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MMI

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Newsletter Articles
Guides Newsletter (2021) 26 (2): 3–12.
Published: 01 March 2021
....” Patients who present for assessment of causation, maximum medical improvement (MMI), and permanent impairment can be challenging. For some examinees, after 6 to 12 months without outgoing improvement and with appropriate investigation, treatment, and rehabilitation, the examinee can be considered at MMI...
Newsletter Articles
Guides Newsletter (2020) 25 (6): 13.
Published: 01 November 2020
...James B. Talmage, MD This is a brief introduction to maximum medical improvement (MMI), which is pertinent to permanent impairment assessment. The definition and explanation of MMI according to the AMA Guides to the Evaluation of Permanent Impairment (AMA Guides) , Sixth Edition, is discussed...
Newsletter Articles
Guides Newsletter (2018) 23 (3): 7–9.
Published: 01 May 2018
...Charles N. Brooks, MD; Christopher R. Brigham, MD Maximum medical improvement (MMI) and its multiple synonyms are important terms to understand because one cannot determine permanent impairment until a condition has resolved or reached a stable plateau with respect to improvement. Further, in many...
Newsletter Articles
Guides Newsletter (2020) 25 (1): 3–11.
Published: 01 January 2020
... Edition, should be used in conjunction with the AMA Guides to the Evaluation of Permanent Impairment, ( AMA Guides ), Sixth Edition. A person who is prescribed opioids is not yet at maximum medical improvement (MMI) and cannot be rated. Referral for substantiation of the diagnosis and for initiation of...
Newsletter Articles
Guides Newsletter (2020) 25 (4): 3–7.
Published: 01 July 2020
... support documented impairment related to this illness. © 2020 American Medical Association. All Rights Reserved. 2020 American Medical Association COVID-19 Coronavirus Impairment Rating MMI Outcome PPI SARS-CoV-2 Almost everyone is aware of the presence of coronavirus 2019 (COVID-19...
Newsletter Articles
Guides Newsletter (2021) 26 (2): 18–19.
Published: 01 March 2021
... evaluated. A magnetic resonance imaging (MRI) scan obtained 3 days post-injury showed a tear of approximately 10% of the tendon with surrounding edema. He was treated with platelet-rich plasma (PRP) injections. No repeat MRI was obtained when the patient was deemed at maximum medical improvement (MMI) one...
Newsletter Articles
Guides Newsletter (2018) 23 (3): 10–13.
Published: 01 May 2018
... comparison with her previous size, shape, contour, and comparison with her right breast. Ten years previously, she had received double lumen prostheses (saline on the outside and silicone gel on the inside). One year later she was found to be at maximum medical improvement (MMI) and described no signs or...
Newsletter Articles
Guides Newsletter (2021) 26 (1): 3–6.
Published: 01 January 2021
... improvement (MMI). The appropriate rating would be a diagnosis-based estimate of 2% LEI or 1% WPI. While the medical literature contains insufficient data to formulate any firm conclusions, assuming adequate information is available regarding the tear and amount of meniscus resected in a partial...
Newsletter Articles
Guides Newsletter (2021) 26 (1): 9–17.
Published: 01 January 2021
... a baseline from which MMI status can be declared. In combination with Chapter 11, Ear, Nose, Throat, and Related Structures, and Chapter 13, The Central and Peripheral Nervous System, Chapter 12, The Visual System, provides a unique mathematical schema for impairment rating that parallels the...
Newsletter Articles
Guides Newsletter (2019) 24 (5): 14–15.
Published: 01 September 2019
... excluded. Also notice in Table 17-6 (page 575, 6th ed), Functional History Adjustment: Spine, that a GMFH value of “0” means the patient is asymptomatic. If the patient is indeed asymptomatic at maximum medical improvement (MMI), then impairment Class 0 should be chosen, not Class 1. Because a GMFH value...
Newsletter Articles
Guides Newsletter (2020) 25 (6): 3–6.
Published: 01 November 2020
... prior industrial disabilities. © 2020 American Medical Association. All Rights Reserved. 2020 American Medical Association California Permanent Disability System Labor-disabling Pre-existing Disability Maximal Medical Improvement (MMI) Permanent Disability (PD) Retroactive Prophylactic Work...
Newsletter Articles
Guides Newsletter (2020) 25 (5): 3–11.
Published: 01 September 2020
... Migraine headaches and craniocephalic pain were rated using Section 13-11, Criteria for Rating Impairments Related to Craniocephalic Pain (6th ed, 341-342). At MMI, there were no complaints of migraine headaches or craniocephalic pain. At MMI, there was no evidence of a neuropathic problem using...
Newsletter Articles
Guides Newsletter (2020) 25 (5): 12–15.
Published: 01 September 2020
... factors or activities outside of the work injury or exposure may be a contributing-causal factor of the resultant permanent disability at the time of the MMI evaluation? What prior and subsequent injuries has the applicant sustained, both on an industrial and nonindustrial basis? Questions or...
Newsletter Articles
Guides Newsletter (2020) 25 (4): 14–15.
Published: 01 July 2020
... examinee out of 118 who had a postoperative Quick DASH score of >60, making a Quick DASH score of >80 at MMI most unusual. These data would support the concept of considering an examinee with CTS at MMI with a Quick DASH score of >80 as displaying symptom magnification sufficient to...
Newsletter Articles
Guides Newsletter (2014) 19 (1): 8–10.
Published: 01 January 2014
...Charles N. Brooks, MD; Christopher R. Brigham, MD Most acute injuries and illnesses resolve, ie, reach maximum medical improvement (MMI), within days or weeks and without permanent impairment. Fractures, more severe soft tissue injuries and illness, and conditions that require surgery take longer...
Newsletter Articles
Guides Newsletter (2019) 24 (6): 18–19.
Published: 01 November 2019
...-term loss of a body part or reduction of body function. Once a patient has reached maximum medical improvement (MMI), physicians and authorized practitioners use the AMA Guides ® to assess a patient's impairment and document findings in a report. A properly completed impairment rating report...
Newsletter Articles
Guides Newsletter (2019) 24 (5): 3–7, 16.
Published: 01 September 2019
... that the claimant has reached the status of “Maximum Medical Improvement (MMI).” MMI is reached after sufficient time has passed for healing and recovery expected to occur from the treatment methodology chosen. This does not, of course, imply that there has been complete resolution of the symptoms or...
Newsletter Articles
Guides Newsletter (2019) 24 (3): 10–13.
Published: 01 May 2019
... requires the use of flexion and extension X rays performed at or after maximal medical improvement (MMI) has been established. To qualify for loss of motion segment integrity, measured translation or relative translation on radiographs must be greater than the normal maximal translation documented in the...
Newsletter Articles
Guides Newsletter (2014) 19 (6): 8–12.
Published: 01 November 2014
... medical improvement (MMI). Frequently, ratings for diagnoses of “nonverifiable back pain,” herniated discs, nonverifiable radicular pain, and radiculopathy are requested. Definitions of terminology used in the AMA Guides may differ from those used by some physicians when they see patients, and evaluators...
Newsletter Articles
Guides Newsletter (2013) 18 (3): 3–6.
Published: 01 May 2013
... rated using the rating systems for the affected organ system when the individual is at maximum medical improvement (MMI). In addition, the risk of future impairment should be assessed when the individual is at MMI, and that rating should be combined with the rating for organ system vascular compromise...