Report Services

Report Services

1. Refer Us a Case for Rating: Refer the employee for a face to face consultation and let Impairment Rating Specialists Physician perform and publish the entire comprehensive report. A comprehensive examination is performed on request of a primary treating physician, or the claims adjuster. Our office will obtain authorization and schedule the employee for the examination. We offer four locations (click for locations) in Northern California and one location in Southern California. A copy of our report is served to the referral source and the appropriate designated parties within 10 business days in most cases. Doctors click here to refer a case now. Adjusters click here to refer a case now.

2. Let Us Help You Format Reports: Use our mobile online web based application to help you correctly organize and publish the California Workers’ Compensation final rating report (PR4 Report). Have Impairment Rating Specialists in your hand. Join the growing group California doctors who now write their PR4 reports effortlessly, correctly and fast with Impairment Rating Specialists. Contact us to learn more about how you can start getting assistance today! Schedule a free consultation for your practice by emailing us at

3. Forensic Chart Reviews: Do you have a claim that just isn’t moving along? We offer comprehensive claim summaries to make expert recommendations on how to get things moving again. Send us your PDF claim documents and let us help you get back on track!  We will create “A Forensic Chart Review” based on objective documentation that will make recommendations on how to move forward again, including ACOEM 2nd Edition Guidelines, or other evidence based guidelines. Our reviewers are experienced Qualified Medical Examiners, Expert Certified Impairment Raters (CIMEs) and have California Utilization Review (UR) backgrounds. Learn more about how to send us a review case by emailing us at

Impairment reports and impairment ratings are critical to the correct and timely closure of a workers’ compensation claim. In California, when the treating doctor needs to summarize the claim, he/she needs to write a PR4 Report to review the essential elements of the claim, and perform an AMA Guides 5th Edition impairment rating, required by law.

The impairment rating report is a multi-use document used by doctors, lawyers, judges, insurance companies, and employees. The writing of an impairment report must be exceedingly clear and focused.

Our experts help doctors and adjuster improve the quality of reports. We understand the time and expertise that goes into writing a correct summary report (PR4, QME, AME and IME) because we have written and reviewed thousands! Collectively, our associates have over 90 years of medical and legal practice experience. We place high value on accurate and reproducible evaluations. Our report formats are constantly reviewed and updated to insure they meet the highest standards of clarity, organization and opinions that are consistent with the AMA Guides to the evaluation of permanent impairment rating.

Why Our Reports Are So Different?

We have done the research. We have reviewed thousands of impairment reports and incorporated only the “best of the best” in our report delivery design. We know that an excellent report demonstrates the examiner’s competency in five basic skill sets.

  1. Subjective History: The history is the employee’s opportunity to have their story told. Every claim is unique and we bring a high level of personalization to each narrative so the reader can best understand the employee’s recall and decisions he/she made in the course of their care. We tell that story in a strictly non-judgmental voice, including quotations direct whenever possible and written in the “employee’s voice”.
  2. Chart Review:  Chart reviews are important as they serve as a parallel check to the history provided by the employee. Our review notes are specially coded and summarized in a format that highlights important information in the opinions and impairment calculation that follow. Charts are also voluminous at times. We understand that this poses a threat to losing the reader’s interest while they try to discern what is and what is not relevant.
  3. Physical Exam: Our exams are adhere to the highest standards of impairment rating. All orthopedic exams include measurements obtained by goniometer or dual bubble inclinometer, bilateral extremity comparisons, and a set of three trials to confirm that motion is reproduced and validated within 10% variability. Our founder, Dr. John Alchemy, MD, leads the group’s standards and expectations for the exams. Dr. Alchemy is additionally credentialed as a Certified Independent Medical Examiners (CIME) by The American Board of Independent Examiners (ABIME). The ABIME is an international organization which independently certifies examiners for competency in the correct use of the AMA Guides by proctored written examination.
  4. “Certified” Impairment Ratings.” Specialized certified impairment rating sets us apart as leaders and what has made us an innovator in the industry.Each and every one of our reports are reviewed by a Certified Independent Medical Examiners (CIME) and verified as correct with the AMA Guides 5th edition prior to the report being signed and served to the requesting party. Our requirement of using CIMEs demonstrates our commitment to excellence and detail.
  5. Summarized Discussion Review: We integrate the entire above essential exam elements into an organized discussion review that outlines the internal consistency and conflict of the data. Opinions are considered on objective and reproducible documentation. The discussion summarizes the key findings and presents it in a usable and understandable format based on claim facts.


Learn more about RateFast today!