Court of Appeals Holds That Reimbursement of IME Under 85.39 is Limited to the "Typical Fee Charged by the Medical Provider to Perform an Impairment Rating""
Midamerican Construction LLC v. Sandlin No. 22-0471 (Iowa App. Feb. 22, 2023) This case solely involved the payment for an IME. Defendants claimed that claimant was not entitled to reimbursement of the IME and if there was such reimbursement, the amount awarded was unreasonable. The commissioner awarded the full cost of the IME. As a part of the case, Dr. Kenndy rated claimant's impairment as 0%. The fee for the impairment was $174.25. Claimant subsequently saw Dr. Taylor for an IME and he provided a 2% impairment. As a part of the IME, Dr. Taylor also determined causation. His charge was $2020.00. Defendants argued that the IME should not be paid because Dr. Kennedy had not been retained by the employer, as required by 85.39 and IBP, Inc. v. Harker , 633 N.W.2d 322 (Iowa 2001). The Court concluded that substantial evidence supported the commissioner's determination that defendants, through the medical case manager, had chosen Dr. Kenned...