ISV MEDICAL ASSESSMENT REPORTS

An ISV Medical Assessment Report is an independent medical report prepared by a medical practitioner who has been accredited by the Motor Accident Injury Accreditation Scheme. It comprises a whole person impairment assessment, using the American Medical Association Guide to the Evaluation of Permanent Impairment, 5th Edition (AMA 5) where appropriate, or GEPIC for the assessment of Pure Mental Harm. The purpose of these medical assessments is to provide independent medical information to assist in determining an injured person’s ISV.

The Minister has approved ISV Medical Assessment Report templates that must be used by Accredited Medical Practitioners in their assessments. One is for Physical injury(ies) and the other for Pure Mental Harm.

The current COVID-19 pandemic has led to a three month trial of the use of telehealth for pure mental harm GEPIC assessments for the Motor Accident Injury Assessment Scheme (MAIAS) between 13 July 2020 and 13 October 2020. Accredited Medical Practitioners must use the Telehealth ISV GEPIC Assessment Template with any ISV Medical Assessment completed by telehealth.

As part of an ISV Medical Assessment, Accredited Medical Practitioners complete a whole person impairment assessment (or GEPIC assessment for Pure Mental Harm) and provide their opinion as to which ISV Item Number is appropriate for the injury(ies) assessed.

ISV Medical Assessment fees

The requestor will be liable for payment of the examination or assessment and the resultant report unless the insurer has approved or authorised the assessment and resultant report (Regulation 25 of the Civil Liability Regulations 2013). Unless advised otherwise, the Accredited Medical Practitioner should send their report and account to the requestor.

ISV Medical Assessment fees are paid at the same rate as Permanent Impairment Assessor fees for ReturnToWorkSA. Visit www.rtwsa.com for more information.