The DIME Transformation

DIME Transformation Information

The Division Independent Medical Examination (DIME) process was established to reduce litigation and provide an alternative way to address disputes involving Maximum Medical Improvement (MMI) and impairment in workers' compensation claims. Recent legislation has empowered the DOWC to enhance the administration of the DIME process. The DOWC is committed to engaging stakeholders, understanding current challenges, and collaboratively designing future improvements. Your input is crucial in this process.

Medical Records Packet Assembly and Review

The Division of Worker's Compensation would leverage technology to assemble clean medical records packets from raw submissions to ensure consistency and reduce delays. This new process would streamline the review and improve information security. 

DIME Fees and Physician Pay

A flat rate of $1,000 would be charged for DIME services, with the respondent covering additional costs. This payment structure aligns DIME physician pay with IME rates and simplifies billing.

Interpreter No-Show

Proposed changes would require insurers to cover costs if an interpreter is absent during a DIME. This ensures that interpreter-related issues are managed efficiently. 

To view more information about the proposed changes, view the Proposed Improvements to the Division Independent Medical Examination (DIME) Process resource.

• To view the proposed DIME rule as of October 16, 2024 at 11:00 a.m. MT, please visit Box.com. 
• To view the preliminary draft of the changes, please visit the redlined draft on Box.com. 

• The DOWC conducted a rule hearing on October 16, 2024.
• On August 15, 2024, from 4:30 p.m. to 5:30 p.m., the DOWC hosted a meeting to discuss the preliminary draft of the updated Rule 11. This was not a rule hearing. The DOWC also made available a summary of the primary preliminary changes.