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Impairment Rating (IR)

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Newsletter Articles
Guides Newsletter (2022) 27 (2): 8–11.
Published: 01 March 2022
...Christopher R. Brigham, MD; Charles N. Brooks, MD; James B. Talmage, MD Impairment evaluations not performed following processes defined in the AMA Guides to the Evaluation of Permanent Impairment (AMA Guides) usually result in erroneous ratings. Common lower extremity impairment rating (IR) errors...
Newsletter Articles
Guides Newsletter (2022) 27 (1): 7–11.
Published: 01 January 2022
...James B. Talmage, MD; Christopher Brigham, MD Impairment evaluations not performed following processes defined in the AMA Guides to the Evaluation of Permanent Impairment (AMA Guides) will result in erroneous ratings. Common errors in impairment rating (IR) for upper extremity are frequently seen...
Newsletter Articles
Guides Newsletter (2020) 25 (6): 10–12.
Published: 01 November 2020
... Clinical Evaluation Combined Values Chart Discussion Impairment Evaluation Impairment Rating (IR) IR Reports Reading all 600-plus pages of the AMA Guides to the Evaluation of Permanent Impairment (AMA Guides) , Sixth Edition, is not a practical endeavor, even for treating physicians...
Newsletter Articles
Guides Newsletter (2020) 25 (2): 10.
Published: 01 March 2020
...Christopher R. Brigham, MD; Charles N. Brooks, MD; James F. Talmage, MD © 2020 American Medical Association. All Rights Reserved. 2020 American Medical Association QUESTION: I practice in South Carolina and have been asked to convert an impairment rating (IR) of the cervical spine...
Newsletter Articles
Guides Newsletter (2020) 25 (4): 14–15.
Published: 01 July 2020
... but are not considered an official revision to the AMA Guides. © 2020 American Medical Association. All Rights Reserved. 2020 American Medical Association QUESTION: When performing an impairment rating (IR) for carpal tunnel syndrome (CTS), cubital tunnel, etc, I have always disregarded Quick DASH...
Newsletter Articles
Guides Newsletter (2018) 23 (5): 11–15.
Published: 01 September 2018
...° IR = 6% UEI, ≥60° IR or 10° IR to ER = 0% UEI. This should be: ≥60° IR or 10° IR to ER = 10% UEI FIGURE 1. Second, the impairment rating using the Fourth Edition and Sixth Edition requested case resulted in the same total impairment. Case Example Bill Smith is a 54-year-old...
Newsletter Articles
Guides Newsletter (2020) 25 (3): 12–19.
Published: 01 May 2020
... a short period of temporary partial disability (TPD) payments. In June 2006, she underwent an impairment rating evaluation (IRE) pursuant to the AMA Guides, Fifth Edition, which determined that she had a 44% permanent impairment. Based on that IRE, a workers’ compensation judge (WCJ) modified...
Newsletter Articles
Guides Newsletter (2017) 22 (4): 12–13.
Published: 01 July 2017
.... The decision eliminates the impairment-rating evaluation (IRE) mechanism under which claimants were assigned an impairment rating under the most recent edition of the AMA Guides . The AMA Guides periodically are revised to include the most recent scientific evidence regarding impairment ratings, and the AMA...
Newsletter Articles
Guides Newsletter (2012) 17 (6): 1–9.
Published: 01 November 2012
... cases. Figure 3 Methodology Used in Determining Diagnosis-based Impairment (DBI) in the Spine Chapter The first step in the impairment rating (IR) process, after determination of permanency at maximum medical improvement (MMI) , is to assign the diagnosis and pick the appropriate...
Newsletter Articles
Guides Newsletter (2010) 15 (3): 1–7.
Published: 01 May 2010
... 72 99 102 104 112 Extended FIM/112 23 23 40 45 64 88 91 93 100 Impairment Rating 98 98 91 86 82 60 58 42 0 1-(Impairment Rating) 2 2 9 14 18 40 42 58 100 (1-IR)/Extended FIM/112 0.1 0.1 0.2 0.3 0.3 0.5 0.5 0.6 1.0 Ideally, an impairment...
Newsletter Articles
Guides Newsletter (2021) 26 (5): 13–16.
Published: 01 September 2021
... therapy on depression, anxiety, and stress in patients with COVID-19: a randomized controlled trial . Front Psychiatry. 2020 ; 11 : 580827 . doi: 10.3389/fpsyt.2020.580827 . 23. Behan C . The benefits of meditation and mindfulness practices during times of crisis such as COVID-19 . Ir J...
Newsletter Articles
Guides Newsletter (2016) 21 (5): 3–8.
Published: 01 September 2016
... evaluated the amount of personal assistance needed by level of injury. “Exp” indicates the number of hours of personal assistance an expert panel assumed patients would need. “Med” indicates the median number of hours a patient actually received. “Data IR” is the range of hours of care received by persons...
Newsletter Articles
Guides Newsletter (2002) 7 (2): 7–10.
Published: 01 March 2002
... as a threshold to determine if an employee is totally disabled. With respect to injuries sustained on or after June 24, 1996, Act 57 requires employees who have received total disability benefits for 104 weeks to submit to an Impairment Rating Evaluation (IRE) to determine the degree of impairment from which...