Common Issues With Maximum Medical Improvement Ratings

Maximum Medical Improvement

The term “Maximum Medical Improvement,” or MMI, is used in the medical profession as the point when an individual’s medical condition (as a result of an injury) has stabilized, and at which no further functional improvement is likely even with continued treatment.

Maximum Medical Improvement

MMI ratings are a crucial element in worker’s compensation and disability claims, as it is the MMI rating that is the key determining factor as to whether an individual will receive benefits, as well as for how long and the amount that they are entitled to. Once you have been determined to be at Maximum Medical Improvement, your ability to receive future medical treatment for any injuries can be affected. Insurance companies authorize treatment based on Medical Treatment Guidelines that are different for each state. These Medical Treatment Guidelines can halt your treatment once MMI has been established, regardless of your actual physical condition.

Receiving further treatment means that your physician or doctor must provide absolute proof that you still require additional treatment even though you have been placed at Maximum Medi-cal Improvement. The proof must state clearly and definitively why the particular guides don’t apply to your specific condition in order to obtain additional treatment. Being placed at Maximum Medical Improvement based on inaccurate information or prematurely can greatly damage any ability to receive further medical and income benefits.

Because your personal physician and the one assigned by the insurance company or other agency may differ in opinion as to MMI, it is important to ensure that you have more definitive evidence of your condition rather than just opinion alone – many a case has been tied up in court, costing unnecessary time and considerable expense, over differing medical opinions.

Fortunately, a company has found a way to introduce a revolutionary new technology to pro-vide qualitative and quantitative measures to provide the necessary medical documentation that is reliable, accurate, and reproducible.

Kennebec’s revolutionary P.R.O.O.F. Preferred system, which stands for Positive Reinforce-ment Of Objective Findings, is a system of Range of Motion and Muscle Testing devices that is one of the most credible, understood, established, objective and accepted methods for docu-menting spinal function in today’s market. The P.R.O.O.F. Preferred system offers a tangible way for physicians to provide tangible evidence demonstrating a need for care as well as devel-oping the proper treatment plan. These reports are not only necessary in insurance reimburse-ment and worker’s comp claims, they can save a great deal of time as well as thousands of dol-lars in litigation.

Kennebec’s product line offers two levels of reports and are modular in nature, with options that can be utilized to customize your system to your unique needs. For more information on their P.R.O.O.F. Preferred system or any of their other products, contact them today, where a quali-fied professional will be happy to answer any questions that you may have.