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As a Case Manager, ensuring your patient is receiving the right care is imperative. Here's a clear breakdown of the difference between an Independent Medical Exam (IME) and a Peer Review.
IME vs. Peer Review
Patient Contact
Purpose
Common Use
IME
In-person examination
Causation, disability, status
Workers’ comp, litigation
Peer Review
Document based only
Treatment appropriateness/necessity
Cost review, care justification
Emperion can also coordinate Second Medical Opinions (SMO), just ask!
IME or Peer Review?
Answer a few questions about what you need to determine in this case. The tool will indicate whether it appears to call for an Independent Medical Exam, a Peer Review, both, or whether more case information is needed.
The case routing tool is for general informational purposes only. Emperion is not, by way of the above, rendering legal or other professional advice or services. You are responsible for obtaining such advice from your own legal counsel or other qualified professional advisor.
Frequently Asked Questions
Can I recommend a treating provider or specialist to join Emperion's network?
Yes. Case managers can nominate a provider using Emperion's provider nomination form or by emailing recruiting@emperion.com. Emperion is always adding qualified providers to its network.
How do I refer a case to Emperion?
Submit a referral using Emperion's online referral form or call 844-334-9409. Not sure whether your case needs an IME or a peer review? Try Emperion's Case Routing Tool on this page first.
Who do I contact with questions about an exam?
Ask Eva, the Emperion Virtual Assistant located at the bottom of every page, for quick answers. For help with exam logistics like transportation, translation, or scheduling, email hello@emperion.com or call 844-334-9409.
How does Emperion make sure reports are useful for care coordination?
Emperion performs QA on 100% of reports before delivery, not a sample, so case managers get reports that are clear and complete enough to guide care coordination. Emperion scored 97.37% overall on the 2026 Quality Assurance Audit.
How does Emperion vet the physicians who examine my patients?
Emperion's credentialing process is compliant with NCQA, URAC, TJC, CMS, and AAAHC standards and includes continuous monitoring of the National Practitioner Data Bank (NPDB), so the physicians examining your patients are fully vetted.
Does Emperion offer CEUs for nurses and case managers?
Yes. Emperion hosts complimentary CEU webinars every quarter, including nurse and case manager credits such as National Nurse, CRC, and CCM. Approvals vary by session. See upcoming sessions on Emperion's Events page.
Have more questions? See Emperion's full FAQ for referral contacts by state, medical records submission, accreditation, turnaround times, and more.
Downloadables for Case Managers
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![Downloadable PDF "Examination Tests, Signs, and Maneuvers" for lower extremities. Includes descriptions of tests like Patellar Inhibition, Patrick, Straight Leg Raising, and Thompson, etc. with contact details at the bottom.]()
Common Lower Extremities Exams
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![Downloadable PDF with upper extremity tests, signs, and maneuvers, including Allen test, Axial loading, Babinski reflex, Codman's sign, Finklestein sign, Heberden's nodules, Kernig's test, Lhermitte's sign, Phalen's maneuver, Spurling test, etc.t.]()
Common Upper Extremities Exams
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![Downloadable PDF of human skeleton with labels indicating parts such as clavicle, humerus, radius, pelvis, femur, fibula, tarsals, skull, sternum, ribs, ulna, carpals, patella, tibia.]()
Skeletal and Muscular System Charts
Page 1 - The Skeletal System, Page 2 - The Muscular System
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![Downloadable informational flyer for Emperion Peer Review Services, including medical necessity, casualty assessment, radiology reviews, impairment rating reviews, and short or long-term disability reviews.]()
Everything you wanted to know about Peer Reviews
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![Downloadable PDF with a Nurse holding a pink stethoscope shaped like a heart, with a brochure from Emperion about medical services and solutions displayed below.]()
Info for Case Managers
Advantages to using Emperion, easy ways to refer, URAC accredited
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![Flyer for Emperion's fitness for duty exams, explaining evaluation process, reasons for requesting exam, and objectives for assessing employee health and performance.]()
Fitness for Duty Exams
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![Infographic about independent medical examinations for claims professionals, discussing when to order one, what to send, and how to interpret the results; includes sections on the objective set of eyes, the nature of IME physicians, what to do before the exam, and signs that a claim may need a second look.]()
IME Quick Reference Guide
