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MM&R RED FLAG INDICATORS
- Relationship of accident to injury
is unclear
- Medical guidelines indicate the treatment
may be excessive
- Treatment plan is not clear or definitive
- Lost time over 30 days
- Indications for an Independent
Medical Examination (IME)
- Multiple medical conditions with multiple
diagnoses exist, treatment is unusual or excessive
- Multiple medical providers and ancillary
services
- Possibility of pre-existing conditions
- Delay in return to work
- Medical and non-medical issues seem
to complicate recovery
- Recovery slow without medical indication
- Medical treatment does not correlate
with accident, injury or disability facts
- Treating providers have failed to
provide medical information or clarification despite requests
- Failure to follow the medical treatment
plan, unwillingness to communicate
- Unusual medical conditions
MM&R RED FLAGS FOR JOB ANALYSIS
- Objective information required related
to job tasks to determine return to work capacity
- Employers' unwillingness or inability
to accommodate the worker
- Alternative placement options need
to be identified
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