rating?
You're currently viewing a stripped down version of our content. View the full version with proper formatting.
My husband was injured in a fall last year, and while his injuries were extensive he has had a miraculous recovery. The only permanent damage was a loss of hearing in his right ear due to nerve damage. Since the main doctor that treated him has recently moved out of state, he was sent to a clinic for his MMI rating. The doctor there only received the medical files from three of his four treating doctors and based his findings on those medical records. The fourth doctor, an ENT, sent his findings and diagnoses to the insurance company, but they were not forwarded to the doctor making the final MMI report so they were not included in his rating. The only mention of a hearing problem in the report was that the employee (my husband) and his family mention a slight hearing loss in his right ear. Of course this is incorrect since the doctor doing the report was told by my husband that he can't hear at all in his right ear and has a constant ringing/buzzing in that ear. In order to protest this, we were told we had to put in a "request to change treating doctor" and we both are questioning whether or not this is the correct form. We are also expected to collect all of his medical records from the treating doctors and facilities. I would think that they should have all this information and should have passed it on to the reviewing doctor to begin with. Why should we have to do all the leg work for them? We are in the state of Texas. Thanks for any information you pass on. It is appreciated.
When you/he received the letter about the rating. It should have been several pages. It listed what you needed to do to dispute the rating. It is to late for me to get out mine, but I can tomorrow afternoon.

As far as the issue of abtaining all the medical records. If you think that those specific reports will make a difference. I would contact that drs. office and request them. If you do not want to do that because you think it is someone elses job. Then don't. But you need to ask yourself "what is a stake"

Take Care
Have your Attorney depo the Doctor who did the final MMI. Don't beleive that it will cost them as the system is set up that the insurance company will pay for the depo.

I've been there. Injured in 01/1/00, MMI 05/17/05. Only medical records submitted by the defence were through 2002. I wrote my Attorney and demanded he depo the AME. The defence made a fatal error by withholding medical data. I will make sure it costs them!
Reference URL's