The parties are forbidden from seeking a second MIR impairment rating for the same injury. The permanent impairment ratings given by MIR physicians subsequent to their selection in compliance with the Program Rules will be presumed to be accurate, as defined in the Act. This presumption may be rebutted only by clear and convincing evidence to the contrary. Opinions reached by any physician(s) not selected in compliance with the Program Rules are not legally presumed to be accurate and shall carry no additional weight in any proceedings, even in cases where the physician selected serves on the Registry.
Tennessee Department of Labor/Bureau of Workers' Compensation