Tennessee Medical Impairment Rating (MIR) Registry physicians use this Word-format report for injuries on or after January 1, 2008, when the impairment rating is the only issue in dispute. It walks through clinical evaluation, analysis of the findings and a diagnosis-by-diagnosis rating under the AMA Guides, 6th edition with its errata. The final whole person impairment entered on page one is legally presumed to be the correct rating.
The MIR Registry physician keys in every response and signs the certification. Examinee questionnaires such as the QuickDASH or the Pain Disability Questionnaire are completed by the injured worker when used.
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MIR Impairment Rating Report - 6th Edition
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The 6th edition report, LB-0931A. The Bureau states that injuries on or after January 1, 2008 must be rated under the AMA Guides to the Evaluation of Permanent Impairment, 6th edition. The 5th edition form, LB-0931, is for injuries before that date.
Yes. Page one asks for the final whole person impairment both in numbers and in words, directly above the physician's certification, and notes that this is the final rating legally presumed to be the correct impairment rating.