How much does an MIR evaluation cost?

Completed reports received and accepted by the Program Coordinator within thirty (30) calendar days of scheduling the appointment $1,000.00

Completed reports received and accepted by the Program Coordinator between thirty-one (31) and forty-five (45) calendar days of scheduling the appointment $ 850.00

Completed reports received and accepted by the Program Coordinator between forty-six (46) and sixty (60) calendar days of scheduling the appointment $ 500.00

Completed reports received and accepted by the Program Coordinator later than sixty (60) calendar days of scheduling the appointment No fee paid

This fee includes normal record review, the evaluation, and production of a standard “MIR Impairment Rating Report.” It is expected that all non-routine test(s) for an impairment rating essential under the applicable edition of the AMA Guides to the Evaluation of Permanent Impairment will have been performed prior to the evaluation.

 

Late fees and penalties Failure of the employer to timely submit the evaluation fee will allow the physician to charge the employer an additional $100.00 late fee for the evaluation. If the evaluation fee and/or late fee remain unpaid fifteen (15) calendar days following the date of the evaluation, an additional $250.00 penalty is authorized. If any portion of a fee or penalty remains unpaid after an additional thirty (30) calendar day period, an additional $500.00 penalty is authorized, and again for each additional thirty (30) calendar day period, or portion thereof, that it remains unpaid until all fees and/or penalties are fully paid.

Failure of a MIR physician to timely refund an overpayment will allow the paying party to charge the physician an additional $100.00 late fee for the evaluation. If the overpayment and/or late fee remain unpaid fifteen (15) calendar days following the Program Coordinator’s request for refund, an additional $250.00 penalty is authorized. If any portion of a fee or penalty remains unpaid after an additional thirty (30) calendar day period, an additional $500.00 penalty is authorized, and again for each additional thirty (30) calendar day period, or portion thereof, that it remains unpaid until all fees and/or penalties are fully paid.

 

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