RE: IME’s (Independent Medical Examinations)
Dear Representative:
Let us take this opportunity to Thank You for the IME referrals you have sent our way. The doctors and staff of the Comprehensive Pain Management Group are happy to work with you and to accommodate your needs. Kindly take some time to review our IME policy and please feel free to contact our office directly for any clarifications.
IME Policy:
- All IME’s are to be scheduled with our Medical Director, Howard Konowitz, MD
- All patients will receive a New Patient Packet with an Initial Pain Questionnaire. The patient must arrive for their appointment with the Questionnaire complete.
- A patient who doesn’t receive a New Patient Packet prior to their appointment must arrive (1) one hour before his/hers scheduled appointment to complete their paperwork.
- If the patient refuses to fill out the Initial Pain Questionnaire, the physician will not be able to perform an examination and the visit will be terminated.
- If the patient does not keep his/hers scheduled appointment without proper notification, or the visit has to be terminated due to the refusal or untimely completion of the Initial Pain Questionnaire, a fee will be billed to the party who scheduled the IME visit.
- IME visits can only be cancelled and/or rescheduled by the party who scheduled the initial visit. We will not accept the patient’s cancellation and bill for a No Show visit.
- All
medical data needed for the IME is to be mailed to our Main
Office,
- Mailing or faxing medical data to any other office or fax number may result in the IME physician not receiving critical information to complete your IME request, or possible cancellation of the IME.
- Please do not mail x-ray or imaging films to our office rather have the patient bring them to the appointment themselves.
Sincerely yours,
Howard S. Konowitz, MD
Medical Director, Comprehensive Pain Management Group, LLC
HSK/pb
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