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Maximum Medical Improvement (MMI)

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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 (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 (2000) 5 (5): 1–3.
Published: 01 September 2000
...Charles N Brooks, MD The term maximum medical improvement (MMI) is important to understand because an evaluator cannot determine permanent impairment until a condition is permanent and stationary. In addition, in many jurisdictions MMI represents the date beyond which at least some benefits cease...
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 (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 (2003) 8 (4): 4–5.
Published: 01 July 2003
...Christopher R. Brigham, MD; James B. Talmage, MD Permanent impairment cannot be assessed until the patient is at maximum medical improvement (MMI), but the proper time to test following carpal tunnel release often is not clear. The AMA Guides to the Evaluation of Permanent Impairment ( AMA Guides...
Newsletter Articles
Guides Newsletter (2011) 16 (2): 8–9.
Published: 01 March 2011
... not alter the rating for a cervical or lumbar fusion at the time the patient's condition is determined to be at maximum medical improvement (MMI). The term adjacent segment degeneration refers to the presence of radiographic findings of degenerative disc disease, including disc space narrowing, instability...
Newsletter Articles
Guides Newsletter (2019) 24 (5): 14–15.
Published: 01 September 2019
... 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 of “0...
Newsletter Articles
Guides Newsletter (2012) 17 (6): 9–10.
Published: 01 November 2012
... the assignment of one of four classes of findings and interferences with ADLs. Impairment is based on objective findings when the individual is at maximum medical improvement. © 2012 American Medical Association. All Rights Reserved. 2012 American Medical Association Question: In rating a triangular...
Newsletter Articles
Guides Newsletter (2004) 9 (2): 1–16.
Published: 01 March 2004
... Sexual function X X X Sleep X X X Social and recreational activities X X Impairment is considered permanent when it has reached maximum medical improvement (MMI), meaning it is well-stabilized and unlikely to change substantially in the next year with or without medical...
Newsletter Articles
Guides Newsletter (2007) 12 (1): 4–5.
Published: 01 January 2007
... tunnel release procedure, the physician declares the patient to be at maximum medical improvement and uses tables in the AMA Guides to the Evaluation of Permanent Impairment, Fifth Edition, to rate 19% whole person impairment and to apportion 90% to work activities. Readers can pause at this point...
Newsletter Articles
Guides Newsletter (2005) 10 (5): 6.
Published: 01 September 2005
... indemnification (the amount is determined by the jurisdiction). Benefits continue until the disabling condition either permits a return to work or reaches a plateau at which healing ends and no significant improvement is likely (maximum medical improvement or a permanent and stationary condition). How the award...
Newsletter Articles
Guides Newsletter (2004) 9 (4): 4–12.
Published: 01 July 2004
..., diagnosed maximum medical improvement, and, using the AMA Guides to the Evaluation of Permanent Impairment ( AMA Guides ), assessed 11% whole person impairment. Readers are encouraged to use the materials presented to this point to prepare their own rating that they can compare with an analysis (published...
Newsletter Articles
Guides Newsletter (2002) 7 (3): 10–11.
Published: 01 May 2002
... improvement without treatment and the degree of anticipated improvement that could be expected with treatment. (5th ed, 20) Therefore, if it is clear that your patient would not have surgery, he or she would be placed at maximum medical improvement. You should note in your report that, hypothetically...
Newsletter Articles
Guides Newsletter (2001) 6 (5): 8–10.
Published: 01 September 2001
... living. 2.6a.6 (Section 2.6, Preparing Reports, 22) 2.6a.8 (Section 2.6, Preparing Reports, 22) 2.6a.8 (Section 2.6, Preparing Reports, 22) 2.6a.8 (Section 2.6, Preparing Reports, 22) Maximum Medical Improvement ▭ Discussed the medical basis for determining whether the person...
Newsletter Articles
Guides Newsletter (1999) 4 (4): 1–3.
Published: 01 July 1999
... state laws have unique definitions of “maximum medical improvement.” Next, the evaluator should establish a definitive diagnosis that identifies the existence of an abnormality and impairment of the activities of daily living. Based on his or her judgment and expertise, training, skill, and thoroughness...
Newsletter Articles
Guides Newsletter (1999) 4 (1): 4.
Published: 01 January 1999
... injured his back and neck at work and who reached maximum medical improvement in 1994. At issue was which edition of the AMA Guides to use to measure the claimant's permanent partial impairment (PPI). Specifically, the question was whether to evaluate the impairment according to the Range of Motion (ROM...
Newsletter Articles
Guides Newsletter (2010) 15 (2): 11–15.
Published: 01 March 2010
...; the greatest source of error is examiner inexperience. Evaluations should take place only when the patient is at maximum medical improvement, and evaluators must distinguish between impairment related to the alleged injury and that due to other injury, degenerative disease, or illness, not self-reports. A box...
Newsletter Articles
Guides Newsletter (2011) 16 (1): 12–13.
Published: 01 January 2011
... as the lateral part of his left elbow. At maximum medical improvement (MMI), the individual complained of moderate pain at rest and severe pain with repetitive forceful gripping and grasping. Radiographs taken at MMI showed a healed distal radius fracture in anatomic position with no posttraumatic arthritis...
Newsletter Articles
Guides Newsletter (2005) 10 (6): 1–9.
Published: 01 November 2005
... utilizes protocol for impairment rating Diagnosis Always Always Always Always Causation Often Often Rarely Rarely Prognosis Often Often Often Often MMI (Maximum Medical Improvement) Usually Often Often Rarely Impairment Rating Usually Sometimes...