Even the most careful review of available medical records and diagnostic imaging studies is limited because of its reliance on the documentation of other providers and on the medical records and studies provided for review (i.e. other records and studies may exist that have not been provided).
A record review can help to establish a basis on which to form valid opinions, but there are two main caveats:
- the reviewer does not physically examine the patient, and
- the reviewer cannot obtain a verbal history.
In some instances, it may be possible and helpful to schedule an IME after a record review has been completed.