AMA Guides Red Flags & Tricks of the Trade

51 Pages·2017·4.46 MB·English

2/6/2017
By Donald Barthel
Bradford & Barthel, LLP
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(cid:1) Combine values chart (page 604)
(cid:1) Method used to combine multiple
impairments, derived from the formula A+B(1-
A) = combined values of A and B
(cid:1) Ensures that the summary value will not
exceed 100% of the whole person
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(cid:1) Say “goodbye” to MDT
R.I.R.
(Religion In Rating?!?!)
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(cid:1) All impairments are
(cid:2) Converted to WPI
(cid:2) Adjusted for FEC, age and occupation
(cid:2) Combined
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(cid:1) Numbers that are put together for evaluation of
impairment/ PD must be either added or
combined.
When to combine:
(cid:1) COMBINE – for most situations – unless specific
instructions state to ADD impairment values.
When to add:
(cid:1) The most notable exception to combining = ROM
for the same part of the body.
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Chapter 17
ADD
(cid:1) ROM for the same part of the body – (page 533)
COMBINE
(cid:1) Atrophy (example 17-4, page 531)
(cid:1) Strength (example 17-5, page 532)
(cid:1) Arthritis - (knee – patellofemoral with knee,
lateral or medial compartment, if applicable)
(cid:1) Peripheral Nerve – (page 550)
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(cid:1) Combine largest to smallest (ignore
instructions elsewhere)
(cid:1) Largest = vertical
(cid:1) Smallest = horizontal
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(cid:1) Use the chart in the PDRS (Section 8)
(cid:1) The Combined Values Chart in the AMA
Guides has 5 errors (pages 604 – 606)
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54 c 12 = 60 (not 59)
58 c 25 = 69 (not 68)
94 c 78 = 99 (not 98)
95 c 30 = 97 (not 96)
95 c 34 = 97 (not 96)
see 2005 PDRS
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(cid:1) Extremity impairments are
(cid:2) Adjusted for FEC, age, occupation
(cid:2) Combined with other impairments of same
extremity
Before
(cid:1) Combining extremity impairments with other
body parts
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